Caucasian Eyelid Surgery Vs. Asian Eyelid Surgery



Caucasian Eyelid Surgery Vs. Asian Eyelid Surgery


Answers to frequently asked questions about double eyelid surgery or Asian eyelid surgery in Sydney and Melbourne.


What is Asian Eyelid Surgery?

Asian Eyelid Surgery, or medically known as East Asian Blepharoplasty (Nguyen, Hsu and Dinh, 2009), is a type of cosmetic surgery where the skin around the upper eyelid is reshaped to create a fold for people who normally do not have it.

This is a very common and popular surgical procedure among Asians who do not have creases on the upper eyelid. An additional crease will result in a more pronounced and open set of eyes.

How is the procedure performed?

The procedure is performed with the cosmetic surgeon removing a tiny amount of excess fat pads from the underskin tissue of the eyelid where the creases need to go. There are three approaches to perform the procedure. This can be done using the incisional technique, the suture technique, or partial incision technique. The surgical technique that will be performed on your eyelid will depend on the condition of your upper eyelid and the results that you want to achieve.

The incisional technique involves permanently attaching the upper eyelid to the elevation muscle and is ideal for those who have fat around the eyes and have thick skin. While it is the basic method used for double eyelid surgery, it is difficult to perform since it needs precision, but leaves you with a result of the clearest double eyelid. It will produce a permanent and irreversible outcome, but will require a slow recovery period.

The suture technique, on the other hand, involves using a surgical stitch, which is tied to the elevation muscle of the upper eyelid. This method is suitable for those who have eyelids that have a moderate amount of fat. Double eyelid surgery performed using this method involves quick operation time and will cause minimal damage on the eyelid tissue. This means that you will have a much faster recovery period, but the results are temporary.

The last method is the partial incision technique, which combines the advantages of the first two techniques. It requires minimal incision and will yield long lasting durability with hardly any scarring.

“Although we make a more proportional nose and eyes, we don’t want to give you an exactly Western look. (We do) whatever is suitable for your face…,” ~ Dr Andrew Kim





What are the Pre-operation instructions?

Just as with any invasive surgery, there are preparations that you need to make to ensure a smooth and easy surgery on the day of the procedure.

  • You will be advised to refrain from taking blood-thinning medications, such as Aspirin, Mefenamic and Ibuprofen. This medications cause excessive bleeding and can hamper the healing process.
  • You will also need to stop taking Vitamin E, Fish Oil, Omega 3 Oil and other herbal supplements (Burroughs et al., 2007).
  • It is important that you inform your surgeon of all the medications you are taking during the consultation. You may be prescribed with alternative medications in the case where one of your medicines can cause excessive bleeding.
  • You may also need to stop drinking and smoking as far as 8 weeks prior to the surgery day.

What happens during the operation?

It is always best that you come to the clinic on the day of your surgery with a clean face. This means no make-up, foundation or powder.

The double eyelid surgery will be performed either with a local anesthesia, twilight anesthesia or general anesthesia. This will vary from patient to patient and will be determined during your consultation with the doctor. But, it is more commonly performed with local anesthesia and oral sedation. This will keep you from feeling any pain and make you feel comfortable. You may feel a slight tugging and pulling sensation while the surgery is being performed.

How long does the operation take?

A typical double eyelid surgery would take one to three hours to complete. This will depend on the extent of the work that needs to be done to achieve the desired result.

And the great thing about it is that it is an out-patient procedure, which means you can immediately go home after the anesthesia wear off. Just make sure that you have a companion with you who can drive you safely home.

Will there be scarring?

Incision scars may form but will not be visible, as this will be positioned within the natural crease of the eyelid (Oestreicher and Mehta, 2012). Also, the scar will only appear as if it is just a line that runs across your eyelid and this will eventually lighten overtime. In the event that you find the scar unsightly, it can be remedied by a scar revision procedure.

When will I see the results?

You may be able to see the final result 10 months to one year after having your double eyelid surgery done.

It is always important that when you are considering having Asian double eyelid surgery, you seek out a well-trained and experienced surgeon. It may be a minor cosmetic surgery, but the impact that it can create on your overall appearance will be immense. So, it is best to entrust your features to someone who has the proper knowledge and understanding of how to better enhance your looks.

During your consultation with the surgeon, make sure that you check his credentials by asking for pictures of patients whom he has done the procedure on. Also, be open about your expectations, as well as with the recommendations and approach that the surgeon will perform on you.




Nguyen, M., Hsu, P. and Dinh, T. (2009). Asian Blepharoplasty. Seminars in Plastic Surgery, 23(03), pp.185-197. Available at: [PUBMED] [Accessed 14 Dec. 2017].

Burroughs, J., Anderson, R., Patrinely, J., Weinberg, D., McCann, J. and McMullan, T. (2007). Preoperative Assessment of the Eye and Periocular Region. Seminars in Plastic Surgery, 21(1), pp.005-017. Available at: [PUBMED] [Accessed 14 Dec. 2017].

Oestreicher, J. and Mehta, S. (2012). Complications of Blepharoplasty: Prevention and Management. Plastic Surgery International, 2012, pp.1-10. Available at: [PUBMED] [Accessed 14 Dec. 2017].



From the moment you enter the Advanced Beauty Cosmetic Surgery you will be able to see why many refer to it as the leading cosmetic surgery for Asians in Australia. Dr. Kim believes that prior to deciding on a procedure, it is imperative for the physician to fully discuss the problems and issues of the patient, to find out what exactly the patient wishes to accomplish, and to discuss what can be done to address these issues. To learn more about our services and to discover how double eyelid surgery and Asian rhinoplasty expert Dr. Kim can help you achieve cosmetic excellence, please schedule your FREE consultation today.

We have multilingual consultants for patients who require translations and interpretations during a consultation. Contact us to book an appointment or to ask any questions regarding our procedures.





Dr. Andrew Kim is the Founder and Medical Director of the Advanced Beauty Cosmetic Clinic which is the medical centre specialising in double eyelid surgery and Asian rhinoplasty.

In high demand as a speaker on his specialty in this country and abroad, Dr. Andrew Kim has taught “Asian Blepharoplasty”, his unique method for creating a natural double eyelid crease, to other surgeons at various workshops in Cosmetic Eyelid Surgery and Asian Rhinoplasty workshops.