6101 Chapel Hill Blvd Ste 101, Plano, TX 75093

Asian Blepharoplasty Dallas

The goal of Asian eyelid surgery is to create a crease in the upper eyelid in the Asian who has a partial or absent upper-eyelid crease. By doing so, eye makeup can be more easily applied and the eyes can appear brighter and more attractive. The history of Asian eyelid surgery involved creating very unnatural-appearing eyelids many years ago, so-called Westernization. Today, the results are very natural and ethnically appropriate. There are many shapes that Dr. Lam can work with you to design based on your eye shape, facial shape, and preferences. Although there are countless variations on techniques to perform Asian eyelid surgery, or “double eyelid” surgery, Dr. Lam prefers the full-incision method because it allows the maximal flexibility in design but, more importantly, the results last.

Key Points:

  1. Dr. Lam only creates natural-appearing results and can shape an eyelid based on your desires. His preferred design is a low crease, closed design, with a slight oval configuration, as seen in the diagram. He can speak with you about what design you would prefer.
  2. If you are 18 years of age or over, you can be offered some sedation during the procedure to decrease anxiety and to make the experience more comfortable. If you are under 18 years of age, you will still experience very little discomfort, as Dr. Lam uses a topical numbing cream to make the experience very easy.
  3. The reason for the puffiness and the narrow eyelid aperture in the Asian eyelid is not an excess of fat (as many think). Instead since the underlying muscle does not insert into the skin, the upper eyelid fat slides downward making the eyelid appear puffier and the eyelid shape, smaller. This is why Dr. Lam rarely needs to remove eyelid fat but conservatively removes fat in a small percentage of patients where the fat obstructs his crease adhesion. Performing double-eyelid procedures in the young and old, he notices consistently that the older patients have very little fat when he performs a double-eyelid procedure meaning that as one ages one loses fat. Accordingly, removing too much fat on a young patient will make that person prematurely age.
  4. To make your recovery less obvious, Dr. Lam recommends after the stitches come out to wear eye makeup (if you are a woman obviously) and also to wear dark rectangular glasses to hide the crease that will look too high for a few weeks and even for a few months.
  5. If you are interested in a double-eyelid procedure and you are over 40 years of age, Dr. Lam would like to have a discussion about the options to rejuvenate your eyes. It may or may not be a standard traditional Asian blepharoplasty. He has written and lectured extensively about the aging Asian eyelid and would like to tailor the right procedure for you.


How long is the recovery with Asian blepharoplasty?

During the first week, you will look very swollen. With the sutures/stitches in place, your fold will not fold over completely during that time and it will not look at all natural. You should take at least a week off from work or school. For students, the summer time is a great time to have the procedure performed. For working individuals, you should take 7 to 10 days off from work. The second week there is still considerable swelling but with the stitches removed on the 7th day the swelling rapidly improves. As mentioned, wearing black rectangular glasses (even fake ones) and eye makeup for women can make the recovery easier. There is typically very little discomfort. It just does not look as natural as one would desire. Mild swelling can persist for weeks to months but every week that goes by the eyelid crease becomes progressively more natural. It can take up to a year for very minor swelling to entirely resolve.

Could I have precisely the design of the eyelids that I ask for?

Dr. Lam very carefully plans the eyelid shape and height based on your preferences. That being said, there can be minor variations due to how the eyelid crease folds over. For example, an open crease configuration may end with a slightly less open configuration or an oval shape may have less flare than perfectly desired. Despite a precisely created crease, the thickness of one’s skin can determine how the fold ultimately folds over and some minor variability may occur.

Is there a chance of scarring along the incision line?

This is very unlikely given the fact that the incision heals very well along the area where Dr. Lam makes the incision. In the old days with aggressive epicanthal incisions or excessive skin removal, scarring was more apparent. Today that is simply not the case. In addition, incisional scarring is typically very easily managed with an injectable scar dissolver but Dr. Lam has never needed to use it for Asian blepharoplasty.

I have heard of the suture and the partial incision techniques. Why does Dr. Lam not use those methods?

Dr. Lam used to use these methods but found them to be far inferior to the full-incision method. The suture technique led to a very high failure rate with the majority of creases falling out over a period of months. He encountered the same problem with the partial-incision method. In addition, the partial incision actually had worse scarring because the buckling that occurred in the middle of the crease did not look natural when the eyes are closed compared to the standard full-incision method. The biggest drawback of the full-incision method is the lengthier recovery period of swelling.

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To learn more about Dr. Lam’s philosophy on Asian beauty and on his technique, please review his learning module.

All Asian Blepharoplasty procedures are performed by Dr Lam himself, at his cosmetic surgery center in Dallas, Texas. To schedule a Asian eyelid surgery consultation call 1-888-866-3388 or email us . The details of your Asian eyelid procedure (both the limitations and the benefits in your particular situation) will be explained to you during your Asian eyelid consultation with Dr. Lam and his team.