Asian Blepharoplasty


Eyelid surgery is called blepharoplasty, and might be contemplated for a variety of reasons. The type of surgery considered depends on {the} ethnicity of {the} individual in some cases, and this holds true in patients who are of Asian origin. 

Blepharoplasty in Asians, called Asian blepharoplasty, is a surgical procedure where {the} typical appearance of {the} Asian eyelids devoid of {the} pretarsal crease is corrected for certain clinical indications.

Asian blepharoplasty is also called ‘double eyelid’ surgery and is used to place a pretarsal crease in Asian eyes or among those who wish to be more bright-eyed and want make applying eyeliner easier. In this article, we shall take a look at this procedure in a little more detail.

Why Asian blepharoplasty?

  • The eyelids are shaped differently among {the} Asian population. In some Asian individuals, {the} upper eyelid might appear puffy and {the} pretarsal crease might be absent. Such an appearance can be psychologically unfulfilling for some people while others might find it cosmetically unpleasant. Furthermore, patients might find it difficult to apply cosmetic products such as eyeliners due to {the} conspicuous absence of {the} pretarsal crease. Such patients often undergo Asian blepharoplasty to achieve a more universal look.
  • The absence of {the} pretarsal crease is a typical feature in Asian population groups when compared to white Caucasians. The Asian blepharoplasty is a step towards achieving universal acceptance and psychological freedom.

Who will benefit?

  • A typical patient who undergoes Asian blepharoplasty is an Asian-origin female adolescent in her early 20s. Male patients who undergo {the} procedure tend to be a little bit older. Of course, a number of non-Asian patients might also undergo Asian blepharoplasty to obtain a more distinct look by adding more definition to {the} eyes.

Asian Blepharoplasty Procedure and its Benefits

  • In {the} Asian population, {the} eyelid fold lies at a lower level than in white Caucasian populations. Prior to {the} procedure, a detailed assessment of {the} patient’s eyelid is done to ascertain what corrective measures need to be taken. This can include brow symmetry, degree of eye protrusion etc.
  • There are 2 different ways this procedure is performed.
    • In {the} ‘semi-open’ method, {the} fat over {the} levator muscle of {the} eyelid is removed and {the} muscle is repositioned a little higher. The procedure is often done under sedation or local anaesthesia. This procedure is reversible if {the} patients are not happy with their results.
    • The ‘incision’ method involves {the} removal of a small part of {the} orbicularis oculi muscle, which is {the} muscle that surrounds {the} eye. The fat is also removed and {the} levator muscle is repositioned. Sutures are put in place and healing ensues.
  • Following {the} procedure, antiseptic ointment is applied onto {the} suture site and a light compression dressing is placed. The sutures are removed after 3 to 4 days.
  • The primary benefit of undergoing Asian blepharoplasty is that patients can have {the} eyelids they want and feel a lot more confident in.

Risks and Complications of Asian Blepharoplasty

  • One of {the} most common complications that can occur following {the} procedure is asymmetry of {the} eyelids. In order to prevent this, photographs should be taken before {the} procedure and a detailed pre-operative plan put in place.
  • In some patients, despite surgery, they might lose {the} upper eyelid crease that has been created over a period of time. In a small proportion of patients, drooping of {the} eyelid (called ptosis) might occur.


  • Asian blepharoplasty is a commonly performed procedure in Asian population groups to create an Asian eyelid fold. It is primarily a cosmetic procedure but it might be performed for clinical indications as well. Patient satisfaction rates are high and complications are rare.


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