Determining Most Appropriate Type of Asian Double Eyelid Surgery Based on Individual Anatomy

A woman has been contemplating of getting Asian eyelid surgery to create an upper eyelid fold. She wants to know the best procedures to make her eyes look larger and attractive-looking.

There are different types of Asian eyelid surgery. In the incisional approach, an incision is made to create a connection. When a surgeon does the incisional or the non-incisional approach, the idea is to create a connection between the skin and a muscle called the levator muscle. With the excisional procedure, some skin and fat are removed to create a connection between the eyelid skin and the levator muscle. In the non-incisional procedure, little openings are made which are technically incisions, but instead of a long incision, several dots are strategically placed on the eyelid. Those little openings are used to pass a suture to engage the eyelid skin to the levator muscle without any stitches on the outside to create a crease.

To make the differentiation of who is a candidate for the procedure, Dr. Prasad basically looks at whether or not there’s extra skin, how cooperative the skin is when making the fold, and whether or not there is a presence or absence of extra fat that might need to be addressed in order to establish a fold. Both procedures have their pros and cons and each procedure has its risks and benefits. Dr. Prasad generally finds that younger people with thinner skin which folds easily are best suited for the non-incisional procedure. Someone who’s older tends to have a little extra skin. If someone has much thicker skin and fat behind and it doesn’t fold very easily, then he recommends the incisional procedure.