Asian Blepharoplasty

Asian Blepharoplasty differs from “regular blepharoplasty” in that it focuses on create an epicanthal fold either was not previously there or not readily visible. The differences in anatomy between Asians and Caucasians result in the less pronounced crease and sometimes puffier appearing upper eyelids. In Asian eyelids, there is more submuscular fat superficial to that of the orbital septum, and additionally the orbital fat is inferiorly displaced due to the lower or absent attachment of levator aponeurosis to the skin. Because of these differences, Asian Blepharoplasty requires a different skill set that may not be familiar to all surgeons.

The aesthetics of the crease is another important factor to having a natural appearing “double eyelids” that does not age you (since subconsciously most people associate eyelid creases/folds with laxity). The crease height is the first metric to consider. Caucasian female creases are often at 9-11mm away from the lash line; however, most Asians will have a crease height between 4-7mm. Therefore, most Asians will appear surgerized and unnatural with a crease at 8.5mm or higher. The shapes of the creases are categorized as the following: (small) parallel, nasally tapered, (large) parallel, and crescent. For some patients, the main goal is to dramatically change how he/she looked after surgery but some wants more subtle changes. The height and shape selection will dictate if those aesthetic changes and goals are met.