How Asian Eyelid Surgery is Customized for a Patient's Anatomy, Desires, & a Natural Look

A woman's eyelids are very puffy and heavy. She wants to know if a double eyelid surgery or removal of fat or muscle could treat it.

Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon focusing on Asian eyelid surgery and in practice for 20 years, explains that there is a lot of discussion needed and a proper physical exam is also necessary. In other words, the questions that this woman is asking can be answered to a degree with just photos but nothing replaces the 3-dimensional aspect of appreciating the skin quality, fat volume, the eyelid crease and the amount of hooding. In his practice, he actually places a Q-tip inside to create a fold to give them some idea of what to anticipate.

Dr. Prasad always tells his patients that in cosmetic surgery literature, it is often quoted that 50% of people who have Asian descent have a crease and 50% do not. Nature gives a bit of space and permission to work with. When a surgeon fights too much, then they can get some unpredictability. A lot of his patients who come in who want a specific style often bring pictures of people who they admire and who they want to look like. But if their skin quality, anatomy and the position of the eyes is different then he has to think of some kind of customization that's right for them.

Dr. Prasad anticipates from experience that someone like this woman would probably be better served with a tapered crease, as well as extending relatively parallel without a flare in the outer aspect to address the hooding. This is something that can still be customized in degree of fat reduction and the amount of crease that can be shown. Again, this is a discussion that is best served by a physical examination. He would suggest that she meet with experienced cosmetic surgeons and have this discussion.

The factors to also discuss have to do about whether or not she has extra skin. She can choose between an icisional Asian eyelid surgery or a non-incisional - there are many choices and variables. With that understood, an examination would probably help her understand better what her choices are. She should meet with a few doctors, get a sense of what is realistic, be sure that she is comfortable with the choice and that she has a sense of what she will look like when everything is settled.

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[davidmendoza]

Hello Dr.Prasad I had skin graft done on my right upper eyelid due to a previous injury where I lost little skin ... skin from the back of my ear was removed and placed on my eyelid it's been 4 months and the swelling has gone down but the scar I'm still noticeable and so it the color ... it looked better before the surgery ... my question is will it eventually heal or should I look into another surgery ?