How were surgeons able to create such Western eyelids on this Asian patient? (Photo)

Morning Amanda,  thank you for the question.  I brings up an issue I want to comment on but I'll answer your question.I'm not a fan of that term Westernized.  That's just a term created by non-Asian surgeons over three decades ago to describe Asian eyelid surgery.  It just as a description for a surgery that was performed on Asians when White surgeons soon and Asians wanted to look more"Westernized." That's nonsense. It's extremely rare that an Asian person truly wants to look no longer Asian.  I just saw a revision patient yesterday from out of state whose surgeons made an assumption about what their goals work. Now that woman has a crease that she doesn't like and it will be almost impossible to change it. It should be noted that Asian people from one part of the world to the next look very different and it is common for many Asian patients to have a naturally occurring parallel crease with a deep orbit that gives them a look that is associated with Caucasians or other non-Asians.  The Most important thing you can do in Asian eyelid surgery is listen to your patient and don't make assumptions about what their goals are.  Asian eyelid surgery is not new and it has existed for nearly 200 years well before White people started making the assumption Asian people wanted to look like white people.In any case to answer your question. They used an incision technique with anchoring technique possibly with deep sutures to hold this crease in place.  It's actually very hard to create a before and after like this on a patient unless they're fortunate enough to have very elastic skin.  In this particular case for this kind of result suture technique will not workChase Lay, MD

The eyelid anatomy in those of asian descent is unique. So are the goals of surgery. Forming a low, natural crease, remove a small amount of skin, repositioning some of the eyelid fat, may all be options to help you reach your goal.