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Hi, this is Dr. Chase Lay, board-certified facial plastic surgeon in San Jose. Let's talk about the parallel vs. the tapered crease in Asian eyelid surgery. So let's talk about the parallel crease vs. the tapered crease. Tapered crease is a type of crease that extends from an existing crease or a non-existing crease actually into the inner corner of the eye or the epicanthal fold. A parallel crease is a type of crease that extends towards the inner corner of the eye but actually stays up above the border of the eyelid and the eyelashes, and you can see where that crease ends. Many patients are born with this. Some are not. Many patients actually like the way this looks. They feel like it opens up their eyes a little bit more, gives them more ability to wear makeup, play with the look of their eyes, wear lash extensions, eyeliner, eyeliner tattoo and so on.

Here, we have a patient who has a parallel crease, almost, on the right side and a tapered crease on the left side. Obviously she wants to create symmetry. So we're going to do that by extending the incision in both the tapered crease and the parallel crease towards the inner corner, but keeping it above the margin of the eyelid and keeping that crease open and parallel on the inside. This part of the procedure is associated with a little longer healing time than with the tapered crease but patients usually do very well. If they're looking for a bigger, brighter look, it's a good way to go.

Now this patient naturally has a tapered crease. She desires to have a tapered crease after the surgery, because she feels that will maintain her identity a little better and also look more natural. So this was an incision method. This was about two to three weeks after her initial surgery and she's looking great.

Thank you for listening to this brief description of the difference between a parallel and a tapered crease. I hope it was helpful to you. Have a good day.

Asian Eyelid Crease: Tapered vs. Parallel

Dr. Chase Lay describes the difference between the parallel and tapered crease in the Asian eyelid and the small adjustments made during surgery in order to achieve a particular look.