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

I would like to have almond eyes, but not like the picture you can see below, because those are the almond eyes which a caucasian person can have. I would like to hold a surgery to have the eyes of the second girl below. As you can see this girl doesn't have epicanthal fold but when you see her you can be sure she's asian. What's the name of the surgery? I think canthopexy and canthoplasty would just make my eyes like the first picture below.

Doctor Answers 5

Proper Technique and Design for Asian Eyelid Surgery

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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.

New York Oculoplastic Surgeon
4.4 out of 5 stars 80 reviews

You are asking how you can have an inside fold taken to an outside fold.

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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.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Asian Blepharoplasty but not Westernization of your Asian Eye

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To recreate your crease and fold like the second one may not be possible completely. Actually the eye on the right is very much like many caucasian peoples. They are just associated with dark eyes and features. The fold on the right is also less distinct. This is hard to recreate. Both eyes have type one epicanthal folds but the fold in Natalie Portman is more distinct, deeper and goes more medially. You will have to know that getting the results exactly as you would like them is not an easy task but go to someone that has a lot of experience in Asian Blep

Philip Young, MD
Bellevue Facial Plastic Surgeon

Asian Blepharoplasty

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It's hard to answer the question of what specific surgical procedures you need to achieve a similar appearance with the photos you've posted without knowing what you look like to begin with.  Asians generally like to preserve their ethnicity while improving the appearance of their eyes.  

For example, when Asians get a double eyelid surgery, they don't want a crease that Westernizes them or makes them look Caucasian.  They want to preserve their ethnicity while achieving the double eyelid.

The best thing is to seek out a board certified specialist who shares your same aesthetic vision and can help you achieve the results you seek.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Epicanthic fold in Asians

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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.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 31 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.