Asian male blepharoplasty subtle crease instead of regular double eyelid crease? Getting comments looking tired at work. (photo)

You may look tired because you may have a condition called ptosis, in which the eyelids are not opening all the way. This can be corrected at the time of a small double eyelid creation.

Hi! Thank you for your photos. The first photo you show is absolutely possible, however the technique to achieve it will depend what you already have and your age. In younger men (less than 25) can often get away with a suture technique which has a much shorter recovery. If you are older and have excess skin, better to use an open surgical technique which will have a slightly longer recovery period with the fold looking slightly high for a couple months before it settles down to where you want it to settle. 

In determining the ideal crease, you should first know your eyelid
position. From your photo, the fold over your eyelid can be a skin fold, but if
it's a little low it is a condition called ptosis. However, it doesn’t entail
that you need to have your ptosis corrected. Ptosis means drooping that is associated
with the levator muscle that happened congenitally.



Before someone decides to have eyelid surgery, they first need a
physical examination to avoid the eyelids being low after the surgery. This examination
is done to determine whether or not they have ptosis or pseudo ptosis. Pseudo ptosis
means there is fold of skin hanging over the eyes making it look like it is
drooping. During the examination, the doctor rolls the skin and sees whether or
not they have true ptosis or pseudo ptosis.



To have a subtle crease, the eyelid surgery can be customized to the
level of length that the crease can be defined. If you feel you need to raise
your eyebrows to see better and look more alert, you may need to see more of
the eyelid crease. It is important that you have a vision in mind of what you
want. Look in the mirror and play with your eyes to know what you want your
eyelids should be. Since everyone’s anatomy is unique, your eyes may be a
little bit more deep set or there may be a difference in the skin quality.
There are many dynamics and you can’t always be as exact
as trying to mimic someone else’s appearance.



I suggest that you meet with experienced, qualified cosmetic surgeons
who do a lot of Asian eyelid surgery. I would anticipate that if there is no
true muscular ptosis, you would probably be able to have a non-incisional upper
eyelid surgery to define the crease, but probably at a lower point and in a
more subtle way so that the outer aspects are more defined. However, look at
how you look with your eyebrows raised. I think you’ll see more of your eyelid
crease and you may be better off with a more defined crease. You can certainly
figure that out and see whether it’s realistic to achieve what you are looking
to achieve.



Communication is critically important. You and your doctor should really
understand each other so nobody feels misunderstood. As a specialist who does
revision surgery, I find that it isn’t about the doctor not doing the ideal
procedure, but rather miscommunication and a difference between the vision of
the patient and the vision of the doctor. When I do our surgeries, I routinely
draw with the patient in the exam room before going into surgery and they will
know exactly what I’m planning to do so we’re clear about the whole strategy
and what the expectations will be. This helps alleviate a lot of stress about
the unknown. I hope that was helpful, I wish you the best of luck, and thank
you for your question.



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