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Asian blepharoplasty, also called “double eyelid surgery”, is a procedure that is designed to create an upper eyelid crease or “double eyelid”. About half of Asians are born with a single eyelid fold or crease. Some may have an eyelid fold on one side but not the other, or may have a fold that is less distinct.
The goal of Asian Blepharoplasty is to create a natural appearing double eyelid fold. While surgery is customized specifically to each patient, there are several general techniques that can be used to create a double eyelid fold.
The open or excisional technique involves creating a precise incision along the desired position of the upper eyelid fold. Skin, muscle, and fat can be removed or sculpted. The incision is then closed with sutures using a special technique that secures the eyelid crease to the deeper layer of the eyelid. The procedure takes about 45 minutes and can be performed under local anesthesia with or without sedation. Swelling typically takes a few weeks to resolve. The likely advantage of this technique is that has a higher probability of producing a long lasting result.
The no incision or “suture” technique involves the precise placement of sutures to fold the eyelid skin and create a double eyelid fold. Very small or no incisions are needed with this procedure. The procedure takes about 30 minutes and can be done with local anesthesia with or without sedation. The advantage of the suture technique is that swelling and recovery time is quick.
An epicanthoplasty is a procedure that is used to soften the part of the eyelid fold closest to the nose. This is useful if the is a wide fold in that area. It involves making a small incision to move the eyelid tissue so that this fold is less prominent.
Every patient’s needs are unique, and double eyelid surgery is always customized for each patient.