Upper Eyelid

Asian Upper Eyelid Surgery

It’s very common for patients of Asian decent to desire more wide, larger appearing eyes. The anatomy of the eyelid is complicated and varies from one patient to the next (regardless of ethnicity). For this reason it’s important patients understand that although upper eyelid surgery (blepharoplasty) is a fairly simple technical procedure, it does require a very meticulous approach from an experienced board-certified cosmetic plastic surgeon like Elements Spa’s Dr. Adibfar. Over decades, Dr. Adibfar has developed successful techniques alongside his intimate knowledge of the eye’s anatomy to result in optimal outcomes and very happy and satisfied patients. Let’s look at upper eyelid surgery performed on patients of Asian decent a little closer.

Asian upper eyelid surgery is not a ‘one procedure fits all’ type surgery. Some patients naturally have no eye crease with a single fold, others display a lower crease fold that’s set low and close (sometimes even sits over) the eyelashes, while other patients have a more wide formed crease with higher folds. Depending on the patient, as well as their goals, Dr. Adibfar will consult with him or her to learn what exactly they’d like to change about their eyes, as well as communicate how it can be done conservatively for a natural look that leaves his patients with more open, wider and brighter eyes. 

The reason why the anatomy of the eyelid is so crucial is because the eyelid consists of many layers beneath the skin. These layers consist of important muscles that allow the eyelid to open and shut, connective tissue membranes, as well as fat deposits and skin. 

While still awake, Dr. Adibfar begins by making preoperative markings along the eyelid. This is a great opportunity for the patient to get a more visual understanding of how the procedure will take place, as well as what they can expect in terms of results. The markings are made with precise measurement to assure symmetry and balance between the eyes while still allowing for a more open look. Depending on the patient, the markings are usually made along the eyelid where the desired crease will rest, as well as possibly along the inside and outside corners of the eyes. 

When both Dr. Adibfar and the patient are satisfied, the patient will receive the local anesthetic. Dr. Adibfar begins by making an incision along the markings in the crease and uses his experience and accredited knowledge to remove just enough skin and muscles to lift the eyelid. First, the levator muscle is identified. This muscle is responsible opening the eyelid. Once identified, Dr. Adibfar can more clearly see how little fat, muscle and/or skin to remove in order for the eyelid and new crease to sit comfortably with the eyes’ now more open appearance. Electrocautery is typically used to carefully cut and dissect the excess strips of muscle. A very small amount is removed in order to allow for the new permanent crease. It’s important that the amount removed is also conservative, as volume in the upper eyelid is associated to a more youthful appearance.

When Dr. Adibfar is satisfied with the correct amount of muscle removed and the new crease formation, he can then conclude by using sutures to close the muscle and skin, leaving the fat free to sit comfortably. Dr. Adibfar places his sutures strategically to assure optimal healing and less scaring. 

Our patients of Asian decent who undergo upper eyelid surgery are incredibly satisfied after full recovery. Their eyes appear more open, awake, revitalized and expressive with little to no sign of having had a procedure, and results that are natural looking and flattering. 

Click here to learn more about upper eyelid surgery or to book a consultation with Elements Spa’s board-certified cosmetic plastic surgeon Dr. Adibfar.