Asian Upper Blepharoplasty

The principle goal of the Asian upper blepharoplasty, or the “double eyelid” procedure, is to create a crisp, clean upper eyelid fold thus imparting the appearance of a wider eye. In order to successfully perform Asian upper blepharoplasty, it is essential to have a clear understanding of the underlying anatomy, to be able to appreciate the subtle nature of the patient’s desire and expectations, and to tailor the procedure to the patient’s specific features and their aesthetic demands in the context of their cultural identity. The double eyelid procedure is the most commonly requested cosmetic procedure by Asian patients [1]. Approximately 50 % of East Asians have a “single eyelid” characterized by a lack of a supratarsal fold with the upper lid draping like a single sheet from the supraorbital ridge to the eyelashes [2]. Even for those Asians with double eyelids, many desire enhancement to improve upon a rudimentary or small fold with abundant periorbital fat and excess eyelid skin.