How to Obtain a Parallel Crease Without Epicanthoplasty if a Tapered Crease Exists?

I'm Asian with tapered double eyelids. I want to raise the crease and make the it parallel. However, I'm wary of epicanthoplasty as the change can be dramatic and have heard of people regretting the procedure. I've seen Asian eyelids where the parallel crease is on top of the epi fold like how I've drawn in the attached pic of me. But how would I get this done and reconcile the tapered fold? Do they somehow stitch the inner eyelid with the epicanthic fold to make it "one inner piece"? Thanks.

Doctor Answers 2

The parallel crease and epicanthoplasty

Oh this is one of my favorite topics. I get this question all the time and I rarely disagree with my colleagues on realself but the answer to your question is quite possibly "yes." For those surgeons who perform Asian eyelid surgery on a daily basis as I do you know that in certain instances the anatomy will allow you to create a parallel but sometimes tapering crease without a true epicanthoplasty.

there are some important considerations and the physical exam by an experienced Asian Eyelid surgeon is important because there is risk to critical anatomy of the eyelid such as part of your tear duct system.

seek advice in person from an experienced expert and Asian eyelid surgery.

Chase lay M.D.


Bay Area Facial Plastic Surgeon
5.0 out of 5 stars 50 reviews

What you are asking for requires and epicanthoplasty.

What you are asking is can my inside fold be made an outside fold without an epicanthoplasty.  The answer is no.  The risk with the epicanthoplasty is that the surgery needed to make this change can leave a visible and unsightly scar for some.  Generally, it is not a risk that I recommend.  There are circumstances where the risk is reasonable.  A good example in for someone who has one inside fold and one outside fold.  Otherwise, I think your concerns are entirely appropriate.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
5.0 out of 5 stars 19 reviews

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.