Asian Eyelid Surgery: Q&A

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Possible to Get Wider or Bigger Eyes?

I was born without double eyelids, but they naturally developed as I was growing up. However the size of my double eyelids constantly change (bigger/smaller).

My eyes are small and round, but the pink part near my tear ducts are not visible. I learned that there is a type of Asian eye surgery that can make this visible. Will this surgery help?
Can my eyes get any bigger or wider?

Thank you in advance for all your help!

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5 Doctor Answers | Asked by vtrm22 in New Jersey

Doctor Answers (5)
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Bigger or Wider Eyes

Yes, it is definitely possible for you to get wider or bigger eyes. From the picture, it seems like you have an epicanthal fold, also known as the Mongolian fold. This epicanthal fold is due to excess skin along the medial side, or towards the nasal side of the eye. Recent researches have shown that it is also due to excess fibrous tissue and excess superficial muscle of the eye, known as the orbicularis oculi muscle. The surgeon will be required to perform epicanthoplasty in order to make... more

Changinging natural double eye lids

The dynamic changes you describe are very common in natural "double eye lids" in Asians.The naural fold is formed by the insertion of a thin sheet of fibrous tissue into the skin. which may be weak causing the effect you describe. The fold can be made permanent surgically by supratarsal fixation. An epicantho plasty may also be combined to make your eyes wider. However there is a risk of scar formation in that area.

An epicanthoplasty can widen your eyes significantly for you

An epicanthal fold is the extra fold that you have in the middle part of the eyelid. There are four types of epicanthal folds: Type one is when there is no encroachment on the lacrimal lake (the fleshy part of the eye in the middle of the eye). Type 2 is when there is partial coverage of the lacrimal lake. Type 3 is when there is essentially complete coverage. Type 4 is when the epicanthal fold originates from the lower eyelid which is mostly found in the congenital type of epicanthal... more

Philip Young, MD

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Epicanthoplasty and Asian Eyelid Surgery

You can absolutely have an improvement in the width of your eye opening with surgery. The width of your eye opening (eye fissure) will improve with a surgery that reshapes the fold of skin closer to your nose (epicanthal folds); this surgery is called an epicanthoplasty. There are many different descriptions of these surgeries, but they all involve making small skin incisions to change the shape and anchor down the epicanthal folds. They create only small changes in fissure length, but give... more

Epicanthoplasty for Asian Eyelids

The answer is yes and no. Yes, with an epicanthoplasty, you can have improved shape of the epicanthal fold so that the eye is wider toward the middle near the nose. No, because, it is hard to make a radical change. it would be on the order of probably about 1 mm at most in terms of physical change. sometimes that is enough. however, there can be some scarring. i use a technique that is focused on just the very inner part of the eye so that the incision does not fall on the skin itself to... more

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

Asian Eyelid Surgery: Q&A