The “Asian” eyelid refers to the characteristic absence of the upper eyelid crease in people of East Asian descent. This crease is known as the “supratarsal fold” and is almost universally present in Caucasian eyelids.

What is double eyelid surgery?

Double eyelid surgery is a specialised blepharoplasty surgical procedure that involves the creation of a natural looking crease in the upper eyelid. The surgery can improve the shape and contour of the eyes, provide a brighter and more youthful appearance, and can make the application of makeup far easier.

Asian Eye Lids

What are the different surgical methods?

Broadly, the methods can be classified as “closed” or “open” depending on whether a continuous incision is made in creating a supratarsal fold. In reality, there are many variants based on the same surgical principles of creating a connection between the eyelids skin and the underlying structures. Surgical methods include: Traditional closed method: buried suture only 3 point buried suture method – a variant of the suture method Open incisional method

What is involved in the closed suture method?

This procedure is generally performed under local anaesthetic. The position of the new upper lid fold is carefully planned and marked. Small punctures are made in the upper eyelid skin along this line and very fine stitches are passed through these spaces to create a connection between the upper eyelid muscle layer and the new skin fold. This method is often suitable for young patients with no skin excess. It is the quickest method and is associated with minimal swelling following the operation. While this method is effective and relatively quick to recover from, the main disadvantage is that it does not allow for skin or fat removal. This is also a very small risk of the stitches failing and the fold “unraveling” over time. If this were to occur the procedure may need to be repeated.

How is the (Korean) 3 point suture method different?

This method utilizes the principles of buried suture technique, but makes three small incisions made at key points in the eyelid skin. The main advantage of this method is to be able to remove fat. Once again this is only suitable in younger patients with no skin redundancy.

How is the incisional method performed?

This procedure can also be performed under local anaesthetic. During the procedure, the new upper lid crease is carefully measured and marked, and the incision planned based on this level. The incision method allows for identification of all anatomical layers and removal of fine connective tissue that leads to multiple or unstable folds. Two layers of stitches are placed, allowing for a dynamic double eyelid creation. With increasing refinements in technique the required incision is now increasingly becoming shorter and more camouflaged. This is the preferred method of Mr Lin, especially if there is existing asymmetry or previous surgery. It is used in most Asian centres in Korea, Japan and China. An epicanthoplasty can be performed in conjunction with this method to address the hooding of skin at the inner corner of the eye

Why is a “dynamic” fold important?

The creation of a “dynamic” upper eyelid fold is a modern technique used with incisional method. It was first described by South Korean surgeons and it is the preferred technique used by Dr Lin. It is a variation of the traditional incisional method that preserves the natural glide plane between the upper eyelid skin and muscle that is fixed to the tarsal plate. This requires meticulous dissection of tissue and separate layers of fixation (as opposed to a single layer in traditional methods). Once healed, this technique allows the skin to gently glide over the newly created double eyelid fold, which closely mimicks the movement of a “natural” double eyelid fold found in some Asians and all Caucasians. Quite simply, it is the closest possible thing to a natural fold.

Where is surgery performed?

Your operation may be performed at our fully equipped procedure room in our main facility in Box Hill. If deeper levels of sedation is preferred, the operation can be performed at a number of fully accredited private hospital. In a private hospital, one of our fully accredited specialist anaesthetists will administer the anaesthetic and care for you for the duration of the operation.

What can I expect in terms of recovery after surgery?

Generally eyelid surgery is performed as a day case in the rooms or hospital. It is common to have: Some mild discomfort following the procedure, which is usually well controlled with oral medications. Swelling and bruising which persists for several days (in suture methods), or 1-2 weeks following incision method. Overall, in 80% of our patients, the majority of swelling will be resolved by 2 weeks. Most patients usually return to office work after one week. Light exercise and physical activities can usually resume after 2 weeks. Heavy sporting activity usually need 3-4 weeks of recovery.

Why do some people have single eyelid?

Statistically, approximately 50% of people of East Asian descent are born without a “supratarsal fold” – commonly known as a “double eyelid”.

This results from a developmental lack of connecting fibres from the upper eyelid skin to the deeper muscle layers. Sometimes, fine rudimentary connections lead to multiple small folds or unstable folds.

The creation of the supratarsal fold is the basis for all methods of double eyelid surgery.

What is the ‘ideal’ upper eyelid for me?

Everyone has their individual sense of what beautiful eyes should look like. While certain cultural or societal ideals exist, we believe that ultimately your “perfect” eyelid is a reflection of your own unique facial characteristics and your own innate sense of beauty.

While a natural, harmonious result is what we aim for in everyone, some commonly sought after surgical goals include:

  • A natural crisp symmetric upper eyelid fold.
  • A stable supratarsal fold.
  • A dynamic fold which naturally varies in position depending on eye position.
  • In some cases, careful removal of upper eyelid fat which reduces the appearance of puffiness in the upper eyelid.

As with all facial surgery, Mr Lin will assess your unique anatomy and overall facial harmony to formulate an individualized plan to naturally enhance your features.

The Eastern Plastic Surgery double eyelid package

  • Preoperative assessments with Mr Lin.
  • Surgery performed by Mr Lin (in main rooms or private hospital).
  • Healite II, LED treatment for two weeks following surgery to promote healing, reduce swelling and bruising.
  • Suture removal with our practice nurse.
  • Dermal therapist for scar management and skin assessment / treatment (usually at 2 weeks following surgery).

Can I see some photos of results?

Yes, but as a member of the RACS and ASPS, Mr Lin adheres to strict practicing and ethical guidelines which prohibit before & after photos on our own website.

Representative photos will be available in our rooms and will be shown to you during your consultation with Mr Lin.

For further information on Asian double eyelid surgery or to book a consultation, please contact Eastern Plastic Surgery today.

Experts In Asian Double Eyelid Surgery Melbourne Wide

Here at Eastern Plastic Surgery, we pride ourselves on delivering the highest level of Asian double eyelid surgery Melbourne has ever seen. With a subspecialty interest in Asian plastic surgery, our respected surgeon Dr Frank Lin has undertaken substantial further training to deliver our patients with exceptional double eyelid surgery. More than just performing exceptional Asian eyelid surgery Melbourne wide however, our goal is to work together with our patients to understand and cater to their individual wants and needs. As there is no universal definition of what constitutes beautiful eyes, we assess each patient individually to tailor Asian eyelid surgery to enhance your natural beauty.

As specialists in double eyelid surgery, we offer three different surgical methods; closed suture, 3 point suture and the incisional method. While the incisional method is our preferred form of Asian eyelid surgery, we are able to perform each of the above methods to the highest standards. Ultimately when you visit Eastern Plastic Surgery, it’s our goal to deliver you with natural double eyelid surgery, otherwise known as Asian eyelid surgery Melbourne wide. Book your consultation with the finest in double eyelid surgery Melbourne can offer today.

*Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.