Steve T. Vu MD, FACS | Board Certified Plastic Surgeon
17742 Beach Blvd., Suite 335, Huntington Beach, CA 92647  |  (714) 848-1133

Asian Blepharoplasty

What is it?

Also known as double eyelid surgery, Asian blepharoplasty is a procedure that aims to place a pretarsal crease in the eyes of Asian men and women in order to compensate for a missing fold.

Alost 50% of people in Pacific Asia are born with pretarsal creases on their eyes. The procedure is a popular one amongst Asian women and gives such patients a brighter eyed look. It also makes it possible for women to apply eye makeup properly and guarantees single or stable creases. In addition, the procedure may also be chosen to reduce or eliminate tired looking eyes that might be the result of a fat upper lid.


It might seem that the procedure is chosen to achieve a more western look; however, this is not so. Surgeons are advised to be wary and avoid changing the ethnic appearance of patients during such surgeries. Other factors that doctors should also keep in mind are a patient’s age, gender and whether the patient is a candidate for a non-incision or incision procedure.

A candidate might be a person who desires to have an eyelid crease that is more defined. Candidates are advised to remember that their age and gender may determine the type of surgery that is recommended and the type of crease that they end up with. For example, a 30 year old man will have a different crease as compared to a woman who is 60 years old.

Asian eyes differ from people who live in the west or who have occidental eyelids. However, it is important to note that not all Asians have the same type of eyelid creases. Some may have different creases in each eye. Here are some of the most common types –

  • Absent Eyelid Crease - As the name implies, this refers to eyes that have no distinct eyelid creases that separate the lids. An absent eyelid crease is also known as a monolid.

  • Multiple Eyelid Creases - Multiple creases may form after the surgery if the new cease does not coincide with existing ones. Asian blepharoplasty can also be performed to join multiple eyelid creases into a single one.

  • Partial Eyelid Crease - This denotes an eyelid crease that is not as well defined as the patient wants. In other words, it does not extend all the way across the eyelids. Partial creases may become more prominent as the person ages but some candidates tend to opt for the surgery to eliminate the defect.

  • Parallel Eyelid Crease - This happens when the inner corner of the eyelid crease does not narrow as much as the tapering crease.

  • Tapering Crease and Tapering Crease with Lateral Flare - This type of crease tapers or becomes narrower towards the inner corner of the eyes. A tapering eyelid crease with a lateral flare is when the outer area of the eyelid platform is wider than the one at the central position.

The Procedure

Surgeons first determine whether their patients are in good health. Patients who suffer from medical conditions such as diabetes or high blood pressure are asked to control them as they can pose risks and interfere with the healing process. They are also asked to refrain from taken certain types of medication especially those that act as blood thinners a few weeks before the surgery is due. In addition, a surgeon will also keep the following factors in mind –

  • The quality and thickness of the skin

  • The fat volume under the skin

  • The anatomy around the eyes

  • Healing from any past procedures

Asian blepharoplasty is customized according to the factors mentioned above as they will have an effect on final shape of the crease. A non-incisional or incisional procedure may be performed depending on the amount of fat or extra that is present under the upper eyelid.

  • Non-Incisional Approach - During this particular procedure, the surgeon makes small openings in the skin instead of making an incision to remove the skin from the upper eyelid. A stitch is used to attach the skin of the upper eyelid to the underlying levator muscle. This muscle lifts the eyelid. The skin of the eyelid will fold in when the eyes are opened after this procedure.

    Asian blepharoplasty is performed under local anesthesia with an IV sedation. Some patients may be required to open their eyelids mid surgery. This helps the doctor see how the crease is forming and allows him to make adjustments accordingly.

  • Incisional Approach - The surgeon may decide to go for the incisional approach to create the fold if there is extra fat and skin on the upper eyelid of a patient. During this procedure, the incision in question is made on the upper eyelid and a small amount of fat is typically removed. This is done to define the crease and preventing the area from hollowing out.

    The surgery usually takes about an hour. However, patients may be required to stay two more hours to account for post operative recovery and preparation. The procedure may take even longer if it is accompanied by other surgeries.

    As compared to major plastic surgery procedures such as a facelift, the recovery period for an Asian blepharoplasty procedure is relatively short. Patients can often start reading or watching television within 2 to 3 days. However, doctors recommend limitations on such activities since they can stress the eyes. They might even be told to take time off from work or refrain from other activities until the bruising or swelling goes down and wear sunglasses.

Associated Costs

The cost of an Asian blepharoplasty is determined by whether patients need it on either the lower or upper eyelid or both at the same time. Keeping these factors in mind, the procedure may cost about $3,500 to $6,000.

It is important to remember that other factors may also play a part in determining the cost of the procedure. These include factors such as the experience of the surgeon, the location of the medical facility as well as costs that are associated with operating room facilities.

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Schedule Your Consultation Today

To discuss your interests, we encourage you to make an appointment for a consultation with Dr. Steve Vu. We can answer general questions about our our procedures and practice by phone and email during our regular business hours, Monday-Friday from 8:30 a.m. to 5 p.m. For out-of-town visitors, please contact us so that we can suggest accomodations and make your experience as pleasant as possible.

Office Locations:

Huntington Beach Office:
17742 Beach Blvd., Suite 335
Huntington Beach, CA 92647
Tel: (714) 848-1133
Fax: (714) 848-4114

Corona Office:
800 Magnolia Avenue, Suite 109
Corona, CA 92879-3157
Tel: (951) 279-7888
Fax: (714) 848-4114

Temecula Office:
31720 Temecula Parkway, Suite 203
Temecula, CA 92592
Tel: (951) 279-7888
Fax: (714) 848-4114