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Eyelid Surgery

Asian eyelids

What is Asian blepharoplasty?

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.

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What are the different types of Asian eyelid creases?

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 this cosmetic eyelid surgery. 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 creaseParallel crease Beverly Hills, CA
Temporal flare creaseTemporal flare crease Beverly Hills, CA
Nasal slant creaseNasal slant crease Beverly Hills, CA
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What are different techniques to recreate the crease?

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.

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How long does the asian eyelid surgery take?

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

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What type of anesthesia is used for Asian eyelid surgery?

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.

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What is recovery like?

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.

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I am interested! How should I proceed?

If you are considering this procedure we encourage you to contact us today 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.

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10 things
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before having cosmetic eyelid surgery.

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4.8 / 5.0

Based on 29 reviews

Dr. Parsa is not only an amazing surgeon! He is also very caring and meticulous! His expertise shows in his wonderful bedside manner overall knowledge of his field. I appreciate his knowledge, advice and professionalism for over 6 years. I trust him with my eyes and refers him to my family and friends! His staff is trusting and caring and I love seeing them!

Erica D.

Words cannot express how thankful and appreciative I am to have found you. I am deeply grateful for you, for your generosity and caring nature as pertaining to my medical condition. As you know, I was apprehensive about having further surgery, but you are and have been reassuring and confident in the type of procedure you would perform in order to fix my eyelid from the beginning. The fact that you are not pushy and gave me the time and space to make the decision on my own allowed me to prepare myself mentally and emotionally, that really made a difference. Besides from that, your continuous generosity made me confident that you were the right doctor for the task at hand. You will never know how appreciative I am of that. I would also like to let you know how pleased I am with the results of the surgery. I have not felt this comfortable in years. My parents are also very grateful since this was my 14th surgery. You have a true gift. Thank you again for your patience, time, concern, and overall care. I pray that God continues to give you strength to help people who truly need life-changing medical procedures.

Sophia P.

Dr. Parsa is an amazing doctor. Warm and very caring. I had my eyes done a couple years ago and I couldn't be happier. Dr. Parsa likes to take the conservative approach which I greatly appreciate in a doctor when it comes to cosmetic surgery. I also go to Dr. Parsa for Botox and he always knows just the right amount. The staff in Dr. Parsa's office are all terrific!

Todd H.