Asian blepharoplasty, also known as "double eyelid surgery" and less frequently known as an Oriental blepharoplasty, is a type of cosmetic surgery where the skin around the eyes is reshaped. The purpose of the procedure is to create an upper eyelid with a crease (i.e. "double eyelid") from an eyelid without a crease (i.e. "single eyelid").Anatomically, there are a number of differences in the upper eyelids of Eastern Asians compared with Caucasians.
Despite the obvious differences between a single and double lid, there is a large variation in the crease position (double eyelid size) of the Asian upper eyelid. The upper lid fold can range from 1 mm above the eyelash line to about 10 mm. Several methods can be used to create the double eyelid--including the full-incisional, partial incision and no incision methods (e.g. the DST method). Each has it advantages depending on the patient's anatomy and desires.
Asian blepharoplasties have been reported to be the most common aesthetic procedure in Taiwan and Asia. This procedure has been reported to have a some risk of complications, but is generally quite safe if done by an expert plastic surgeon. Practitioners of Asian double eyelid surgery include plastic surgeons, otolaryngologists, and Oral and maxillofacial surgeon (facial cosmetic surgeons), and opthalmologists (oculoplastic surgeons). A procedure to remove the epicanthal fold (i.e. an epicanthoplasty) is often performed in conjunction with an Asian blepharoplasty. Video
After Surgery
All patients heal at different rates. While common sense may suggest otherwise, patients with sun-damaged skin generally heal faster and with less scarring than those with "pampered" skin. Older patients often heal less aggressively than younger patients. Asian patients tend to heal slightly slower than non-Asian patients. External factors (smoking, premature or excessive physical activity, too much salt, etc) can all delay healing.
It is not that unusual to experience a case of "the blues" following surgery. It often hits during the first month when the excitement surrounding the operation has waned and you finally face the fact that full healing is going to take more than a few weeks. Try to focus on something other than your eyelids. Why? Because the more you think about them, the slower they will heal (or so it seems).
While most bruising is gone in about two weeks, about 10-20% of the swelling will persist for a long time. Such swelling may generate small imperfections such as slight asymmetry, an undesirable crinkling of the skin, or a pouching of the lid away from the eye. Your eyelids will continue to "thin out" for at least four to six months after surgery, and there is no miracle potion or magic pill that will hasten the process.