Asian blepharoplasty (or “double-eyelid surgery”) are popular among women of Asian descent who are born without a distinctive upper eyelid fold. About 50% of women of Asian descent are born with this fold, and some may feel that lacking an upper eyelid crease makes their eyes look smaller. To transform monolids, Dr. Hsu can create the upper eyelid fold and the appearance of “double eyelids” through surgery or through a stitch-based method. In conjunction with the Asian blepharoplasty, many patients choose to get an epicanthoplasty to remove the webbing of skin over the inner-most corner of the eyes (epicanthal folds) and complete the double eyelid look.

Good candidates for this procedure:

Asian Double Eyelid Surgery Before
  • Patients with 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

What to expect: Consultation

All cosmetic consultations are complimentary and serve as a great opportunity to gain further insight by voicing your concerns and having questions answered. During the initial consultation, Dr. Hsu will ask some questions to get to know you and determine if you are a good candidate for an Asian blepharoplasty.

Dr. Hsu will first ask you about your specific goals for the Asian blepharoplasty and examine the upper eyelid area with your eyes open and closed. He will also ask about your general health history, including any existing medical problems, prior surgery, daily medications, allergies, and any smoking habits.

Dr. Hsu will then give you his assessment on whether you would be a good candidate for the procedure, and if so, how the surgical plan should be individualized for your anatomy. Since each patient's anatomy and surgical goals are different, you and Dr. Hsu will work together to reach optimal aesthetic results.

Surgery Details:

On the day of surgery, Dr. Hsu will meet you before surgery to make markings on the areas planned for surgery and answer any last minute questions you may have.

Asian double eyelid surgery

There are two different methods for performing the Asian blepharoplasty procedure, both of which are usually performed under local anesthesia with no need to go to sleep. Dr. Hsu performs both methods which last approximately an hour.

In the first of these methods, the surgical method, Dr. Hsu will make a small incision at the eyelid crease, remove a small degree of fat depending on the degree of heaviness of your upper eyelids, and then use stitches to create the fold by creating a connection between the muscle and the overlying skin.

The other method is the suture method (stitch-based method).  Using stitches, Dr. Hsu creates the attachment from the muscle to the skin by passing stitches through the skin without the need for surgery. This method is less invasive and offers a quicker recovery but has a small chance of the fold fading over time. 

Recovery & Post-operative Instructions:

After the surgery, use a cold compress or hand towel in 20 minute intervals on the surgical area for the first 48 hours to help minimize swelling.  You must keep your head elevated during recovery periods, making sure to sleep on two pillows at night. For most patients, by two weeks after surgery, bruising and swelling has subsided enough for makeup and concealer to cover any remaining bruising.

Dr. Hsu will usually remove stitches during your first week follow up appointment. Swelling & bruising will peak about 48 hours after surgery but will then decrease significantly in the first two weeks. Most patients can return to work after two weeks, but many patients return even sooner. The biggest limitation for post-operative patients is driving, which should be avoided while taking pain medication. Patients usually stop taking pain medication after five to seven days and plan their work schedules accordingly. Six weeks is usually an appropriate time to gradually return to full exercise and activity.

During the recovery period, we recommend walking within the house several times per day to speed healing and minimize the possibility of developing blood clots. If you have any issues after surgery, Dr. Hsu is available 24 hours for any immediate concerns. For an extended period of time after surgery, Dr. Hsu will see you to make sure you are healing well. Follow up appointments are scheduled one week, two weeks, and several months to a year afterward.

Asian eyelid surgery

Dr. Hsu's view on Asian Eyelid Surgery.

The Asian blepharoplasty or “double-eyelid” procedure is a common one among Asian patients.  In certain Asian countries like South Korea, it is estimated by some that over half of the female population has this procedure done!

I’ve heard some patients tell me that they think the Asian blepharoplasty is done to make their eyes look more Caucasian, but this is not my approach to this procedure.  The purpose is really to create an eyelid fold which gives the eyes a more open and larger appearance, and provides an aesthetic location for eyeshadow.

In recent years, I have seen an increase in the number of patients who have had previous Asian blepharoplasty done elsewhere years ago, and have asked me to increase the height of the eyelid fold. This can be done as well, in the appropriate patient.  The increase in these requests probably reflects the growing popularity of this procedure in general.

In some Asian patients, they also have skin covering the inner part of their eyes, almost like a small area of soft skin web.  I see it in perhaps about 50% of patients requesting the double-eyelid procedure.  This web can be opened up in a procedure called the “medial epicanthoplasty”.  It is often done at the same time as the double-eyelid procedure in those patients.