Is it possible for me as half-Asian to get an epicanthic fold? (Photos)

Question

Hi doctors, my mother is Japanese and my father is Brazilian so I have Asian like eye shape but without an epicanthic fold. My struggle with that is because since I don’t have the epicanthic fold my eyelids are very uneven, sometimes my eyes looks sunken and I end it up looking like I’m tired, this have been a complex of mine and I wonder if there’s any procedure that I can do to get the epicanthic fold.

Kenneth D. Steinsapir, MD · Answer

They are not Asian like but actually Asian. The inner aspect of an Asian eyelid can finish either with an inside or outside fold. An inside fold finishes as a medial epicanthal fold. An outside fold is an Asian eyelid that finishes in the inner corner without a medial canthal fold. It is considered a more dramatic eye. Still Asian. In studying your pictures, your upper eyelid fold is hollow. This generally reflects a loss of volume in the upper eyelid due to how the levator tendon inserts into the eyelid. In many eyes, the central part of the tendon is actually separating from the hard platform of the eyelid, the tarsus. If retracts back into the orbit and takes anterior orbital fat back with it. This can actually lead to upper eyelid ptosis which you do not exhibit in your photos. You are missing a hard crease in your upper eyelids. That means the eyelid platform skin is loose and the eyelashes are not well supported. An anchor blepharoplasty makes a single hard upper eyelid crease that supports the eyelid platform skin and the upper eyelid lashes. This surgery exposes the levator tendon which is repaired and anterior orbital fat is mobilized into the eyelid space to make the upper eyelid fold. I do not believe that you will find this type of surgery in South America.

Is it possible for me as half-Asian to get an epicanthic fold? (Photos)

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Is it possible for me as half-Asian to get an epicanthic fold? (Photos)

Answers (1)

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.