Fix Half Asian, Half caucasian Asymmetric Eye Lids

Question

Is It a Simple Procedure to Fix my Asymmetrical Eye Lids? I am half asian, half caucasian, and my right eye folds like an asian eye, while my left eye more like a caucasian eye. My left eye is more noticeably droopy when I am tired (Ptosis?). I'd like to fix my left eye to match my right, is this a complicated surgery? Is it even possible to fix? (or at least make somewhat more similar?)

Kenneth D. Steinsapir, MD · Answer

Dear SVSB

	While it is true that your eyelids are technically ptotic if they were western eyelids, they are not droopy for asian eyelids.  However the big issue is an absence of a double fold on the right side and a complex fold on the left side.  The solution is to form a double fold on the right side and a matching double fold on the left side.   This requires a very precise anchor blepharoplasty.

James Chan, MD · Answer

Your procedure may be simple or complex, depending on the exact problem. A surgeon will need to evaluate
you in person to review your anatomy and discuss your options.  Asian eyelid surgery can be combined with
ptosis surgery, however you will want to discuss this in detail with your
surgeon.  I recommend consulting with a
board certified facial plastic surgeon that specializes in Asian eyelid
surgery.

Stewart Wang, MD, FACS · Answer

You have asymmetric eyelid creases with the right side a low or "hidden" crease and left side higher, more visible crease. This can be treated with Asian upper blepharoplasty to make the crease on both eyelids more similar. It's typically done in office setting under local anesthesia. It's critical that you set the crease at appropriate height so the finished look is suitable for your face.

	Best Wishes,

	Stewart Wang, MD FACS, Wang Plastic Surgery

Mehryar (Ray) Taban, MD, FACS · Answer

Hi.  It is possible to improve the symmetry of your upper eyelids.  There are a few things going on with your eyelids, including ptosis (droopy), fat deflation, and crease asymmetry.  Recommend an evaluation with an oculolplastic surgeon.

	Dr Taban

William Portuese, MD · Answer

Asymmetrical eyelids are best dealt with a blepharoplasty whereby asymmetrical surgery can make the eyelids look more symmetrical. This will entail asymmetrical removal of fat from the puffier eye addressing any ptosis and making the eyelid creases symmetrical bilaterally.

Fix Half Asian, Half caucasian Asymmetric Eye Lids

Answers (9)