Cosmetic Surgery

Asian Blepharoplasty

Asian Blepharoplasty (sometimes called “double eyelid surgery”) is a specialized type of upper eyelid surgery. This is often performed to alter the appearance of Asian “single-lidded” eyes so that they have a lid fold, like the western eyelid.

If you wish to change the single-lidded appearance of your eyes so that there is an eyelid crease, or if you have overhanging skin or an asymmetry of your Asian lid crease, you may be an excellent candidate for Asian Blepharoplasty in St. Louis. The procedure will make your eyes look larger and will allow you to apply eye makeup more easily.

Your Consultation

When you arrive, you will need to provide a medical history, as we need to know about major illnesses and problems such as heart disease and hypertension. Prior surgery, especially facial surgery, is important. Medication history, including medications or supplements that thin the blood are vital to disclose. All over-the-counter pain/fever reducers (except Tylenol) and non-steroidal anti-inflammatory drugs (NSAID) are off limits for a week before eyelid surgery. Herbal medications such as ginkgo biloba and St. John’s Wort or high doses of fish oil, flax seed oil, or vitamin E must also be avoided.

Dr. Holds will ask you about what aspect of your eyelids bothers you and will discuss how this may relate to aging changes in nearby parts of your face. Eyebrow position is particularly important in relation to upper eyelid surgery. He will discuss with you exactly what your surgical goals are, what is attainable, and will create a plan to accomplish that. Asian lid surgery is very exacting, and referring to photographs, use of a mirror, and a careful discussion is important to ensure you and the doctor are on the same track. A mutual understanding of the goals, expectations, and outcomes is essential to a great result!

During your consultation, an examination is also performed to look at any eye conditions such as dry eye, which could limit or alter the surgical plan or be a concern after your procedure. As a board-certified ophthalmologist (eye surgeon), as well as an ophthalmic plastic surgeon, Dr. Holds is attuned to eye diseases and concerns. He is routinely referred patients by some of the best facial and cosmetic surgeons in the area because of this expertise and ability to safely operate on patients at higher risk for complications.

What is Asian Blepharoplasty Like?

Asian blepharoplasty is done on an outpatient basis so that you can go home the same day. The surgery itself takes about one hour. You will be given a local anesthetic and perhaps a sedative, which will make you drowsy. Patients who require it can receive a general anesthetic to go completely asleep. In either case, someone should be available to drive you home after your surgery.

A precise incision is made in the crease of the eyelid so that it is hidden after healing. An appropriate amount of tissue is then removed in order to create the appearance you want. If you also have under eye bags or wrinkles, you may opt to have other procedures done at the same time, such as Lower Eyelid Blepharoplasty.

Obviously, you need to work with a highly qualified surgical team like Dr. Holds and his associates at Ophthalmic Plastic and Cosmetic Surgery, Inc. in St. Louis because you want your eyes to match exactly. This requires skill and experience.

Recovery From Asian Blepharoplasty

You should be able to return to work within just a couple of days of your procedure, and you will feel recovered in about two weeks. Complete healing may take a couple of months, however, as the newly created eyelid will settle during the first 4-8 weeks.

You may experience some mild swelling, bruising, and discomfort, but this is usually minimal. You can take pain medication if you need it. You will also be asked to keep your head elevated in order to reduce swelling.

Your sutures will be removed 6-8 days after surgery unless dissolving sutures have been used. Either way, scarring is generally not visible after healing, and the surgery is very safe.

Call our office now at (314) 567-3567 to find out if you are a good candidate for Asian Blepharoplasty.