Incisional vs. Partial vs. Non-Incisional Asian Double Eyelid Surgery? (Photo)

You have a substantial amount of excess skin and most likely some component of muscle weakness (ptosis) that will need adjustment during surgery. Your inner corners would benefit from removal (inner epi). You would need an incision to correct most of these things. You would have a compromised result with a suture technique.

I perfer to create double eyes lids that looks natural on an East Asian person.  What is "popular" is not what is right for you or in fact for anybody.  Looking at your photograph, it appears that you also a slight ptosis (weakness of the levator muscle) of both eyelids.  This needs to be address for a natural result.A full incisional technique will be the best method to achieve the result you desire because it will allow the surgeon the control and precision that no other method can deliver.Reading between the lines, I assume that you are looking for a more natural result.  If that is the case, I think that you don't necessary need the canthoplasty.Take your time and do your research.  Best Wishes

Incision/Partial/Non-incision methods are not selected by the height of the crease you prefer. It has to do with multiple things like the puffiness of your eyelids, amount of excess skin, relationship with the epicanthus etc. So this consultation cannot be done without at least a simple photograph. 

An Asian blepharoplasty through an incision may yield natural results in your case.  Seek consultations with eyelid specialists experienced in asian eyelid surgery.  

Hello,I perform this surgery everyday and there is no such thing as non-incision.  Suture technique goes by many names.  Scarless, three-hole, five-hole, DST, incisonless. . .and it's all a little inaccurate.  Even suture technique require some sort of small incision.  In my experience the suture technique can create more visible scarring at times since it's an interrupted dot-dot-dot appearance vs. a smooth line.  Incision technique is commonly used because it's the most reliable.  I'd avoid less precise techniques like this "micro" technique.  That's not a thing.  Maybe you mean a low crease by "micro".  In any case, don't take short cuts.  Get a few more consultations.  If you're in LA you've already been to the Wave clinic I think.  Go see Charles Lee, MD as he is the most experienced person in your area.A partial technique may work just fine.  That is still incision but usually the inner half of the crease is created via suture technique and so you can get the best of both approaches.Chase Lay MDAsian eyelid surgery specialist

Thank you for your question.Both the suture technique and traditional incisional technique are good techniques for the right patient. Typically if you have too much loose skin or if your upper eyelids are too full or puffy, the suture technique would be less than ideal. You will end up with an internal crease that may not be visible or a very "narrow" double eyelid crease. The incisional technique will give you a better result that is more looks better, and is more predictable and precise.I would also be careful with surgery to the epicanthal fold. Many patients regret having done this because of the scarring. It is often times obvious and nothing more can be done to revise it to improve the scar.Although nothing beats an in person consultation, looking at your picture I think an incisional technique may be a better option for you. You have quite a bit of upper eyelid skin that hangs down to your lashes. It is hard to tell if you have any excess fat in your upper eyelids, but probably not. An incisional technique would also help make your epicanthal area look "wider" or more "open", without having epicanthal fold surgery.