Eyelid surgery or blepharoplasty in the Asian community has different aesthetic and anatomic concerns. The Northern Asian eyelid (China, Korea, Japan) has different anatomic features that the Caucasion or Southern Asian (Thai, Phillipine, Vietnamese) eyelid.
The upper eyelid crease is typically much lower and there is a small layer of fat between the skin and the muscle in the Northern Asian eyelid. There may also be an epicanthal fold medially. Aesthetically, many patients desire “westernization” of their upper eyelid and create a new crease more superior to the original one. Ablation of the epicanthal fold may also be desired depending on the anatomy and the patient.
Similar to Caucasion cosmetic eyelid surgery, the fat is trimmed and excess skin is resected.
Dr. Funk is a board certified facial plastic surgeon who is an eyelid surgery specialist in Houston.