Blepharoplasty (eyelid surgery) includes surgery of the upper and/or lower lids. This surgery is often combined with other facial procedures, and is used to brighten and improve the appearance of tired or baggy appearing eyes.


The Asian Eyelid differs greatly in both appearance and anatomy from the Western eyelid. Furthermore, there is great variability in appearance of the upper eyelid among people of Asian heritage. At first glance, the upper eyelid either has a prominent upper lid crease (or fold) commonly known as a double eyelid or it does not, a single eyelid. However, on closer examination there is actually a high degree of variability even among people with a double eyelid. The crease itself can be located at different distances from the eyelash line anging from 1-2 mm in some Asians to as high as 10 mm in some Caucasians.



There are two major methods to create a double eyelid. The method that doctors at Deluxe Med Spa Surgery prefer is non-incisional. The non-incisional method is a minimally invasive technique that avoids many of the problems of large incisions. It has been tested in the United States and is widely used in Asia. The doctors can artistically create a lid crease at the location that was decided during the pre-operative consultation. The entire non-incisional procedure can be done through 2-3 small needle holes strategically placed in the upper lid. These small holes heal extremely easily and are almost never visible even with close examination after a few weeks. This particular method tends to have a much faster recovery time with minimal swelling and bruising, although there can be some bruising in a few patients. There is no large upper lid scar. Procedure generally takes less than 1 hour and can be done without general anesthesia if the patient prefers which greatly reduces the costs and recovery time to the patient.


The second method is the full incisional method the traditional way in which the surgeon creates a lid crease using a technique similar to Western blepharoplasty (eyelift). This is the method used by many plastic surgeons in the United States, as it is not very different from their experience doing Western eyelifts. An advantage is that in older patients, excess skin and fat can be removed treating a more youthful appearance. The downside is that there is a scar across the full width of the eyelid that can be noticeable particularly in young patients. Additionally, the invasive nature of this procedure can lead to more down-time from swelling and bruising that can last for two weeks (in rare cases longer). Doctors at Angel Plastic Surgery generally only use this technique if the patient also wants and needs a more youthful appearing eye

before and after