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Asian Double-Eyelid Surgery To Create An Epicanthic Fold

Published on October 5, 2017

A very common feature that distinguishes people of Asian decent is the shape of their eyelids. Asians typically appear to have a single eyelid. This means that they lack the crease commonly found in non-Asian people that divide the eyelid into two parts. This is called a double eyelid.

Double eyelids are desirable since they open up the eyes and give them a boost in aesthetic appeal. Sometimes, single eyelids can occur in non-Asian descendants as well, mostly due to birth defects or aging. Such individuals and a majority of Asians opt to undergo a double eyelid surgery to enhance how the eye looks. Here is an overview of the procedure and some important considerations.

Choosing Your Cosmetic Surgeon

It is important that you consult an experienced surgeon who has a history performing this procedure with a high degree of success. Make sure to discuss with your doctor, the techniques he will be using and determine if it is the right fit for your anatomy. Asian features are quite distinct and the results of the surgery must look natural. Your surgeon should take care to customize the procedure to suit your unique traits so that your end-result looks natural.

Preparing For The Surgery

Before undergoing the surgery, you should make sure that you limit the use of medications like aspirin or ibuprofen as they have a tendency to prolong bleeding. If you have a history of allergy to certain drugs or medications, it should be mentioned to the doctor beforehand. Your doctor will evaluate the condition of your skin, the time taken for optimal healing, and more importantly, your anatomy so that he can satisfy your individual needs.

How The Surgery Is Performed

The goal of an Asian double eyelid surgery is to create a natural, symmetric asian eyelid crease. There are various techniques use to accomplish this goal, but may doctors utilize the incisional technique to reliably create the eyelid crease. During the procedure, incisions are made on the eyelid to remove excess fat and steps are taken to avoid creating a “Westernized” eyelid.

The surgery can be performed with limited anesthesia and often only requires a local anesthetic. To maximize comfort and relaxation during the surgery, patients can request oral sedatives as well.

Post Operative Care

Immediately after the surgery, you should avoid strenuous physical activity and take enough time out of your day to rest properly. During the recovery period, you should take care of the incision sites by keeping the area clean. Consult your doctor on how to keep the incision sites clean to avoid infections.

You will experience some slight swelling and discomfort after the procedure, but it will subside in time. Keep an ice pack handy to help reduce the swelling at a faster rate. If the swelling or discomfort persists, you should consult your physician.

You should take any prescribed medications on time, as it can only help ease the recovery process. If you are given any antibiotics, make sure to finish the course. A full recovery varies according to one’s anatomy and may take longer in some patients. The result of the surgery is long lasting, but it can change gradually with age. Your doctor can help you better understand what to expect from the treatment.

Contact Our Office

If you’re interested in undergoing an eyelid surgery without losing your unique traits, Dr. Jeffrey Joseph, a board-certified ophthalmic reconstructive plastic surgeon, can help. Contact our office to schedule an informative consultation where any of your pressing questions can be answered in a comfortable environment.


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    180 Newport Center Drive,
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  • Newport Beach, CA 92660
    Tel: 949-424-3524
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