Newport Beach / Los Angeles Asian Eyelid Surgery
The Asian Eyelid Surgery procedure develops a "crease" at the upper eyelid margin where there was no crease before. Asians either have no crease or fold, in which case one can be constructed surgically, or they have a very low fold with thick fatty tissue above the crease under the eyebrow. The fat is thinned and the crease is adjusted according to the desires of the patient.
Newport Beach Asian Eyelid Surgery Dr. Amy Bandy - Plastic Surgeon Serving the Orange County and Los Angeles Areas
Before and After
What Is Asian Blepharoplasty Surgery?
Asian Eyelid Surgery is also known as blepharoplasty or double eyelid surgery. Many Asians have what is referred to as "single eyelids" where there is no visible crease in the upper eyelid. This can be in one or both eyelids and up to 50% of Asian patients have at least one upper eyelid that is a single eyelid. This differs from Westerners who have "double eyelids" or a visible crease or fold in the upper eyelid. With Asian blepharoplasty surgery, also called double eyelid surgery, the aim is to create a natural-looking fold in the upper eyelid when the eyes are open. Most people of Asian origin prefer to maintain their ethnic features, and are seeking a look that is natural and resembling an Asian eyelid with a natural fold, or are looking for symmetry because one lid has a fold and the other doesn't. However, some will look for a more Western look where the fold is more exaggerated. These variations in anatomy and what the person desires will help Dr. Bandy decide which procedure will best deliver the look that the patient is looking for.
Depending on whether the patient has a very low crease, or no crease at all, the surgery will be tailored to produce symmetry and function. The height of the existing crease can be heightened, or an eyelid with no crease at all can be transformed to have a crease. If there is excess skin or fat, that can be removed at the same time.
Background of Asian Eyelid Surgery
Asian eyelid surgery is one of the most requested surgeries by people of Asian ethnicity. This surgery is one of three commonly requested facial surgeries in the Asian culture, and is commonly performed in China, Japan and Korea. It has become increasingly popular in the United States and surpasses most other requested surgeries by Asian-American patients, including Vietnamese, Korean, Filipino, and Chinese. In some instances, people have referred blepharoplasty to "korean eyelid surgery" because of its prevalence. Other associated terms are exotic eyes and almond-shaped eyes.
Methods of Surgery
One approach to creating a crease is by placing sutures (stiches) from the inside of the eyelid to the underside of the skin on the outside of the eyelid to form a crease. Another approach is by making an incision on the skin of the upper eyelid at the height of the lid where the crease is desired. Once the incision is made, some of the fat beneath the skin is removed. The skin is then sutured to the muscle, thus creating the crease. If there is excess or loose skin, then skin is then removed at the same time. The incision can be made either with a surgical scalpel, a laser, or with radiofrequency. The procedure can be done with the patient either under a general anesthesia (asleep), or a local anesthesia (awake).
What to Expect and Evaluation
The surgery takes approximately one hour, and is performed on an outpatient basis. The eyelids will be swollen and possibly have some bruising, but results can be seen in as little as 1 week.
Dr. Amy Bandy will evaluate your anatomy, and will go over which procedure she feels will give you the best results for what you are seeking to obtain. During your consultation with Dr. Bandy, you will be able to view before and after photos, and you will be given the opportunity to discuss your goals and the look you are seeking. Dr. Bandy will carefully evaluate your eyes to be sure that you do not have ptosis, or drooping of the upper eyelid and to evaluate if one eyelid covers more of your iris or pupil than the other. She will evaluate whether either eyelid has an existing crease, and what your options are for achieving better symmetry. Dr. Bandy will review with you the medications you should avoid before and after your surgery, and what to expect for your recovery. She will assist you in determining if you would be a candidate to have surgery under a local anesthesia.
Asian Eyelid Surgery Recovery Time
Traditional blepharoplasty for non-Asian eyelids has a relatively quick recovery with minimal swelling and bruising. However, Asian eyelid surgery is a more intricate surgery than a traditional blepharoplasty and there for requires a longer recovery period. During your surgery, Dr. Bandy goes deeper in the tissues to create the crease and places stitches to maintain your results. Because of this, you can expect more swelling and bruising after surgery and thus a longer recovery before return to normal. Typically by 6 weeks, you are able to see the results, as the swelling should be predominantly resolved by this time. The risks for Asian blepharoplasty are similar to those seen with the traditional blepharoplasty, and include asymmetry (one eye looking different from the other), scarring, prolonged swelling, cysts along the scar, droopy eyelids and general dissatisfaction with your results. Be sure to discuss any questions about the possible risks with Dr. Bandy during your consultation.
Asian Eyelid Surgery Cost
For details on the cost of blepharoplasty and financing options, please contact our friendly office.
This surgery has proven to be a rewarding surgery for many people, and is becoming more and more popular in the younger generation as Plastic Surgery has become more accepted and sought after. If you think that you are a good candidate for this surgery and would like to schedule a consultation for Asian eyelid surgery, you can call our office at 949-574-0574 or 310-375-9604.