Asian Eyelid Surgery: Frequently Asked Questions
The Asian eyelid has a unique configuration of eyelid fat distribution, tendinous attachments, and other morphological features which need to be acknowledged in order to deliver culturally-appropriate and aesthetically-pleasing surgical results. Asian eyelids typically have a higher volume of fat, thicker eyelid skin, and an eyelid crease (and corresponding pretarsal platform) that is either lower or absent altogether.
What are the main differences between Asian and Caucasian eyelids?
Asian eyelids typically have a higher volume of fat within the two pads of the upper eyelids and the three pads of the lower eyelids. In addition, the eyelid skin is relatively thicker and the eyelid crease is often absent or rests lower (closer to the eyelashes). Asian eyelids tend to have mild ptosis (droop) and a narrower aperture. The outer (lateral) canthal anchoring tends to rest vertically higher on the orbital rim. Some Asian eyelids have a thick lower eyelid band of skin and muscle, which can push the lower eyelid lashes against the eyes (epiblepharon) while others have a fold of skin that extends directly from the eyelid crease over the medial aperture (epicanthal fold).
What types of Asian Eyelid Surgery can be done?
Eyelid surgical procedures of every type can be done on eyelids from every ethnic background. These include blepharoplasty, droopy eyelid surgery, tendon tightening etc. Some unique eyelid procedures done primarily for Asian eyelids include epicanthoplasty, epiblepharon repair, and lid crease formation.
Will my Asian Eyelid Surgery results look natural?
At EFI, our highest priority is to perform surgery that will look natural and be in harmony with the rest of your facial features and respect ethnic and cultural norms for beauty. For example, during a blepharoplasty consultation, we would clearly define how high the eyelid crease should be (to the millimeter) and precisely how much fat should be removed or transposed in order to deliver measurable yet natural results.
How long is recovery for Asian Eyelid Surgery?
The first 3 days after eyelid surgery will involve regular icing over the operated area to decrease inflammation. We also recommend no heavy lifting or physical exertion (i.e. working out) for the first 7 days. By the end of the 2nd post-operative week, the bruising and swelling has typically decreased by 80-90%. The final 5-10% of healing can take up to 3-6 months. Certainly, the case complexity and patient medical history will impact the recovery period.
How long will my Asian Eyelid Surgery Results last?
Most eyelid surgical procedures only need to be done once in a lifetime. Nevertheless, because eyelids are a biological structure in constant motion, occasionally a lid lift, tendon tightening, or fat pad removal needs to be repeated over the long-term.