Can upper blepharoplasty increase the size of my upper lid space, on my already creased asian eyes? (photos)

You have a double fold.  It just needs to be made larger.  The key is that less is more.  You must find a surgeon who offers this specialized service.  The crease must be kept low.  Also an anchor blepharoplasty that supports the actual eyelid platform skin to the crease and the levator aponeurosis inside the eyelid also helps support the eyelashes and makes the eyes jewel like.  Do your home work and don't just go to anyone. An eyelid surgery that is over aggressive is almost not fixable.

Thank you for sharing your question and showing your photos. You could have a minimal amount of skin removed from the upper eyelids. Make sure an experienced oculoplastic surgeon who is familiar with Asian eyelids performs a comprehensive evaluation of your lids. The most common complication to be aware of is over-correction. I hope this helps.Good luck,

Hello Grace227,I think I understand what you are asking for.  I think you have a very nice eye shape and I would avoid an Asian upper blepharoplasty.  Yes.  You could increase the upper lid height with the upper eyelid surgery, but I feel an endoscopic forehead lift, which allows for a complete release of the attachments and muscles holding your brows down will allow for your brows to elevate and help you achieve a more open eye.  Best of luck!

A very conservative upper eyelid surgery can raise the fold slightly by removing a small amount of skin. The incision is usually located directly in the existing skin crease. An upper blepharoplasty lessens the amount of skin hanging down that the covers the eyelid.

Hi and thanks for your question. In general, the distance from the eyelid crease to the eyelashes is a relatively fixed one dependent upon where one makes the incision. With 30 years practicing aesthetic plastic surgery, I have not seen Asian eyelids widened at the point you are describing. The eyes are certainly made to appear larger after removing the excess hanging skin, but it's critical to maintain a low set crease to maintain ethnicity. Make sure you find a surgeon very experienced with this procedure and one who is certified by the American Board of Plastic Surgery. Good luck!Richard Chaffoo, MD, FACS,FICSTriple Board Certified Plastic Surgeon

Dear Ms. Grace227,Thank you for your story, questions and photos. Unfortunately with out a exam of your tissues I can can only comment based your photos. Hopefully you will find the following helpful.BACKGROUNDIn individuals of Asian descent approximately:1)50% have a double eyelid 2) there is also a large variation in the crease position (double eyelid size) The upper lid fold can range from 1 mm above the eyelash line to about 10 mm.3)Asians with a single fold often results in a "puffiness" or fullness of the upper lid4) the above may result in difficulty in applying upper eyelid makeup.GOAL 1)To create a pretarsal crease 2) "open" the the upper eyelid (double crease)3) retain ethnicity TREATMENT1) Asian blepharoplasty, also known as "double eyelid surgery", is a type of cosmetic surgery where the skin around the eye is reshaped called blepharoplasty.2) The purpose of the procedure is to create an upper eyelid with a crease (i.e. "double eyelid") from an eyelid that is naturally without a crease (single eyelid)3)surgical treatment ( each of the below has its advantages and limitations depending on the patient's anatomy and desired appearance.A) the full-incisionalB) partial incision C) no incision methods: the DST method)D) hybrid (combination of the above) E) in infants "tapping" has been shown to occasionally to create double crease.I recommend that you collect a number of "model" photos of your desired appearance and make several consultative appointments with Plastic Surgeons who are experienced and Certified by the American Board of Plastic Surgery. In addition ideally they are members of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).I wish you my best and success,R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600