Do Asian male and Asian females require a different approach when it comes to Asian eyelid surgery or double eyelid surgery?
Should the double eyelid fold or double eyelid crease be set at a different height? Should the shape or the design of the double eyelid fold be different?
The answer is Yes.
Asian male patients often desire a smaller double eyelid fold or crease. This is because the patients often start with no double eyelid fold or a very small double eyelid crease.
Therefore, when creating an Asian eyelid fold for men, the double eyelid should not undergo a significant change in height or appearance.
In addition, an epicanthalplasty is often not performed because this changes the appearance significantly.
When creating a lower double eyelid fold or low double eyelid crease, it is important not to flip the eyelashes more than 90 degrees. Over flipping, (over eversion) of the eyelash will show the inner part of the eyelid and the patient will look unnatural. Technically, this is accomplished by setting the double eyelid fold to the lower aspect of the levator aponeurosis and the tarsus.
Lastly, skin excision of the eyelid should be done to remove some of the excess Asian eyelid skin.
Dr. Kenneth Kim is a board-certified plastic surgeon in Los Angeles, California. Dr. Kim operates on both Asian males and females patients.
Dr. Kim also operates on many other races. By operating on other races, Dr. Kim can see what kind of double eyelid fold or double eyelid crease will look the best for the face.
Dr. Kenneth Kim has operated on thousands of different eyelids and will go over different types of double eyelid fold and crease during the consultation.