asian eyelid surgery

Asian eyelid surgery has a deep-rooted history, dating back several decades. This procedure was initially developed to create a “double eyelid” in individuals who were born with a single eyelid (also known as a monolid). The practice is particularly popular in countries with East Asian populations, such as South Korea, China, Japan, and Vietnam. The desire for double eyelids has become culturally significant in these regions, often considered a symbol of beauty and increased eye expressiveness.

The reasons for this cultural preference can be traced back to a combination of historical, social, and aesthetic factors. Historical accounts suggest that the Westernization of beauty standards, especially during the post-World War II era, played a role in the growing preference for double eyelids in Asia. This, coupled with the influence of popular culture and media, has driven the demand for Asian eyelid surgery.

Why Do People Opt for Asian Eyelid Surgery?

People choose to undergo Asian eyelid surgery for a variety of personal reasons, which can be broadly categorized as follows:

a. Aesthetic Enhancement: The most common reason individuals opt for this surgery is to enhance their appearance. Many believe that double eyelids can make the eyes appear larger, more defined, and aesthetically pleasing.

b. Boost in Self-Confidence: Asian eyelid surgery can significantly boost an individual’s self-confidence and self-esteem. The positive effects on one’s self-image can be life-changing.

c. Correcting Asymmetry: Some people have uneven eyelids or eyelids with differing crease heights. The surgery can correct these asymmetries, providing a more balanced look.

d. Cultural and Social Factors: In some Asian cultures, double eyelids are considered a beauty standard. Conforming to these cultural expectations can be a motivating factor.

e. Enhanced Makeup Application: Many people find that applying makeup is easier and more effective after getting double eyelid surgery.

Types of Asian Eyelid Surgery

There are different types of Asian eyelid surgery, each designed to create the desired double eyelid appearance. The two most common techniques are the incisional and non-incisional methods:

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a. Incisional Asian Eyelid Surgery: In this method, an incision is made along the eyelid crease to remove excess skin and create a natural-looking double eyelid. The surgeon can customize the crease height, depth, and shape according to the patient’s preferences.

b. Non-Incisional Asian Eyelid Surgery (also known as suture or thread technique): This technique involves creating a double eyelid by making small punctures along the eyelid crease and threading sutures to form the desired crease. The non-incisional method has a shorter recovery time compared to incisional surgery.

Finding the Right Surgeon

Selecting the right surgeon for your Asian eyelid surgery is a crucial step in ensuring a successful outcome. Here are some essential factors to consider:

a. Board Certification: Ensure that the surgeon is board-certified and has the necessary qualifications and training in plastic and reconstructive surgery.

b. Experience: Look for a surgeon with extensive experience in Asian eyelid surgery. Ask to see before-and-after photos of previous patients.

c. Consultation: Schedule consultations with multiple surgeons to discuss your goals, ask questions, and assess their compatibility with your needs.

d. Patient Reviews: Read online reviews and ask for references from previous patients to gauge the surgeon’s reputation and patient satisfaction.

e. Facility and Accreditation: Ensure that the surgical facility is accredited and meets safety standards.

Preparing for Asian Eyelid Surgery

Before the surgery, you’ll need to undergo a thorough preparation process, which may include the following steps:

a. Initial Consultation: Discuss your goals and expectations with the surgeon. They will assess your suitability for the procedure and explain the potential outcomes.

b. Medical Evaluation: Undergo a comprehensive medical evaluation to ensure you are in good health for surgery.

c. Medication Review: Inform your surgeon about any medications you are currently taking, including over-the-counter drugs and supplements, as some may need to be temporarily discontinued.

d. Smoking and Alcohol: Quit smoking and alcohol consumption several weeks before surgery, as these can negatively impact the healing process.

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e. Arrange Transportation and Support: Plan for someone to drive you to and from the surgical center and stay with you during the initial recovery period.

f. Pre-Surgery Diet: Follow any dietary recommendations provided by your surgeon, particularly if you need to fast before the procedure.

  1. The Asian Eyelid Surgery Procedure

The surgery typically takes place in an outpatient surgical center, and you can usually return home the same day. The steps involved in the Asian eyelid surgery procedure are as follows:

a. Anesthesia: You’ll receive either local anesthesia with sedation or general anesthesia, depending on your surgeon’s recommendation.

b. Marking and Incision: The surgeon will mark the intended crease position on your eyelids. If you are having incisional surgery, they will make incisions along these markings.

c. Crease Formation: For incisional surgery, the surgeon will remove excess skin and fat and create the double eyelid crease. In the non-incisional method, sutures will be placed to create the crease.

d. Closure: After forming the double eyelids, the incisions are closed with fine sutures. The surgeon will take care to ensure minimal scarring.

  1. Recovery and Aftercare

Recovery and aftercare are crucial to a successful Asian eyelid surgery outcome. Here’s what to expect:

a. Swelling and Bruising: Swelling and bruising are common after surgery and typically subside within a week to ten days.

b. Pain Management: You may experience mild discomfort, which can be managed with prescribed pain medications.

c. Rest: Get plenty of rest and avoid strenuous activities for the first week or two after surgery.

d. Cold Compress: Applying cold compresses can help reduce swelling and discomfort.

e. Head Elevation: Keep your head elevated when resting to minimize swelling.

f. Avoiding Eye Strain: Avoid activities that strain your eyes, such as reading and watching screens for extended periods.

g. Suture Removal: If you underwent non-incisional surgery, sutures may need to be removed within a week.

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h. Makeup: Avoid applying makeup to the surgical area until your surgeon gives the green light.

  1. Risks and Complications

Like any surgical procedure, Asian eyelid surgery comes with potential risks and complications, including:

a. Scarring: Although surgeons aim to minimize scarring, some scarring is inevitable. Proper care can help reduce the visibility of scars.

b. Infection: There is a slight risk of infection, which can be managed with antibiotics if detected early.

c. Asymmetry: Achieving perfect symmetry can be challenging. In some cases, additional surgery may be needed for correction.

d. Unsatisfactory Results: It’s essential to have realistic expectations and discuss your goals thoroughly with your surgeon.

e. Numbness: Temporary numbness or altered sensation in the eyelids is common but usually resolves over time.

f. Allergic Reactions: Rarely, patients may experience allergic reactions to anesthesia or other medications used during surgery.

  1. Alternatives to Asian Eyelid Surgery

While Asian eyelid surgery is a popular option for double eyelid creation, there are non-surgical alternatives and makeup techniques that can be considered:

a. Double Eyelid Tape: Double eyelid tape is a non-surgical option that creates a temporary crease by sticking a specially designed adhesive tape on the eyelid.

b. Eyelid Glue: Similar to double eyelid tape, eyelid glue can be used to create a temporary double eyelid fold.

c. Makeup Techniques: Skilled makeup application can help create the illusion of a double eyelid with eyeshadow and eyeliner.

d. Non-Surgical Thread Lift: A non-surgical thread lift can be used to lift the eyelids without the need for surgery.

e. Eyelid Trainer Devices: Some devices are designed to help train the eyelid muscles and create a natural-looking double eyelid over time.


Asian eyelid surgery has evolved significantly over the years, and it continues to be a sought-after procedure for those desiring a double eyelid crease. It’s essential to make an informed decision, considering your personal goals, cultural influences, and the potential risks and benefits of the procedure. Be sure to consult with a qualified surgeon and thoroughly understand the process before undergoing Asian eyelid surgery. Ultimately, the decision should be based on your individual desires and needs, ensuring that you feel confident and satisfied with the results.