Asian eyelid surgery. Is an 8mm crease small, medium or large? How can you figure out best eye shape for your face? (Photo)

Question

My right eye "hood" is dropping down prob due to age (I'm 42) and it's starting to impact my vision field. Had a consult with a local ocular plastics MD (she's had Asian double eyelid surgery training in S. Cali & S.Korea) to see if it was ptosis or just extra skin (said its extra skin). Incisional surgery recommended, suggested 8mm crease (said she's conservative with creases). I have no sense if that's small, medium or large. How can I figure out appropriate crease size and shape for my face?

Goretti Ho Taghva, MD, FACS · Answer

Hello, the range of crease height for Asian eyelids is typically between 6-9mm. This is measured from the lash-line to the crease when the eyes are closed.  8mm is considered medium to large.  It appears that you may have ptosis as well.  It may be helpful if you get opinions from other board-certified plastic surgeons who specializes in Asian Eyelid Surgery.  Best of luck!Goretti H. Taghva MD FACS

Donald B. Yoo, MD, FACS · Answer

8 mm is within the normal range for crease height in Asians.  Just as important as the crease height is how much skin overhang there is over the crease in determining the final appearance.  This early in your recovery, you still have quite a bit of swelling which is elevating the height of your crease.  As this resolves over the 3-6 months (and up to a year) the height will descend.

Umeng David Thao, MD · Answer

Thanks for your question and photos. Based on the photos, you seem to have a combination of excess skin and ptosis.  8mm falls within crease range for Asian eyelids but discuss with your surgeon your concerns. Please keep in mind that it is better to be conservative because you can always cut more later if needed.  Best wishes!

David Kahng, MD · Answer

Dear topknot1975,
Thank you for your question and photos.  For Asian upper blepharoplasty, the crease can range form 8mm to 10 mm, with 8 mm being conservative, and more natural and 10 mm, larger and less natural.  It is also important to clarify if you would like an infold (fold begins at the corner of the eye) or an outfold (begins above the corner of the eye and remains parallel along the length of the fold/incision.  In general, I ask my patients for their overall goals and I help them come up with the numbers.
Best regards,
Dr. Kahng

Asian eyelid surgery. Is an 8mm crease small, medium or large? How can you figure out best eye shape for your face? (Photo)

Answers (4)

More Double Eyelid Surgery Questions

WE SEND PRETTY
EMAILS

Answers (4)

More Double Eyelid Surgery Questions

How can I make my Asian eyes look more Caucasian? (photos)

Upper Asian bleph: does the suture method create scar tissue?

I tend to sleep on my side. Will this be a problem when I undergo Asian eyelid surgery under local anethesia?

Excessively eye discharge after 1 month eyelid suture method? (Photos)

Double eyelid (Asian bleph) techniques: I am confused about the differences.

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS