Asian double eyelid surgery is one of the most common cosmetic procedures performed on patients of east Asian decent.  This procedure is done to create an upper eyelid crease.  Approximately 50% of east asians, are born without a supratarsal fold (aka double eyelid crease).  

This procedure can be performed using several techniques.  But the major differences in techniques is whether the surgeons approaches this surgery using an incision or a suture technique (non-incision) to create a double eyelid fold.

Below, I have broken down some of the major differences between the two surgical approaches.  

Incisional technique          

Pros: more predictable long-term outcomes, more control to create precise placement of the desired fold, able to address other anatomic factors to the eyelid (such as addressing upper eyelid fat deposits, excess muscle, and redundant upper eyelid skin).

Cons: increased healing time, increased potential for a conspicuous scar,  and irreversible

Non-incision-suture technique

Pros: relative ease of performing the procedure, quick recovery time, reversible

Cons: Unable to address other structures in the eye (redundant skin, fat, or muscle), increased potential for loss of crease over time, increased potential for asymmetry.

In addition to performing both techniques, I also perform a limited incision technique.  The approach I use depends on several factors, including your desired changes, your eyelid anatomy, and your lifestyle.

I welcome you to come in and learn more about the different techniques I perform for asian eyelid surgery, as well as other facial cosmetic procedures.

ESK