What is Asian Blepharoplasty?
Asian blepharoplasty, sometimes called double eyelid surgery is a specialized type of upper eyelid surgery. During an Asian blepharoplasty, the skin around the eye is reshaped in order to alter the eyelid. Patients often choose this surgery to alter the appearance of Asian “single-lidded” eyes so that they have a lid fold like the western eyelid.
Dr. John B. Holds is a board-certified ophthalmologist and an ophthalmic plastic surgeon with a special interest in eyelid and midfacial rejuvenation. If you are interested in Asian blepharoplasty or other cosmetic facial surgery Dr. Holds and his associates at Ophthalmic Plastic and Cosmetic Surgery, Inc. in St. Louis have the skills and experience to help you achieve your goals.
candidates for Double Eyelid Surgery
What To Expect During Your Consultation With Dr. Holds
During your consultation with Dr. Holds, you will need to provide a complete medical history and disclose any major illnesses or medical problems. Prior to surgery, it is important that patients mention all medications they are currently taking. Patients will need to stop taking some medications, such as NSAIDs, blood thinners, herbal medications, and vitamins a week before surgery.
During the consultation, Dr. Holds will also perform an eye examination. This is to make sure that there are no other conditions, such as dry eye, that could limit or alter the surgical plan.
Once this is complete, Dr. Holds will discuss your surgical goals, what is attainable, and create a plan to accomplish those goals. 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. A mutual understanding of the goals, expectations, and outcomes is essential to a great result!
Asian Eyelid Surgery Procedure
Asian blepharoplasty is an outpatient surgery so that you can return home the same day. The surgery itself takes about one hour and you will be given a local anesthetic. If you prefer to be completely asleep during the procedure, we can provide a general anesthetic. In either case, it is important that you arrange for someone to drive you home after your surgery.
To begin the eyelid surgery, Dr. Holds will make a precise incision in the crease of the eyelid. This will allow him to place the incision where it will be hidden after healing. Then, Dr. Holds will remove an appropriate amount of tissue in order to create the appearance you want.
If you also have under-eye bags or wrinkles, you can opt to have other procedures done at the same time, such as lower eyelid blepharoplasty. This will likely extend surgical time slightly, but you can save time with one recovery period.
What Dr. Hold’s Patient’s Say
“I’ve been seeing Dr Holds for 28 years by far the best doctor I’ve come across and would highly recommend him to anyone looking for eye surgery or plastic surgery.” – Rod C.
Recovery After Double Eyelid Surgery
Just a couple of days after surgery you should be able to return to work and will feel fully recovered in about two weeks. However, the newly created eyelid continues to settle during the first 4-8 weeks so complete healing can take a few months. Dr. Holds will have you come in for a follow-up appointment about 6-8 days after surgery. At this time, he will check your progress as well as remove the sutures from your eyelids.
Side Effects of Asian Blepharoplasty
Asian blepharoplasty surgery is considered very safe. You may experience mild swelling, bruising, and discomfort after the procedure. Pain medication and keeping your head elevated as often as possible can reduce these side effects. Other side effects can include:
- Reaction to anesthesia
- Double or blurred vision
- Irritation or dry eyes
- Uneven healing
- Permanent scarring
Revision for Asian Eyelid Surgery
Asian eyelid surgery is an endeavor to be undertaken with the utmost care. Patients are most likely to achieve excellent results from eyelid recontouring when they obtain surgery from a board-certified surgeon with specific training and experience conducting delicate procedures on the eyes.
Sometimes, patients do not achieve their desired outcome from eyelid surgery. In some cases, complications occur from surgery that worsens the patient’s satisfaction with their appearance. In such instances, it may be possible to make revisions to the eyelids to improve appearance as well as function.
Procedure Eyelid with Partial Crease
A partial crease is one that is not well defined and may not extend fully from the inner eyelid to the outer part of the eye. Sometimes, the definition of the partial eyelid crease improves over time as the skin above the crease loosens. When it does not, or when the crease of the eyelid is limited by blepharoplasty, a revision procedure may be performed to reposition skin, tissue, and fat in a way that elongates the crease across the entirety of the eyelid.
Procedure Eyelid with Multiple Creases
Some patients with multiple eyelid creases wish to create the appearance of one contour. In some cases, multiple creases are a result of Asian eyelid surgery. Revision can be performed to bring all creases together into one. This may involve dissecting and releasing scar tissue that formed after initial eyelid surgery and repositioning skin and tissue appropriately. The periorbital area (tissue around the eyes) may also be augmented, including the orbital fat and orbicularis oculi muscle. These techniques can prevent maintain separation of the orbicularis oculi and levator muscles as needed to preserve eyelid contours.
How to Prepare for Surgery
Before revision blepharoplasty, a consultation and examination are scheduled. During this visit, we discuss:
Medical history, including previous eyelid surgeries. Important aspects of medical history include circulatory problems, allergies, glaucoma or other eye conditions, health conditions such as diabetes, vitamin and supplement use, and use of alcohol, tobacco, or drugs.
Expectations. Revision eyelid surgery is even more complex than a primary blepharoplasty. The surgeon has to overcome obstacles to return the eyes to their pre-surgery condition, let alone make them look better. An honest discussion about the motivation for surgery and the expected outcome needs to be had. This discussion needs to include open listening to what the surgeon predicts is possible.
A physical and vision exam may be recommended before revision blepharoplasty. Certain medications and supplements may need to be altered or stopped before surgery. Patients who smoke must avoid tobacco use for at least a few weeks before surgery as well as for a few weeks after their procedure.
How Long Does Double Eyelid Surgery Eyelid Take?
In many cases, double eyelid surgery can be completed in about an hour. Revision Asian blepharoplasty may take longer depending on the extent of tissue dissection and repositioning is needed. The procedure is performed on an outpatient basis. Patients may spend a short time in the recovery area if anesthesia is used during the procedure.
How Long Do The Results Last?
The results of revision blepharoplasty should permanently improve the contours of the eyelids. The effects of aging will, at some point, affect the skin of the upper eyelids. However, once the desired curvature and crease is achieved, most people do not need further surgical intervention to maintain satisfaction with their appearance.