Asian Double Eyelid Surgery

What is Asian double eyelid surgery?

Asian double eyelid surgery, also called Asian blepharoplasty or double eyelid surgery, is a type of upper eyelid procedure. It involves creating a visible upper eyelid crease, which is naturally absent in some people of East Asian descent. Patients may consider this surgery for aesthetic, cultural, or functional reasons.

Indications for Asian double eyelid surgery

The absence of an upper eyelid crease, sometimes referred to as a “single eyelid,” is common in East Asian populations. This occurs when the skin of the upper eyelid is not closely attached to the muscles that open the eye. For some people, this can affect how makeup is applied or give the appearance of a “heavier” eyelid.

Surgery can create a defined crease by dividing the eyelid into two sections, producing the appearance of a “double eyelid.”

Revision procedures may be considered if results from previous eyelid surgery have changed over time, or if there are concerns such as asymmetry.

Surgical techniques

The goal of double eyelid surgery is to create a crease by connecting the levator muscle mechanism to the skin. Techniques generally fall into two categories:

Closed (suture) technique

This method uses sutures to create an adhesion without making an incision. It is usually performed under local anaesthetic. The crease formed through this technique may not be permanent, as it relies on nonsurgical adhesion that can weaken over time.

Incision technique

This method involves placing an incision along a carefully marked area of the eyelid. Fat or muscle may be adjusted as needed. Sutures are used to form a dynamic fold, which moves with the eyelid. This technique can provide a longer-lasting result compared to the suture method.

Partial incision technique

This option combines elements of the closed and incision techniques. A limited incision is made, usually suited to patients with thinner skin and less eyelid fat. It allows access to underlying structures while reducing recovery time compared to a full incision.

Epicanthoplasty

Epicanthoplasty is a separate procedure to reduce the skin fold covering the inner corner of the eye (epicanthal fold). Some patients choose this in combination with double eyelid surgery, depending on their anatomy and preferences.

Where is the surgery performed?

• Under local anaesthesia: in fully equipped procedure rooms.
• Under general anaesthesia: in accredited day surgery theatres.

Preparing for surgery

A face-to-face consultation is required to assess your eyelids and discuss options. During this appointment:

• Your medical history and expectations will be reviewed.
• Photographs will be taken for documentation.
• Information about the procedure, risks, recovery, and aftercare will be provided in writing.
• You will have time to ask questions.
• A minimum 7-day cooling-off period is required before scheduling surgery, as per Medical Board of Australia guidelines.

Recovery

• Light activities are usually possible within 48–72 hours.
• Sutures are typically removed after 7 days.
• Recovery generally takes 7–10 days, although swelling and bruising may persist for a short period.
• Discomfort can often be managed with oral pain relief.
• Written post-operative care instructions will be provided, and follow-up appointments will be arranged.

Risks and possible complications

All surgery carries risks. For double eyelid surgery, these may include:

• Infection
• Bleeding
• Scarring
• Asymmetry
• Changes in eyelid appearance over time

Dr Xu will discuss these risks during consultation, including the possibility of revision surgery if required.

Combining with other procedures

In some cases, double eyelid surgery may be performed alongside other procedures such as:

• Epicanthoplasty
• Brow lift
• Lower eyelid surgery
• Rhinoplasty
• Facelift

Suitability depends on individual factors and will be discussed during consultation.

Cost of surgery

Costs vary depending on the surgical technique used, time required, and whether additional procedures are performed. A detailed fee estimate will be provided after consultation.

Summary

Asian double eyelid surgery is a procedure designed to create a defined upper eyelid crease. It may be performed using different techniques, depending on the patient’s anatomy and goals. A thorough consultation, cooling-off period, and understanding of risks are important parts of the process.