Asian Eyelid Surgery Q&A
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Best Procedure when Considering Eyelid Surgery for Young Patients ?

asked 2 years ago by Tulips1990 in Fresno, CA
Latest answer by Jeffrey Schiller, MD
Question viewed 1,254 times
Tags: age 18-24, Asian, crease, teenager

I am 19 years old. I am Asian and I have eyelids on both eyes. The only problem I have is that my right eyelid crease is weak.I have an intermittent fold. Sometimes I wake up and there isn't a crease, throughout the day it will come and go. This bothers me a lot. I don't want anything drastically done and open surgery scares me a little. Whats the best procedure for me? Thank you so much for your time.

8 answers to Best Procedure when Considering Eyelid Surgery for Young Patients ?

+2

Asian Blepharoplasty

Asian "double eyelid surgery” or Asian Blepharoplasty is a cosmetic surgery procedure of the upper eye lid where the skin around the eye is reshaped (Blepharoplasty). The purpose of the procedure is to create an upper eyelid with a crease (i.e. "double eyelid") from an eyelid without a crease (i.e. "single eyelid" “the sleepy look). Anatomically, there are a number of differences in the upper eyelids of East Asians compared with the differences in the... more
Samir Shureih, MD

Baltimore Plastic Surgeon
+1

For a young Asian with an intermittent crease, suture technique works well

Suture technioque for crease formation is by far the commonest method used in young patients throughout Asia. It is minimally invasive, performed through tiny stab incisions. I often use it for creases that do not stay all day. It is especially effective in that setting. You must find a surgeon who can show you before and after pictures of eyelids like yours showing results that you like, to be sure that they have enough experience with Asian eyelids.
Jeffrey Schiller, MD

New York Oculoplastic Surgeon

www.beautifuleyes.com

+1

Asian eyelid surgery

You are not alone. There are many patients with asymmetric folds on their upper lids. The best way to assure symmetry is to perform the same procedure on both lids. I prefer a limited open procedure as I can guarantee the permanency of the crease and stability of the result.
Gilbert Lee, MD

San Diego Plastic Surgeon
+1

Non incision Suture technique

There is a non incision suture technique developed in Japan for Double lid creation. Only problem is that although it looks great in the beginning  in some of my patients it wore off after two to three years . The procedure is fairly simple and is done under local anesthesia in the office. If you are looking for a short term solution  till you become brave enough  to have  surgery it may be an option.
Zain Kadri, MD

Los Angeles Facial Plastic Surgeon
+1

Asian Blepharoplasty can be done with just sutures

Asian Blepharoplasty can be done with just sutures. One thing to realize is that this method although less invasive is not as reliable and you may end up with the same thing where one side is more defined than the other just the reason that you want sometime done. The surgical method is still minimally invasive and can be done as an outpatient under local anesthesia with or without iv sedation. This method of opening up the eyelid and recreating the crease is more reliable and less likely... more
Philip Young, MD

Bellevue Facial Plastic Surgeon
+1

Asian blepharoplasty would be appropriate

To recreate the crease, an incision in the crease will have to be performed with suturing of the dorsal plate or muscle layer down to the dermis, which will match the opposite side and be permanent.
William Portuese, MD

Seattle Facial Plastic Surgeon
+1

Asian blepharoplasty is what you need

The situation you are describing is very common. Typically the lid with the rudimenatry crease is operated on to match the well formed crease. The challange is finding a surgeon with the experience to carry out this surgery. Too much skin removal will Westernize the eyelid and leave you looking surgical. Three common problems arise when plastic surgeons perform these procedures. First, the lowest incision which makes the crease is made too high; second, the skin of the eyelid platform is... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+1

Asian eyelid surgery must be individualized, is delicate but very rewarding

No other type of eyelid surgery better fills the motto that eyelids are like snowflakes-no two are exactly the same. Asian eyelids are are all slightly different when it comes to crease configuration. And while all eyelids change with age, varying and multiple changes to the crease in the Asian lid occur over time. That being stated,you should have a detailed consultation with your surgeon and make sure the two of you are on the same page as to your goals. From what you describe it seems... more
J. Timothy Heffernan, MD

Seattle Oculoplastic Surgeon

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