Surgery to Make Eyes Look Asian

Filler to the upper lid may work but not many people have experience with this technique. I have seen a very nice presentation in China of fillers for the upper lid in aging Chinese patients which appeared to give very good results by an experienced injector. I am not aware of anyone in the US with a large series using this technique.

Despite what you might read on the internet about grafting fat to the upper eyelid to create fullness of the fold, this procedure is not reliable.  In fact, I would put the likelihood of success from placing fat pearls or injecting fat into the upper eyelid fold to create fullness at less than 10%.  My clinical experience is that significant clinical distress and unhappiness is seen for procedures that have a typical success rate that is less than about 95%.  There are circumstances where a low rate of success is acceptable such as a reconstructive situation where any improvement may be acceptable.  In a beautiful upper eyelid, this is absolutely not the situation.  What are your options?  WIth the right injector, a small amount of Restylane may create some upper eyelid fold fullness.  Also a personal consultation to assess the eyelids with a cosmetic oculoplastic surgeon might be personally helpful.  You do have a slight degree of ptosis and some upper eyelid excess skin.  It is possible that shortening the upper eyelid may create the appearance of an upper eyelid fold with more Asian character.  Please be careful what you look for.

One of the characteristics of the Chinese lid is a very low crease and a very full upper lid.  One nice way to create this is to use filler (off-label) to increase the volume and the fullness of the upper lid and create the appearance of a lower crease.  And, if a hyaluronic acid filler is used, it can be tailored to get the most even result possible.