Feature Article: Double Eyelid surgery by Dr Jesper Thulesen

By - AMS posted Sep 27, 2021 03:15 PM


Jesper Thulesen explains why some patients request the Asian blepharoplasty or double eyelid procedure, the techniques available and the results.

Asian blepharoplasty, commonly termed double-eyelid surgery, refers to surgery designed to place a crease in Asian eyes that do not have a supratarsal fold in the skin. Patients typically desire to look more bright-eyed and want to make applying eye makeup easier. Patients also seek to remove the puffy and tired look associated with a fatty upper lid and may wish to have a crease similar in appearance to Asian friends who were born with such a crease. Asian patients may also seek to westernise their appearance, although this is controversial.

In the eyelids of the caucasian, the eyelid crease is determined by the insertion of tissue extensions from the deeper connective tissue of the levator aponeurosis to the skin1. The eyelid crease and fold are important aesthetic landmarks and are a vital feature of the upper eyelid appearance. The Asian eyelid has more fullness of the upper eyelid, no crease (‘monolid’) or lower‑lid crease on one or both sides, and narrow palpebral fissures (‘smaller eyes’).

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