Asian double eyelid surgery

Asian double eyelid surgery is the world's most requested cosmetic procedure. Dr Lamb's techniques are designed to enhance Asian beauty by creating an eyelid fold while maintaining the integrity of the Asian appearance. Double eyelid surgery can vary from a simple suture to a more complex procedure depending on the individual requirements of the patient. The aim of double eyelid surgery is not to ‘Westernise’ Asians. However, part-Asians may choose to Westernise their appearance such as in the example below.

 Before Asian double eyelid surgery  After Asian double eyelid surgery

Making the decision to have eyelid surgery

During the pre-operative consultation, you will be examined and asked questions concerning tear production, use of contact lenses, eye drops and your expectations for surgery. Dr Lamb will examine your eyes and eyelids to exclude any problems that could affect a good functional result.

 Before Asian double eyelid surgery
  After Asian double eyelid surgery

Many factors have to be considered in planning for successful surgery. The height of the brow and the position of the eyelid crease are critical to your result and these will be discussed and demonstrated during the consultation. The prominence of the eyes - whether due to the position of the eyes, excess skin or fat - must also be considered to achieve the desired cosmetic result. Epicanthic folds, the folds of skin at the inner corner of each eye are often prominent in Asians and can be altered by Epicanthoplasty if desired. Surgery to correct epicanthic folds is usually unnecessary for an excellent result. Epicanthic folds can also occur in Caucasions and surgical correction is often desired. As you can see in the photo below, excellent results can be achieved.

 Before epicanthoplasty  After epicanthoplasty

Source: Chen W P-D. Asian Blepharoplasty and the Eyelid Crease. 2nd ed. Oxford: Butterworth-Heinemann Elsevier; 2006.

The eyes in figures A and B are actually identical, but the double eyelid crease in figure B creates the illusion of a larger, more open eye.

Before Asian double eyelid surgery
After Asian double eyelid surgery

Understanding eyelid surgery

In double eyelid surgery Dr Lamb first marks the individual lines and creases on the lids in order to keep scars as invisible as possible within natural folds. The incision is made, and then excess skin, muscle and fat are removed using CO2 Laser. The use of laser greatly reduces swelling and bruising. Fine sutures are used to close the incisions, thereby minimising the visibility of any scar.

In lower eyelid surgery, the incision is usually made inside the lower eyelid. Excess fat is removed using the CO2 Laser, leaving no visible scarring. The lower eyelid skin usually requires tightening and this can be done using Erbium laser or may require skin excision. This procedure is very common because of the prominence of fat in the lower lids of Asians.

 Before lower lid blepharoplasty  After lower lid blepharoplasty

Epiblepharon – eyelashes folding inward

Eyelashes that turn in toward the eyeball are a common problem with Asian eyelids. When this occurs on the upper lid, it can cause eye irritation as well as visual obstruction. Surgical repair of this problem, combined with a double eyelid procedure, improves function and appearance. This can also occur on the lower lid with upturned lashes and can cause problems with contact lenses and LASIK surgery.

Before surgery for upturned lashes  After surgery for upturned lashes 

 Before surgery for downturned lashes  After surgery for downturned lashes