Blepharoplasty Surgery

Blepharoplasty Surgery for Asian Eyes

Double eyelid surgery, or “Asian blepharoplasty,” makes a natural-looking crease. It gives the eye a bigger, more even, and almond shape. It’s really popular among Asians, especially those from places like China, Korea, and Japan. They often want a small eyelid height, about 3-6 mm. But, others from countries like Thailand and Malaysia might want a taller eyelid, up to 7-10 mm. This surgery can also remove fat and extra skin on the eyelid. Some might need another procedure, called an epicanthoplasty. This makes the inner corner of the eye move closer to the nose. It helps make the eyes look wider and taller.

Key Takeaways

  • Asian blepharoplasty is a well-liked beauty surgery that gives Asians a natural eyelid crease.
  • It can make eyes look bigger, more even, and livelier.
  • Doctors use special methods for Asian eyelids during this surgery.
  • It’s very important to plan carefully before the surgery for the best results.
  • After surgery, good care is key for a quick recovery and the best outcome.

Understanding the Asian Eye Anatomy

The asian eyelid anatomy stands out because of the upper eyelid crease. Not every Asian person has this crease. In fact, around 50% of Asians lack an upper eyelid crease. This is called the lack of eyelid crease in asians.

The reason behind this is a bit technical. It’s because of where the levator aponeurosis and the orbital septum connect. For Caucasians, this happens 3-4 mm above the lid margin. But for Asians, it’s closer to 2 mm. This means the asian eyelid fat pads sit differently and can make the eye area look puffy, hiding the eyelid crease.

Epicanthal Fold Variations

Another unique feature of the Asian eye is the epicanthal fold types. Up to 90% of Asian adults have these folds. They also make the distance between the inner corners of the eyes wider. This all adds to the distinct look of Asian eyes compared to Caucasian eyes.

Distribution of Fat Pads

The way asian eyelid fat pads are spread is crucial in the Asian eye appearance. Research shows the upper eyelid skin is thinner for Asians. And the Müller muscle, a critical eyelid muscle, is smaller too. These differences play a big role in how Asian eyelids look.

Characteristic Asian Eye Caucasian Eye
Upper Eyelid Skin Thickness Thinner Thicker
Superior Palpebral Involuntary Muscle (Müller Muscle) Size Smaller Larger
Incidence of Epicanthal Folds Up to 90% Rare
Intercanthal Distance Greater Narrower

History and Cultural Significance

The story of double eyelid surgery, or asian blepharoplasty, begins in the late 19th century. In 1896, Japanese surgeon Mikamo showed the world how to do it first. He used a method of stitching to make a crease above the eye.

This surgery was not about looking Western. Mikamo wanted to make the eyes more beautiful. Before his technique, many thought a single eyelid looked dull and without emotion.

Early Origins in Japan

The start of asian blepharoplasty was in Japan, thanks to Mikamo’s groundbreaking work. He aimed to improve how Asian eyelids looked. His method made eyes seem more open, balanced, and full of feeling.

Evolving Attitudes Toward Aesthetic Surgery

As time passed, views on double eyelid surgery changed among Asians. At first, this surgery was about enhancing one’s look. Now, it’s often chosen to meet beauty ideals from the West. For many, it’s a way to reach their beauty dreams.

Indications for Asian Blepharoplasty

The main reason for asian blepharoplasty is to make a natural-looking crease above the eyelid. This crease is missing or hidden in about 50% of Asian people. Through this surgery, eyes can look bigger, even, and more full of life. It’s also useful for solving problems like extra periorbital fat or loose skin. These issues can make the eyes seem swollen or saggy.

Statistic Value
Percentage of Asians without an upper eyelid crease 50%
Asian Americans as percentage of cosmetic surgical patient population 6%
Double eyelid procedure ranking in Asia Most frequently requested cosmetic surgery
Double eyelid procedure ranking overall Third most popular cosmetic procedure after rhinoplasty and breast augmentation
Epicanthal fold incidence in Asian adults 90%
Epicanthal fold incidence in non-Asian adults 2%

The Asian eye’s lack of a crease, epicanthal folds, and special fat pattern make reason for asian blepharoplasty surgery important. This surgery can deal with these unique features. Therefore, the cosmetic concerns addressed by double eyelid surgery are effectively managed with Asian blepharoplasty.

Preoperative Evaluation and Planning

It’s crucial to fully check and plan before doing Asian blepharoplasty to ensure great results. The doctor needs to look closely at the patient’s eyelids. This includes the eyelid crease, the fat pads, and the epicanthal fold. Knowing what the patient wants and their cultural views is key. It helps in choosing the best surgery and making it fit the patient’s wishes.

Assessing Eyelid Anatomy

Asian eyes are quite unique and the surgeon must evaluate them well. About half of people of Asian descent don’t have an upper eyelid crease. And about 90% have an epicanthal fold. Asian eyes often have more fat pads than others, especially in certain areas. This can make the eyelids look ‘puffy’.

Understanding Patient Goals

Talking with the patient is very important. It helps the surgeon understand what the patient wants. Some may want a Western-like eyelid crease, while others prefer a natural look. The surgeon should listen carefully and plan the surgery to meet the patient’s wishes.

Cultural Considerations

The doctor should also be aware of the patient’s cultural views on beauty. For instance, the double eyelid surgery is very popular in Asia and among 6% of cosmetic surgery patients in the US. Showing respect for these cultural points helps the surgeon manage the patient’s expectations. This leads to a surgery the patient is happy with.

Surgical Techniques

In the world of Asian blepharoplasty, there are two main ways to do surgery. The first is the non-incisional suture ligation technique. The second is the external incisional approach.

Non-Incisional Suture Ligation

Mikamo first tried the non-incisional suture ligation technique. In this method, the surgeon passes sutures through the eyelid. This creates a crease without the need for any cuts outside the eye. Because there are no external cuts, the scarring is usually not very visible. It’s a choice many people like for that reason.

External Incisional Approach

Maruo introduced the external incisional approach in 1929. This method involves making a cut across the eyelid. The surgery works on the internal structures to make the eyelid fold as desired. It lets the surgeon work very precisely. The result is the ability to shape the eye exactly how the patient wants.

Epicanthoplasty Techniques

Blepharoplasty can include epicanthoplasty procedures as well. Epicanthoplasty focuses on changing or removing the epicanthal fold. This fold is at the inner corner of the eye. The goal is to make the eye look more open and full of expression.

Surgical Technique Description Advantages Considerations
Non-Incisional Suture Ligation Passing sutures through the full thickness of the eyelid to create a supratarsal crease Less visible scarring, faster recovery May require more revisions, potential for asymmetry
External Incisional Approach Incision across the lid to manipulate underlying structures and create the desired eyelid fold Precise control over eyelid shaping, versatility Longer recovery time, more visible scarring
Epicanthoplasty Surgical modification or removal of the epicanthal fold at the inner corner of the eye Enhances the width and height of the eyes Potential for scarring, must be carefully planned

asian eyelid surgery

Asian blepharoplasty is a very personalized surgery. The surgeon adjusts the technique for every patient’s unique needs. They might change the eyelid crease’s height, remove fat and skin, and add epicanthoplasty methods.

Customizing the Procedure

As we age, the skin around our eyes weakens. This can affect our side vision. A customized procedure can fix this. Surgeons change the eyelid crease to look more balanced, or take out fat and skin to lessen puffiness. They focus on the patient’s goals.

Achieving Natural-Looking Results

Creating a natural look is crucial in this surgery. Surgeons deeply understand Asian eyes’ unique features. They know about the eyelid crease, epicanthal folds, and fat pads. By tailoring the surgery to each individual, the result is a natural and enhancing appearance.

Postoperative Care and Recovery

Proper postoperative care is key to a smooth recovery. It’s vital for getting the best results in Asian blepharoplasty. After surgery, patients might have mild swelling and bruising. They could also feel some pain. But, these issues are usually temporary. They can be treated with cold compresses and pain medicine. The surgeon will keep a close eye on you.

The surgeon gives detailed care tips. This includes how to look after your wound, what activities to avoid, and when to check back in. Following these recommendations is important for your safety and being happy with the surgery.

One tip is to keep your head up when you sleep. This reduces swelling and prevents problems. Using cold compresses in the first 36 hours also cuts down on swelling and bruising.

Avoid rough activities, contacts, and makeup for the first week. You can shower the day after surgery. But, make sure to put antibiotic ointment on your stitches two times a day.

The time it takes to fully recover can change from person to person. Some might have more swelling. Others might take longer to heal if they have thicker skin. Swelling and bruising usually start going away after 1-2 weeks.

Being patient is vital during the recovery period. The final results might not show right away. Listening to your surgeon and going to all your appointments is key for the best results. Your surgeon will want to see you back about a week after the operation to check on your progress.

Potential Complications and Management

Asian blepharoplasty, like any surgery, has risks. These risks include uneven or very high eyelid folds, known as complications. There’s also eyelid drooping, bleeding, and issues with sutures. Some might face problems like outward-turning eyelids and eye surface issues.

Asymmetry and Excessive Folds

Making sure the eyelid folds look balanced is key in asian blepharoplasty. Sometimes, getting this balance right is tough. Reoperation for fix this is done usually within 3-6 months.

Before the surgery, 12.5% felt the crease was lost. This number stayed the same a week after and jumped to 32.5% after a month. At 3 months, 16.67% still experienced it.

Ptosis and Eyelid Malposition

Blepharoptosis, or eyelid drooping, can happen after surgery. It needs a careful look before the operation. Sometimes, doing extra surgeries can help get the look you want.

Ocular Surface Disorders

Dry eyes can be a problem after surgery. Research shows 12.5% had dry eyes before the surgery. This number was the same after one week, jumped to 32.5% after a month, and 16.67% still had them after 3 months.

Choosing the right patients, using good surgical skills, and being alert to problems can lead to better long-term results after asian blepharoplasty.

Alternative Treatment Methods

While blepharoplasty surgery is the top choice for getting a supratarsal crease in Asian eyes, there are other options. These alternative treatments to Asian blepharoplasty include using temporary eyelid taping or glue. Also, fillers or neurotoxins can be injected to make the eyelid more noticeable. But, these non-surgical options for double eyelid enhancement aren’t as long-lasting or as good as surgery.

Need a quick fix? Eyelid taping or glue can give you a subtle double eyelid look. These non-invasive methods are easy to do and undo. However, they won’t last as long or look as natural as surgery.

Another choice is using fillers or Botox to make the eyelid prettier. These options give a short-term boost. Your eyelids might look a bit more lifted and energetic. But the results fade and you may need more treatments.

While helpful in some cases, these alternatives might not live up to surgery’s lasting benefits. It’s important for patients to think about what’s best for them. They should talk to a qualified surgeon to choose the right path for their needs and wishes.

Factors Influencing Surgical Outcomes

Asian blepharoplasty, or double eyelid surgery, depends on important factors. These include the patient’s choice and the surgeon’s skills. It is crucial to select patients carefully. This choice should be based on the patient’s eyelid shape, what they want to achieve, and their cultural context. Doing so helps in making the results look natural and satisfying.

Patient Selection

Choosing the right patient is key for the success of Asian blepharoplasty. The surgeon looks at how the patient’s eyelid is shaped, where the crease is, how the fat is distributed, and if there’s an epicanthal fold. It’s also important to understand what look and beauty mean to the patient. This information guides the surgical plan. It ensures the procedure fits the patient’s unique needs and culture.

Surgeon Expertise

A skilled surgeon plays a big role in the success of Asian blepharoplasty. They should know a lot about Asian eyelids and be skilled in different surgical methods. By choosing the best approach, they make sure the results look natural. They can also manage any issues that may come up. This all underscores the importance of both the surgeon’s expertise and selecting the right patient for achieving beauty goals.


Asian blepharoplasty, also known as double eyelid surgery, is very advanced and can be changed to suit each person. It’s for individuals of Asian descent. It helps create a natural-looking crease above their eyelids. This surgery focuses on the unique features of Asian eyelids. It addresses issues like the lack of a crease, epicanthal folds, and fat pad placement. The goal is to make the eyes look better without taking away from the patient’s ethnic looks.

Surgeons use special methods and carefully check patients before surgery. They work to make the results look natural. This helps Asian patients meet their look goals and feel confident. In the end, blepharoplasty for Asians is not just any surgery. It’s custom-made to each person and keeps their cultural background in mind.

The need for this surgery is becoming more and more common, especially in Asia and among Asian Americans. Surgeons need to keep learning about new methods to give the best results. They adjust the surgery to what each patient wants, helping them get the natural and balanced look they’re after.


What is double eyelid surgery, also known as Asian blepharoplasty?

Double eyelid surgery, or Asian blepharoplasty, enhances the eyes to look bigger, symmetrical, and almond-shaped. It is a common choice among people of Asian heritage, especially from Northeast Asia.

What are the key features of the Asian eye anatomy?

Key Asian eye features include an upper lid crease or its absence. Also, the lower part where certain tissues meet and the fat distribution play a role.

What is the historical and cultural significance of double eyelid surgery?

Japanese surgeon Mikamo first wrote about this surgery in 1896. He aimed to open up eyelids to make eyes more beautiful and expressive. At that time, a single eyelid was seen as dull by many.

What are the primary indications for Asian blepharoplasty?

Many Asians choose Asian blepharoplasty to add a crease above the eyelid, making the eyes look bigger. It helps about half of Asian people who don’t naturally have this crease. This surgery can also deal with extra eyelid fat or loose skin.

How do surgeons approach preoperative evaluation and planning for Asian blepharoplasty?

Surgeries to add eyelid creases need careful planning. Surgeons study a patient’s eyelids, hear their wishes, and think about how they see beauty. These steps are very important.

What are the primary surgical techniques used in Asian blepharoplasty?

Surgeons often use a non-cutting or a cutting method to make a crease in eyelids. They pick the best one based on each patient’s eyelid structure and goals for their look.

How do surgeons customize the Asian blepharoplasty procedure?

Each Asian blepharoplasty surgery is unique. Surgeons change the crease’s height and the amount of skin or fat removed. They might also do extra techniques for particular results.

What is the importance of postoperative care and management in Asian blepharoplasty?

After surgery, taking good care is vital for a full recovery and good results. Some swelling, bruises, and mild pain can happen but they’re usually not serious.

What are the potential complications associated with Asian blepharoplasty, and how are they managed?

Sometimes, there can be issues like uneven creases, eyelids that are too high, or eyelids that droop. Careful planning, precise surgical skills, and good care after the surgery help prevent these issues or manage them correctly.

What are the alternative, non-surgical treatment methods for enhancing the appearance of the Asian eyelid?

Instead of surgery, some choose temporary methods like eyelid tape or fillers. These methods are quicker but don’t last as long or give the same effect as surgery.

What are the key factors that influence the success of Asian blepharoplasty?

Surgery success depends on picking the right patients and a skilled surgeon. Choosing the right patients and surgical expertise are critical for good outcomes.

Plaza Clinic

Plastic Surgeon in Tokyo Japan