Asian Eyelid Surgery for Hooded Eyelids?

Hello,
Roughly 50% of Asians are born with eyes that have "single eyelids" (as opposed to "double eyelids") in which case there is no crease that forms in the top lids when the eyes are open. Some of these patients also have extra skin and fat, which creates a hooded look. "Hooding" is sometimes used to describe an upper eyelid that is flat and slightly puffy.
I assume that you are refering to "hooded eyelids", and not to prominent folds that run into the corner of the eye - if this is the case, please let me know and I will respond with another comment - the epicanthal fold (if this is what you are refering to) needs special consideration for Asian (double) eyelid surgery.
When I perform double eyelid surgery, I am creating a natural crease in the eyelid that appears when the eyes are open, but not when they are closed. In some cases, I remove skin and fat to create a smoother and less puffy appearance.
As you already have a fold (crease), and if you are happy with its position and shape, you may be a candidate for a classic blepharoplasty. In this case, your fold (eyelid crease) will be left in place, however some of the extra skin and fat will be removed. Your surgeon will discuss with you which approach is best given your eyelid features and your objectives.
With a classic blepharoplasty, I make an incision inside the natural fold (crease) of the eyelid so that the scar is hidden when the eyes are open. My patients have high satisfaction from this surgery as the procedure can be done on an outpatient basis with local anesthetic and a sedative, and the recovery period is typically easy and without any discomfort.
I recommend you see a Facial Plastic Surgeon or Oculoplastic Surgeon in your area for a consultation. Choose a surgeon who has extensive experience with both classic blepharoplasty and double eyelid blepharoplasty as some consideration will need to be given to the existing fold that you have, and if it should be modified at all. The double eyelid surgery can be more complicated than a classic blepharoplasty and this is why choosing a surgeon with much experience with this procedure is highly recommended.

Asians who either lack a crease or have a small crease will have hooding, or excess upper lid skin which obscures vision, at an earlier point than someone with a larger crease. Upper eyelid surgery will require both placement of a crease combined with removal of excess skin and or fat. The brow will frequently descend as the forehead muscle relaxes once the upper visual field becomes unobstructed.

 

I would recommend someone who performs asian eyelid surgery on a regular basis and who also performs browlifts in order to get the maximum information on your options for correction. Good luck!

Sounds like a double eyelid surgery is not required since you have a crease, so removing the excess upper skin/hood is all that is needed. This is a straight forward, reliable procedure referred to as upper Blepharoplasty Eyelid surgery.