I'm Hispanic women who has the characteristics of Asian eyes. Do you have to be Asian to have double fold surgery?

The short answer is that you do not have to be technically Asian to undergo double eyelid surgery.  People of all different backgrounds may present as candidates.  Most importantly, the technique must be flawless, achieving a natural and symmetrical outcome....Best of luck! 

The approach to the asian double fold surgery is to preserve the upper eyelid fold volume which is critical for maintaining the appearance for this very important area.  Surgeons really do not appreciate the importance of the preserving the fold.  Some seem to think it is there job to remove as much of it as possible.  I personally evolved my techniques many years ago to concern the sub brow volume on all my eyelid patients.  For many hispanic individuals they also have a very important subrow fullness that needs to be preserved.  This means using techniques that are very similar to what we do for double fold surgery in Asians.  This means making a low crease.  Forming a hard crease with an anchor blepharoplasty and addressing any upper eyelid ptosis that might be present.  And yes, preserving the fullness of the upper eyelid.

Thank you for the question. It doesn't matter what your ethnicity is, only the anatomy of the eyelid. There are multiple reasons why you may appear to have a single eyelid (no crease). These may be related to skin tightness or loosening of the muscle attachments (ptosis) in some cases. In others, more typical of the "Asian" eyelid, the placement of the fatty tissue in the eyelids creates a single curve, rather than a crease. Please visit with a board certified surgeon to discuss your options. Best of luck!