What Technique To Get Almond Shaped Asian Eyes? (photo)

You are right in not wanting to “Americanize” or “Europeanize” your eyelids as that would result in a very unnatural appearance.

Asian eyes require delicate finesse with the typical epicanthal fold that lies in front of the eye so that proper surgery does not mar the natural beauty of this type of eye. These surgeries are often referred to as Double Eyelid Surgery as approximately half of Asians have a “single fold” and half have a “double fold”.  If you do internet research, you will many different styles and techniques for Asian Eyelid Surgery.

Creating a natural appearance in the Asian eyelid is complex, so I take into account the age and gender of the patient. I avoid removing too much skin or fat which is a common technical error made by surgeons less familiar with Asian eyes.  Proper surgery begins with a design which is drawn prior to the procedure. Many of my Asian patients fly to New York from all over the world asking me to do revisional surgery on their Asian Eyelid surgery because they are not happy with scars which go outside the natural crease and are difficult to manage.

Some Asians have a well defined epicanthic fold while others have less of one.  I try not to change the epicanthic fold when I perform eyelid surgery. It is difficult to achieve a natural result and it would require scars in an area of the eyelid where you really wouldn't want one.

This is exactly the purpose and goal of medial epithcanthoplasty.  When it is good it can be very, very good.  However, when it is bad it is very, very bad.  It must be considered a high risk surgery.  The reason for this is simple.  The surgery must be performed in a very visible location of your face.  If it does not heal well then the scars are obvious.  Because this is where people look when they talk to you, it is highly distracting to be scarred in this location.  It is my opinion that only 30% of people attempting to have an inside fold taken to an outside fold have an acceptable result.  For this reason most very experienced Asian eyelids surgeons, and I include myself in this category, do not encourage taking this surigical risk.  This is more than sharing an "asesthetic vision."  This is a matter of knowing what is reasonable and what is not reasonable.  I do agree that  there is no substitute for a personal assessment and detailed consultation with the right surgeons.  By the way you have exquisite aesthetic tastes, both women who you have chosen as your models are very beautiful.