1. Am I a good candidate for Asian Blepharoplasty? 

The following are some common reasons why you may want to consider Asian eyelid surgery:

  • If you have a single eyelid (no crease), low crease, asymmetric creases (different in each eye), double creases, or creases that come and go.
  • Older patients with extra skin hanging over the crease or in front of the eye.

2. What are the risks and possible complications associated with my procedure?

Fortunately, most of the major risks of Asian eyelid surgery are minor or fairly infrequent. For the incisional method, which is more technically demanding but useful for a wider variety of eyelids, there is the risk of ptosis, or drooping of the eyelid, caused by injury to the levatoraponeurosis, which aids in elevating the eyelid under normal conditions. For all techniques, especially the suture ligation techniques, there is the risk of losing the fold or developing multiple folds. Other serious complications, including, but not limited to, chronic dry eye, inability to close the eyelid, bleeding, infection, heavy scarring, out-folding of the eyelid, and permanent vision changes are also possible, but thankfully much less common.

3. How long of a recovery period can I expect?

Initially the crease will look slightly higher than expected due to the swelling and bruising but over a period of one to two months, it will achieve an ideal level and shape. Following surgery you may experience mild discomfort and an oral medication will be given to you to ease any discomfort. Apply cold compresses for about 2 days to prevent swelling and avoid vigorous activities for at least six weeks. You may take a shower after the sutures have been taken out but avoid getting the eyes soaked. The outer edge sutures are usually removed in four days and the deep fixation sutures are removed by day seven.

4. Where and how will you perform my procedure or treatment?

Asian double eyelid surgery is done on an outpatient basis under local or general anesthesia. Dr. Hsu prefers the procedure done under local so he can interact with the patient to verify the shape and position of the crease and eyelid during surgery. The procedure takes about two hours and involves removing a small amount of excessive skin, some tissue under the skin (muscle and septum), and a small amount of fat pads. After the sutures are placed, the new crease will hide the incision line.