Asian Eyelids (Asian Blepharoplasty)

Upper blepharoplasty is the most commonly requested cosmetic operation by Asian patients. Many Asians demonstrate a single eyelid, so termed because the upper lid drapes like a smooth sheet from the eyebrow to the eyelashes without interruption. Surgical creation of an eyelid crease (palpebral furrow) divides the single eyelid into two well defined segments, producing the “double eyelid". Some Asians with a natural “double eyelid” may have poor segment definition, low placement of the crease, abundant eyelid fat and excess eyelid skin which may lead to functional consequences. Dr. Lu performs her Asian upper eyelid blepharoplasty (upper eyelid tuck) under local anesthesia with or without sedation with the “full incision” approach. This involves removing excess skin and fat with precise and accurate suturing of the crease. All eyelids have some degree of natural asymmetry. Local anesthesia allows Dr. Lu to check the position of the eyelid creases during the procedure to minimize this asymmetry. This results in even, well defined creases and eyes which look more alert and open.