What Can You Do to Reduce the Thickness and Puffiness of Asian Eyelids?

Reduction of volume in any eye is a combination of evaluation of skin, orbicularis muscle, and periorbital fat. Proper final volume of the lid requires the correct management of the structures.

 Puffiness and  thickness of the eyelids is usually caused from combination of herniated fat in both  compartments of the upper lids. A small strip of skin, muscle and fat removal give more eyelid definition and  reduced thickness in asian eyelid surgery

The puffiness of Asian eyelids is because of the eyelid anatomy and it is quite different from non-Asian eyes.  The fat comes down and gives a puffy appearance.  If you are only looking to reduce the puffiness, it can generally be done by removing some of the fat without removing part of the muscle; however, if you are looking to create an eyelid crease and remove fat, then the surgery would be different.  Please consult with a board certified specialist who can assist you in achieving the results you seek.

Without a photograph, it is hard to answer your concerns. In my past, I have improved the puffiness in Asian eyelids with selective fat removal. If other correction is requested, a better crease is made in the upper lids.Consult a board certified plastic surgeon in your area. All the best.