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Asian Eyelid Surgery


The eyes are arguably the most noticeable and most important feature of the face. One of the most popular aesthetic enhancements is eyelid revision. It is crucial to choose a skilled, experienced surgeon and convey your goals clearly. The procedure is delicate and detailed, and a small change can have a significant impact on the outcome. Additionally, the anatomy of Asian eyes is very different from that of Caucasian eyes, and surgical revising is very different. Dr. Nguyen has extensive experience treating Asian patients, and attention to detail and commitment to excellence yields beautifully natural looking results.

The most commonly requested Asian eyelid revision is the creation or reinforcement of a crease in the upper eyelid. This crease is naturally present in most westerners, and about half of the Asian population. It divides the eyelid in two separate segments, which many people think is more attractive than a "single eyelid." Many women desire this feature, because it provides more options in cosmetic application.

This can be accomplished with a procedure known as double eyelid surgery, or Asian blepharoplasty. It is important that your surgeon understand Asian eyes, and take care not to compromise the natural shape and ethnic appearance of the eyelids. Double eyelids do occur naturally in many Asians, and the goal of surgery is to create a fold that looks natural. It is not necessary or desirable to make patients look "less Asian."

Eyelid revision may also be performed to correct asymmetry. This can be caused by weak muscles in one eyelid causing it to droop, fat deposits in one eyelid causing it to bulge, or simply a natural imbalance. Some individuals experience sudden changes in their eyelids. A single lid may develop a crease, or a double lid may lose definition of the crease, creating asymmetry when it was not previously present.

Another common concern of Asian patients is excess skin at the inner corners of the eye. This can contribute to a fatigued appearance, and make it appear as if your eyes are only partially opened. This can be corrected with a procedure called epicanthoplasty, which gives eyes a wider, more alert appearance.


There are several techniques of Asian blepharoplasty, depending on the situation and your desired result. The non-incision method uses permanent sutures to pinch the upper eyelid together, creating a natural-looking fold. The incision or partial incision techniques involve cutting along the fold. The surgical scar is therefore hidden in the fold, and it can actually help strengthen the fold. If the incision method is used, excess fat can also be removed.

Epicanthoplasty is accomplished by creating a small incision near the inner corner of the eye. A wedge of skin is removed, along with excess fat or other tissue if necessary. The eyelid is carefully contoured, and the incision is well hidden once healed.


You can look forward to more attractive, symmetrical, rested, and alert appearance. Because Dr. Nguyen is highly skilled and delivers natural results, most people will never guess that you've had cosmetic surgery. Instead, they will assume that you were naturally blessed with beautiful Asian eyes.

Related Article

Dr. Thomas T. Nguyen board certified plastic surgeon Fountain Valley, CA A Magna cum Laude graduate from Millsaps College, Dr. Thomas T. Nguyen is a board certified plastic surgeon. He brings with him a plethora of skill, expertise and knowledge given his 20 plus years of experience in the field.

Dr. Nguyen is presently the medical director of Orange County Cosmetic & Reconstructive Surgery Center. He has engaged in research and contributed to many medical publications and continues to be deeply passionate about providing the best possible treatment for his patients.
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