How to Choose the Right Crease Height in Asian Blepharoplasty

For many people considering Asian blepharoplasty, one of the most important questions is, “How high should my eyelid crease be?” A crease that’s too low may not show, while one that’s too high can change eye shape in ways that feel unfamiliar.

At Ophthalmic Plastic & Cosmetic Surgery, Inc., Asian blepharoplasty is approached through a deep understanding of eyelid anatomy and facial balance. The practice is led by oculofacial plastic surgeons with decades of surgical and teaching experience focused specifically on the eyelids and upper face.

In this blog, you’ll learn how crease height affects appearance, what factors surgeons evaluate, and how thoughtful planning helps support natural-looking results. 

What Is Crease Height?

Crease height refers to the vertical position of the eyelid fold measured from the lash line. In Asian blepharoplasty, the goal is often to create or refine a crease while respecting ethnic features rather than dramatically altering them.

Small differences in crease height can change how the eyes look when open, at rest, or with makeup. That’s why this decision is never one-size-fits-all.

Factors That Influence the Right Crease Height

Surgeons take several anatomical and aesthetic elements into account before recommending a crease height, including:

• Eyelid skin thickness and fat distribution
• Eye size and shape
• Brow position and facial proportions
• Existing asymmetry
• Personal aesthetic goals

A crease that works beautifully for one person may not suit another, even with similar features. That’s why it’s critical that you consult an experienced surgeon before settling on a particular height.

Common Crease Height Ranges

While measurements vary, crease heights are often discussed in general ranges:

• Low crease (6–7 mm): Subtle definition with a softer, more traditional look.
• Medium crease (7–8 mm): Balanced visibility without overpowering the eyelid.
• Higher crease (8–9 mm or more): More open appearance, often paired with specific facial structures.

Your surgeon will consider these ranges in the context of your unique anatomy rather than selecting a number in isolation.

Speak With an Eyelid Surgery Specialist in St. Louis

If you’re thinking about Asian blepharoplasty and want clear guidance on crease height, a personalized consultation can eliminate confusion and help you understand your options.

Call Ophthalmic Plastic & Cosmetic Surgery, Inc. at 314-567-3567 to arrange an appointment. We serve patients in St. Louis, St. Peters, and Arnold, MO.