Patients with significant excess upper eyelid skin hooding have few choices. One is to remove upper eyelid skin from the double eyelid fold line. However, the downside of this method is that the heavy eyelid brow skin and the brow is brought down. This creates a puffy Asian eyelid or double eyelid. A natural looking … Read More

Many people who desire Asian eyelid surgery or double eyelid surgery wish to have eyelash eversion. Eversion means that the eyelashes are flipped upward so that the lashes will not insert into the eyes. Many Asian eyelids have eyelashes that invert. If this situation is severe, then the eyelashes will insert into the eyes and irritate the … Read More

There are two types of Asian eyelids. Those with a double eyelid fold and those with only monolids (no double eyelid folds or crease). In Asian eyelid surgery, the first thing to decide whether there are excess skin hooding or not. If there is excess skin hooding, then it is obvious that the excess skin hooding has to … Read More

In performing Asian eyelid surgery, one of the anatomic components that need to be evaluated is the thickness of the skin. Within the Asian eyelid skin, there are thin skin region, a medium thickness skin region, and a thick skin region. When a double eyelid fold is made in an Asian eyelid, the fold needs to … Read More

Non-Asians have a naturally appearing high double eyelid fold. It is also known as an outfold double eyelid. An outfold or a high fold occurs in non-Asians because they do not have an epicanthal fold. An epicanthal fold has two distinct features that hinder an outfold. One is an excess skin at the inner corner … Read More

If there are issues with high double eyelid folds, then why do some Asian patients want high double eyelids folds? To answer that, we have to see what kind of patients want high double eyelid folds. Among Asians, more Chinese and South East Asians prefer high double eyelids. However, Koreans and Japanese patients tend to prefer a … Read More

There are patients who desire high double eyelid fold. This is an outfold double eyelid surgery in Asian eyelid surgery. A high double eyelid fold means that the distance from the eyelashes to the actual double eyelid fold is at least 10mm. Often, the high double eyelid fold is about 14mm or 16mm. When the double … Read More

Patients with a pre-existing infold double eyelid may wish to change their infold to an outfold. Patients may choose to do so for various aesthetic purposes. An outfold gives a more “non-Asian” appearance to the eyes. It can also give a more “glamorous feel” to the Asian eyes. It is worthwhile to mention that an … Read More