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

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  

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.  

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!

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