Asian Eyelid Surgery (Asian Blepharoplasty)

As one of Asia’s most popular cosmetic surgeries, Asian eyelid surgery, or as it’s technically known: Asian Blepharoplasty, has become increasingly popular here in Australia. The procedure involves subtle alterations being made to a patient’s eyelids to create the appearance of a crease.

At Cosmetic Avenue we understand the delicate nature of this procedure, which is why our surgeons have a detailed knowledge of the anatomy of Asian eyelids and the specialised techniques required for the surgery. Special consideration must be taken with this procedure to ensure the result appears natural, and maintains a patient’s cultural heritage.

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Surgical Technique

When it comes to Asian eyelid surgery, there are multiple options to choose from, and many factors will dictate the type of surgery that’s best for you. These include the anatomy of your eyelids, skin tone, and your own cosmetic goals. In general, there are two kinds of techniques:

The Incision Technique

Popular in Japan, Korea, and China, this technique is highly recommended due to its long-term results. The procedure requires an incision, to identify each layer of the anatomy, and make way for the removal of unnecessary connective tissue, which may lead to the development of multiple or unstable folds. While this technique is more invasive than sutures, the effects last much last longer.

The Suture Technique

This technique involves making a series of small holes along the eyelid. Sutures are then inserted, anchoring themselves to a tendon below the skin to form a crease and hold it in place. While using a suture is less-invasive than the incision technique, it may not be ideal as the crease created is more likely to disappear over time.

COMPARISON OF SUTURE AND INCISIONAL BLEPHEROPLASTY

Suture Double Eyelid Surgery

Incisional Double Eyelid Surgery

Suture Blepharoplasty
Suture Blepharoplasty – Cross Section
Incisional Blepharoplasty
Incisional Blepharoplasty

 

Purpose:

Creation of double eyelid fold for young patients who have no upper eyelid skin excess or fat excess.

Purpose:

  • Creation of double eyelid fold (for all age groups)
  • Removal of excessive upper eyelid skin
  • Removal of excesive upper eyelid fat pad.
  • Ptosis correction

Scar:

Scarless

Scar:

Faint scar in the upper eyelid crease

Longevity of Result:

Less permanent upper eyelid fold (unpredictable loss of fold)

Longevity of Result:

Permanent

Post-Surgery Downtime:

Generally limited to swelling and bruising (however some patients have downtime similar to incisional blepharoplasty)

Post-Surgery Downtime:

Swelling much improved after 1-2 weeks

Suture Removal:

Usually none

Suture Removal:

1 week post operative

 

Incisional Double Eyelid Surgery

Incisional Blepharoplasty
Incisional Blepharoplasty

Purpose:

  • Creation of double eyelid fold (for all age groups)
  • Removal of excessive upper eyelid skin
  • Removal of excesive upper eyelid fat pad.
  • Ptosis correction

Scar:

Faint scar in the upper eyelid crease

Longevity of Result:

Permanent

Post-Surgery Downtime:

Swelling much improved after 1-2 weeks

Suture Removal:

1 week post operative

STYLE OF UPPER LID DOUBLE FOLD (PALPEBRAL FOLD)

Tapered Fold (In Fold)

Parallel Fold (Out Fold)

Upper eyelid - High tapered fold
Upper eyelid – High tapered fold
Upper eyelid - Parallel fold
Upper eyelid – Parallel fold
  • More common among Caucasians
  • Entire length of double fold is almost parallel to the eyelash margin
  • More common among Caucasians
  • Entire length of double fold is almost parallel to the eyelash margin

Incisional Double Eyelid Surgery

Upper eyelid - Parallel fold
Upper eyelid – Parallel fold
  • More common among Caucasians
  • Entire length of double fold is almost parallel to the eyelash margin

 

Low Fold

High Fold

Upper eyelid - Low in-fold
Upper eyelid – Low in-fold
Upper eyelid - Tapered fold (high) - Narrow
Upper eyelid – Tapered fold (high)
  • Narrow separation of double fold
  • Appears more natural
  • Double fold tends to disappear earlier with ageing
  • Wide separation of double fold
  • Appears less natural
  • Results last longer and become more natural with ageing

High Fold

Upper eyelid - Tapered fold (high) - Narrow
Upper eyelid – Tapered fold (high)
  • Wide separation of double fold
  • Appears less natural
  • Results last longer and become more natural with ageing

BLEPHAROPLASTY PRICING

Inclusive of surgeons fee, hospital fees , anaesthetist fees & aftercare appointments for up to 6 months.

ASIAN EYE LIDSURGERY FAQs

How is this procedure performed?

In general, there are two techniques to choose from. The most effective, and recommended is the incision technique, this requires an incision to be made in order to alter the appearance of your existing crease or to create an entirely new crease. The alternative is the suture technique, which involves making a series of small holes along the eyelid. Sutures are then inserted, anchoring themselves to a tendon below the skin to form a crease and hold it in place. While these sutures are permanent, the crease can disappear over time.

Recovery

Most procedures are performed on an outpatient basis so you can undergo recovery in the comfort of your own home. Following the surgery you will experience some discomfort, to alleviate this your doctor can prescribe medication. If you undergo the incision procedure, you will experience one to two weeks of swelling and bruising which will gradually subside. You should be able to return to work after one week, while it is recommended you resume mild exercise after two weeks and vigorous activity after four weeks

Which technique is best for me?

Everyone is different, and ultimately your surgeon will be able to recommend what technique is best for you. It is important to note, while almost everyone is a candidate for the incision technique, the suture technique is only recommended under certain circumstances.

What is my healing time?

In general with incision technique your sutures are removed after 7 days and you can expect noticeable swelling and in some cases bruising. Most patients start to look natural again as the approach the two-week mark after surgery.

How long is the procedure?

Surgery can take anywhere from thirty minutes to one hour.

Is it common to require a retouch after surgery?

Globally, one in ten patients have required a retouch after surgery. However, every patient is unique, so it’s recommended you discuss this with your surgeon during your consultation.

What is the difference between Asian eyelid surgery and traditional eyelid surgery?

While every eyelid is different, there are distinct differences in Asian eyelids that require an incredibly high level of training to operate on. The delicate nature of the surgery requires specialised techniques to ensure the eyelid appears natural and maintains the patient’s cultural identity.

Should I have a tapered crease or a parallel crease?

This depends on your unique anatomy and what you want to achieve. There are a number of other factors to take into account which your surgeon will discuss with you.

Which is right for me, a tapered crease or a parallel crease?

This again depends on your anatomy and what your overall goals are. The pros and cons of this characteristic of the Asian eyelid crease really depends on multiple factors including facial features and your eyelid anatomy.

Still have questions? Allow one of our friendly staff to help you.

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