Comparing Asian and Caucasian Double Eyelid Surgery Style
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Key Takeaway
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Generally, Asians tend to have smaller eyelid creases or sometimes none at all, unlike Westerners who typically have a distinct eyelid fold. These physical differences influence both the likelihood of eyelid issues and prevailing beauty standards. As a result, Asian eyelids surgery, or blepharoplasty, requires specific techniques that differ from those used for Western patients in order to achieve a beautiful, natural result that complements the unique facial structure of each ethnicity.
What is Asian Double Eyelid Surgery?
Asian blepharoplasty, also known as “Asian double eyelid surgery,” involves creating a defined eyelid crease to enhance the appearance of the eyes, making them appear larger, more symmetrical, and almond-shaped. The height of the crease from the upper lash line to the new fold is tailored to each individual’s anatomy and aesthetic preference.
People of North East Asian descent (e.g. China, Korea, Japan) often prefer a lower eyelid crease of 3–6 mm, while those from South East Asia (e.g. Thailand, Vietnam, Indonesia) typically choose a higher crease of 7–10 mm. Fat removal or skin trimming may also be done to enhance the natural look.
Am I Ready for Asian Double Eyelid Surgery?
If you're considering double eyelid surgery, selecting a technique that matches your eye shape and facial features is key, especially for those of Asian descent. You may be suited for Asian eyelid surgery if you have features such as
Your upper eyelid covers a large portion of your iris, or you’re not satisfied with the current shape of your eyelid.
Your eyelids have excess fat, causing your eyes to look puffy or swollen.
When you open your eyes, your upper eyelid folds inward, causing your eyelashes to rub against the cornea, which can lead to irritation or damage.
What Are the Methods of Asian Eyelid Surgery?
Let’s take a look at the different forms and techniques of Asian Eyelid Surgery, which are commonly used. Each technique is suitable for different eye shapes and individual preferences, ensuring the most natural and beautiful results.
Full Surgery
This Asian eyelid surgery technique is ideal for patients with excess fat and skin on the upper eyelid, offering the most permanent results. However, it involves an incision along the new eyelid crease, leaving a visible scar, though the thin eyelid skin often makes it cosmetically acceptable. After the incision, excess skin and fat are removed, and sutures are used to mimic the natural fibrous attachments of double eyelids. The incision is closed with sutures that are removed 4-6 days after surgery.
Partial Surgery
This blepharoplasty technique is ideal for patients with excess fat but not excess skin, or those who desire more durable results than the Non-Incisional method, without the need for extensive scarring.
The main advantage is minimal scarring. A small incision is made along the upper border of the eyelid crease to remove excess fat. This method is more challenging than the Non-Incisional technique due to the smaller surgical window. Sutures are used to mimic natural fibrous attachments of double eyelids, and the incision is closed with sutures that are removed 4-6 days after surgery. Typically, an incision of less than 5 millimeters results in undetectable scarring.
No Surgery
This method is ideal for patients without excess fat or skin on their eyelids. The main advantage is the lack of incisional scars and minimal swelling. However, it may not be as durable as the incisional methods and could result in the double eyelid unfolding over time.
Instead of an incision, your plastic surgeon will create tiny holes and pass sutures through them to mimic the natural fibrous attachments found in double eyelids. This technique, often referred to as double eyelids surgery, ensures that all sutures are buried underneath the skin, so there is no need for suture removal in the clinic.
What is Caucasian Double Eyelid Surgery?
Caucasian blepharoplasty is a procedure designed to remove excess skin and fat from the eyelids, rejuvenating them for a more youthful and energetic appearance. Typically, the surgery involves making an incision along the eyelid crease to minimize scarring.
Who Is the Candidate for Caucasian Double Eyelid Surgery?
If you're looking for a way to refresh your appearance and make your eyes look more youthful and vibrant, you may be a good candidate for Caucasian blepharoplasty if you have the following eye characteristics, such as
Drooping upper eyelids that cover the natural crease, making the eyes appear tired
Excess fat in the upper or lower eyelids that causes a puffy or aged appearance
Asymmetrical or undefined eyelid creases due to aging or genetics
A desire to achieve a more open, refreshed, and youthful look
Excess skin around the eyes that may interfere with vision (in some cases)
How is Caucasian Eyelid Surgery performed?
Caucasian Eyelid Surgery, also known as traditional eyelid surgery, involves making an incision along the natural eyelid crease to remove or reposition excess skin, fat, and tissue. This helps lift the eyelid, open up the eye area.
The surgeon may also tighten the underlying muscles as needed to reduce issues such as droopy lids, sagging brows, or under-eye bags. The incision is carefully sutured along the natural fold to minimize visible scarring and enhance the definition of the eyelid crease.
The Difference in Eyelid Surgery Between Asian and Caucasian
When it comes to eyelid surgery between Asian and Caucasians Blepharoplasty, there are clear differences in both the eyelid structure and the goals of the procedure. Let’s examine their differences.
The Single Fold
The main difference between the upper eyelids of Caucasians and Asians lies in the crease above the lower margin of the upper eyelid. Many Asians have a low or poorly defined crease, or sometimes no crease at all, known as a “single fold” or “monolid.” This absence of a crease causes the eyelashes to touch the lid, giving the eyes a puffy appearance. In contrast, Caucasians typically have a distinct “double fold.”
As a result, the goal of Asian eyelid surgery is often to create this crease, known as the supratarsal fold, just above the eyelashes. This crease is considered more attractive as it makes the eyes appear larger, more expressive, and youthful for both men and women. Goal of caucasian eyelid surgery is to enhance the appearance of the eyelids by addressing concerns such as excess skin, puffiness, or sagging, while maintaining a natural and harmonious look that complements the patient's facial features.
Removing Excess Upper Eyelid Skin or Fat
The procedure to remove excess upper eyelid skin and/or fat is similar to that of a Caucasian eyelid lift, but it is tailored to maintain the unique features of the Asian eye. A precise incision is made along the eyelid crease to remove the excess fat or skin during the blepharoplasty procedure.
The surgeon carefully removes just the right amount to avoid creating a hollow or sunken appearance. During the procedure, a fold is created in a predetermined location using “fixation sutures,” The result is a more youthful, balanced, and symmetric appearance with reduced puffiness.
Epicanthoplasty
The skin covering the inner corner of the eye is known as the epicanthal fold, which varies in size and shape. An epicanthoplasty is a procedure designed to release or partially remove this fold. The excess skin causing a heavy fold is removed, but not all of it, as the fold contributes to the characteristic almond shape of the Asian eye.
This procedure can create softer, larger, and more alert-looking eyes with a less widely spaced appearance. Additionally, epicanthoplasty can help smooth out double eyelid folds during double eyelid surgery, particularly at the inner corner of the eye, avoiding a sharp break or discontinuity in the fold.
Double Eyelid Surgery at Saonanon Clinic: Techniques and Benefits
Saonanon Clinic is a specialized clinic in Bangkok focusing on plastic surgery and ophthalmology, with particular expertise in Double Eyelid Surgery. Here, we prioritize the results and satisfaction of every client above all else. Choosing to have Double Eyelid Surgery at Saonanon Clinic is better than elsewhere for the following reasons:
Specialized doctors experienced in Double Eyelid Surgery. Every case is handled by Associate Professor Preamjit Saonanon, MD, an expert in oculoplastic surgery.
The clinic is clean and meets high standards.
Provide surgical reviews that allow you to compare the before and after results.
Double Eyelid Surgery at Saonanon Clinic: Before and After
Summary
Eyelid surgery for Asians and Caucasians differs significantly due to structural variations in the eyelids. Asian eyelid surgery, including techniques like epicanthoplasty and double eyelid surgery, focuses on creating a crease, refining the eye shape, and reducing puffiness while maintaining the unique almond shape. In contrast, Caucasian eyelid surgery, typically involving the removal of excess skin and fat along the eyelid crease, aims to rejuvenate the eyes with a well-defined fold. Both procedures enhance the eyes' appearance, providing a more youthful, refreshed, and balanced look.
Frequently Asked Questions About Double Eyelid Surgery for Different Ethnicities (FAQs)
Let's explore the "Frequently Asked Questions About Double Eyelid Surgery for Different Ethnicities," addressing common queries people have before choosing the right technique based on their unique eye characteristics.
How Long Does Asian Double Eyelid Surgery Last?
Asian double eyelid surgery typically lasts 5 to 7 years. While aging may cause slight changes to the eyelid crease, the results generally remain visible, with minimal adjustments needed over time.
How to Get an Asian Double Eyelid Surgery?
To get an Asian double eyelid surgery, the surgeon will make an incision along the new eyelid crease, aiming to keep the incision as short as possible. The procedure involves carefully creating the desired fold while maintaining the natural features of the eyelid.
Can I Change my Caucasian Eyes to Asian Eyes?
Yes, it is possible to make your eyes appear more Asian through double eyelid surgery. The procedure involves adjusting the height of the eyelid crease based on the individual's facial structure and preferences, creating a more Asian-like appearance while maintaining a natural look.
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