Asian Blepharoplasty

Eyelid surgery can be performed for a number of different reasons. The type of surgery depends on the ethnicity of the individual in some cases, and this holds true in patients who are of Asian origin. Blepharoplasty in Asians, called Asian blepharoplasty, is a surgical procedure where the appearance of the eyelids is corrected for certain clinical indications. Asian blepharoplasty is also called ‘double eyelid’ surgery. In this article, we shall take a look at this procedure in a little more detail.

Why Asian blepharoplasty?

The eyelids are shaped differently in the Asian population groups. In some individuals, the upper eyelid may appear puffy and the crease may be absent. This can be a rather annoying for some patients who may believe that this is cosmetically unpleasant. Furthermore, patients may have difficulty applying cosmetic products such as eyeliners due to the absence of the crease. Such patients often undergo Asian blepharoplasty. The absence of the crease is a typical feature in Asian population groups as compared to white Caucasians.

Who will benefit?

A typical patient who undergoes Asian blepharoplasty is a female adolescent in her early 20s. Male patients who undergo the procedure tend to be a little bit older. Of course, all lot of patients may also wish to have this procedure for cosmetic reasons.

The procedure and benefits

In the Asian populations, the lid fold lies at a lower level than in white Caucasian populations. Before the procedure, a detailed assessment of the patient’s eyelid is conducted to ascertain what corrective measures need to be taken. This can include brow symmetry, degree of eye protrusion etc.

There are 2 different ways this procedure is conducted. In the ‘semi-open’ method, the fat over the levator muscle of the eyelid is removed and the muscle is repositioned a little higher. The procedure is often done under sedation or local anaesthesia. This procedure is reversible if the patients are not happy with their results. The ‘incision’ method involves the removal of a small part of the orbicularis oculi muscle, which is the muscle that surrounds the eye. The fat is also removed and the levator muscle is repositioned. Sutures are put in place and healing ensues.

Following the procedure, antiseptic ointment is applied onto the suture site and a light compression dressing is placed. The sutures are removed after 3 to 4 days.

The primary benefit of undergoing Asian blepharoplasty is that patients can have the eyelids that they want and feel a lot more confident.

Risks and complications

One of the most common competitions that can occur following the procedure is asymmetry of the eyelids. In order to prevent this, photographs will be taken before the procedure and a detailed pre-operative plan will be in place. In some patients, despite surgery, they may lose the upper eyelid crease that has been created over a period of time. In a small proportion of patients, drooping of the eyelid (called ptosis) may occur.


Asian blepharoplasty is a commonly performed procedure in the Asian population groups. It is primarily a cosmetic procedure may be performed for clinical indications as well. Patient satisfaction rates are high.


Western Eyes by Ann Shin, National Film Board of Canada

Western Eyes by Ann Shin, National Film Board of Canada



Visit our website
Copyright © 2012 All rights reserved.