1. What is Asian Blepharoplasty? top

The Asian eyelid is significantly different in anatomy and structure than the occidental eyelid. Approximately 50% of Asians have a defined eyelid crease. This crease divides the upper eyelid into two segments also known as a “double eyelid.” When present, the shape and location of the eyelid crease are lower and different than the occidental eyelid. It must be made clear that most Asian patients without an eyelid crease who seek cosmetic Asian blepharoplasty do not want to look “westernized,” they would like to look like the other 50% of Asians who do have an eyelid crease.

2. What are the different types of Asian eyelid creases? top

Depending on the shape of the face and the patient's own preferences, Dr. Parsa will discuss the various options for the eyelid crease before the operation. The goal is to create a natural Asian crease rather than a wide open “westernized” occidental crease. Here are some examples of eyelid crease positions.

Parallel crease

Parallel crease

Temporal flare crease

Temporal flare crease

Nasal slant crease

Nasal slant crease

3. What are different techniques to recreate the crease? top

Although there are more than 40 reported techniques on Asian double eyelid blepharoplasty the procedures can be divided into two broad catagories, “incisional” or “non-incisional suture techniques”. The incisional technique is a much more predictable and long lasting technique. Although the suture technique is faster with quicker recovery, its effects do not last as long and it is not as predictable. For these reasons Dr. Parsa most often only performs the incisional technique.

4. How long does the asian eyelid surgery surgery take? top

A typical primary eyelid surgery takes between one to two hours. No patient is ever rushed to achieve the best results.

5. What type of anesthesia is used for Asian eyelid surgery? top

Most eyelid surgery can be performed under local anesthesia. If desired, local anesthesia with sedation can be performed. This type of anesthesia, also known as Monitored Anesthesia Care or MAC, is performed by an anesthesiologist. The main advantages of this anesthesia are: (1) it does not require putting a breathing tube in the throat, (2) it does not require a breathing machine, (3) the recovery is much faster, (4) there is less nausea after surgery. All of these elements translate into greater comfort and safety. During MAC anesthesia, an intravenous needle is placed into one of the veins of the arm or hand. Relaxing medication is given to make the patient fall asleep. The amount of medication is adjusted as needed. After the patient is asleep, numbing medicine is placed in the skin of the area that is being operated on. During the procedure the patient is unaware of anything going on and cannot hear anything, yet he or she is breathing normally.

6. What is recovery like? top

Depending on the person’s previous medical history there will be some swelling and bruising around the eyelids for one week. Most patients can return to work after 5 to 7 days. There is minimal eye discomfort after the procedure. Ice packs are recommended for the first 2 days to decrease swelling. Arnica & Bromoline will help reduce swelling and bruising.

7. I am interested! How should I proceed? top

If you are considering this procedure we encourage you to schedule a private consultation with Dr. Parsa. During this visit he will listen to your concerns and, after a comprehensive evaluation, will discuss the best management for you. If you are a suitable candidate depending on your gender, ethnicity, and age, a customized procedure will be tailored for you. If you are an out of town patient visiting our Beverly Hills Office, please do not hesitate to contact us to help arrange your travel plans.