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Can Blepharoplasty Correct my Asian Eyelids?

I am Asian with single eye lids. I woke up a few days ago with a double fold on my right eye! My left eye has a single fold. I'm not sure how or why this happened, but would Blepharoplasty correct this?

Asked 35 months ago by bonbon in Mountain View, CA, USA

Asian eyelid surgery

This really depends on what you mean by "correction." If you like the new crease or would like to have a crease, that can be done with a Blepharoplasty procedure which would set a new eyelid crease for you in a permanent way. I recommend finding a plastic surgeon who does a lot of Asian eyelids and truly understands the anatomy of the Asian eyelid with good knowledge at setting the crease line.

Charles K. Lee, MD

San Francisco Plastic Surgeon

ASAPS ASPS

Careful examination required...

Not sure why you would wake up with a different eyelid. But sometimes the fold you think you do not have is really there except that it is very close to the eyelid margin. You can also create false double lids when your skin "sticks" together. Have a surgeon very carefully exam your eyelids especially when they move. What you end up doing, if anything, would depend on whether you like the left side, the right side, or neither. Each procedure should be customized to your specific anatomy and... more

Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon

ASPS

Blepharoplasty can correct asymmetry

Yes, a blepharoplasty can correct asymmetrical eyelids and give an Asian single-eyelid fold a deeper single crease. The surgery will not give a double crease.

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William Portuese, MD

Seattle Facial Plastic Surgeon

Beautification of Asian eyelids is frequently done

Beautification of the Asian eyelid is a very sought out procedure and the surgery needs to address what changes you would like to see in your eyelid.

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Richard Gentile, MD

Cleveland Facial Plastic Surgeon

Skin is not the only answer

Creases could be raised and made more pronounced in an open or closed (no skin cutting) technique. Skin could be removed as well, but from your picture it seems as though your left upper eyelid displays some small degree of ptosis. In this case, raising the crease and removing a little skin might not be enough to achieve symmetry.

Robert Schwarcz, MD

New York Oculoplastic Surgeon

Yes it can

If a more western or caucasian look is what you are looking for, then a blepharoplasty can be done. If you are trying to return your now double fold right eyelid to a single fold, that will be much more difficult, if not impossible. Consult with an oculoplastic surgeon or board certified plastic surgeon who is experienced with correction of asian eyelids. Good luck!

Kenneth R. Francis, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Find an Asian eyelid specialist

You need to find a surgeon that specializes in the Asian eyelid. The anatomy is unique and surgeons with vast experience can obtain good results for you.

Michael S. Beckenstein, MD

Birmingham Plastic Surgeon

ASAPS ASPS

Make sure you see an Asian eyelid specialist.

Asian eyelids are a complicated subject. My best advice is that you see an Asian eyelid specialist. For what you are asking, yes, it can be corrected - if what you mean to to make it more symmetric. Good luck with your surgery.

David Shafer, MD

New York Plastic Surgeon

ASPS

Asian eyelid folds can change over time

Your question is a good one and is not that uncommon. I have had other patients state that their eyelids changed 'overnight,' either gaining a stronger fold or losing their fold. Whatever the problem, it can be fixed by asian eyelid surgery and the creation or reinforcement of a fold. The fold should be natural like the one on your right eye and your surgeon will probably want to do both eyelids to reinforce the fold on the right to assure long lasting symmetry. I agree with Dr. Lee... more

Thomas T. Nguyen, MD

Orange County Plastic Surgeon

ASPS

Asian blepharoplasty creates a deep crease

In your photo, there is some asymmetry of the upper eyelids. The left eyelid skin is covering your eyelashes more than on the right. You can have a very small strip of skin removed on the left eyelid if you want it to match the right and still keep your Asian look. If your goal is to have a deep crease, which is a more caucasian look, you can do that too (commonly referred to as Asian Blepharoplasty).

Jonathan Hoenig, MD

Beverly Hills Oculoplastic Surgeon

Undoing a double fold eyelid is very risky

Dear BonBon, The fold is created by adhesions between the eyelid skin and the tendon that raises and lowers the upper eyelid. This attachment may exist in an asian eyelid and creates a double fold or may be absent accounting for a single fold. Typically in Asian eyelid surgery (and yes there is such a thing as asian eyelid surgery), looks to create a double fold. Undoing a double fold is likely to result in a very unacceptable outcome. Similarly, trying to lower a double fold is also so... more

Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

Asian Blepharoplasty for single eyelid

If you desire a single eyelid on the right, I would not recommend surgery. Creation of a double lid is the goal of many Asian blepharoplasties. An adhesion between deep skin structures and the tarsal/levator complex is created surgically (this is lacking in Asian single eyelids). Modern double lid blepharoplasty minimizes fat removal in order to maintain the ethnic appearance.

Frank P. Fechner, MD

Worcester Facial Plastic Surgeon

Blepharoplasty can help correct Asian eyelids

For most patients with Asian eyelids, the goal of surgery is to create a pleasing, symmetric, eyelid creases. By looking at your picture, it appears as if you would be a good candidate. However the surgery would create a double crease on each side. Not return you to a single crease. My only other concern is that things have recently changed. I would wait a few months to be sure that the problem is still bothering you, and then consider a consultation with a cosmetic surgeon who has... more

Marc Cohen, MD

Philadelphia Oculoplastic Surgeon

Asian blepharoplasty is complex

I am not sure why you have noticed an acute difference between the two eyelids. Asian Blepharoplasty can create a natural Asian eyelid appearance which usually involves only a 2-4 millimeter fold showing and no fat resection is done to avoid a hollow unnatural look. Be sure to discuss with your surgeon if you choose one, your exact goals. Many plastic surgeons assume, erroneously that Asian women want a caucasian or "round eye' look which is not the Asian Ideal. I suggest that you... more

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Brooke R. Seckel, MD

Boston Plastic Surgeon

ASAPS ASPS

Asian eye lid anatomy

The asian eye lid is anatomicaly different from the caucasian eye lid due to the absence of the upper eye lid crease(usually caused by the attachement of the levator aponeurosis) and the upper eye lid fold, as well as the fat distribution. Surgery is usually done to add a crease and fold to the eye lid.