What can be done for Asian eyelids that “flip” and move into different crease positions, depending on the day? (photos)

Question

Hello, I am East Asian with natural double folds. As a child my eyelids “flipped” so they would have higher and lower crease positions. They settled into the higher position when I was about 8. A few years ago my eyelids started to flip again as they had when I was a child. Now they seem to have mostly settled into the lower position which I think makes me look older and tired. Is there anything that can stabilize that higher fold that is short of a full blepharopasty?

Christopher Chui, MBBS, MRCS Ed, MMed · Answer

Thank you for your question.
A full incisional blepharoplasty will give you a more definite result, however suture techniques are possible too.

Haemi Lee, MD, FRCSC · Answer

Thank you for your question. Suture techniques or minimal incision blepharoplasties may help stabilize the crease if that is simply what you prefer. These are best with thin upper eyelids, especially if you already have a natural fold that forms. However, there is a trade-off for the simplicity and minimal recovery. Suture-only techniques are known to be less robust in the long run and you may need a revision over time. If you would like a more stable result or if you feel the skin or fat around the eyelid needs to be addressed I would recommend a full incisional blepharoplasty.

David Kahng, MD · Answer

hi,
based on your pictures and your description, a full incisional technique will give you the best stable result.  however you can choose a minimal incision technique.  please get a consultation with a plastic surgeon who does Asian eyelid surgeries.  hope this helps.

What can be done for Asian eyelids that “flip” and move into different crease positions, depending on the day? (photos)

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