Asian Eyelid Surgery
(Double Eyelid Surgery)

Austin, TX




Asian Eyelid Surgery (Double Eyelid Surgery) in Austin, TX

An Asian blepharoplasty (aka double eyelid surgery, Asian eyelid surgery) is a surgical procedure that a plastic surgeon performs for men and women who do not have an upper eyelid crease. At The Buckingham Center for Facial Plastic Surgery in Austin, Texas, top-rated facial plastic surgeons, Drs. Edward D. Buckingham and Erin Smith, perform Asian blepharoplasty procedures to provide men and women of Asian descent with the eye characteristics they desire.

Who is a Good Candidate for Asian Eyelid Surgery in Austin, Texas?

Some individuals of Asian descent inherit a genetic feature that results in the development of a single upper eyelid (i.e., a monolid). Individuals who have a monolid are missing the superior palpebral fold, which is the fold on the upper eyelid between the eyelashes and the eyebrow. An individual who has a single upper eyelid, but would like to have an upper eyelid with a fold, may be a good candidate for an Asian blepharoplasty at The Buckingham Center in Austin, Texas.

What Causes the Single Eyelid to Develop?

A monolid is an inherited eye feature that is frequently seen in those of Asian descent, therefore, the majority of men and women who choose to have double eyelid surgery are Asian. Dr. Buckingham and Dr. Smith use their experience, skill and artistic vision to create their patients the natural-looking upper eyelids they desire.

Understanding How the Monolid Develops

Although many people think that excess skin causes an individual to have a monolid, this is not the case. When an individual inherits the gene for a monolid, the levator palpebrae muscle, which usually attaches to the top of the cartilage plate within the eyelid, neglects to do so. Instead, the muscle ends within the substance of the individual’s upper eyelid.

Will Asian Eyelid Surgery in Austin, Texas, Westernize an Individual’s Eyes?

Only if the patient requests that Dr. Buckingham or Dr. Smith make this change.

During an Asian blepharoplasty, the plastic surgeon’s goal is to maintain the eye characteristics associated with the patient’s Asian heritage that he or she would like to keep (e.g., slanted, almond-shaped eyes), while addressing the eye features the patient dislikes.

When experienced facial plastic surgeons like Dr. Edward D. Buckingham and Dr. Erin Smith perform Asian eyelid surgery, if the patient desires, they place an emphasis on maintaining the patient’s medial and lateral epicanthal folds (aka Mongolian folds, epicanthus). These folds are at the inner and outer corners of the patient’s upper eyelids.

The epicanthal folds are responsible for creating the beautifully slanted, almond-shaped eye characteristic that those of Asian descent inherit. Without the medial and lateral epicanthal folds, the unique features of the Asian eyelid are no longer present.

The Double Eyelid Surgery Techniques Available at The Buckingham Center in Austin, Texas

Drs. Buckingham and Smith offer three different Asian blepharoplasty techniques.

These techniques include the:

  1. Suture ligation technique (aka the suture method).
  2. Open-incisional approach (aka the external excision technique).
  3. Partial incisional suture technique.

An Asian Blepharoplasty at The Buckingham Center in Austin, Texas

Patients need to fast for at least six hours before their Asian eyelid surgery with Dr. Erin Smith or Dr. Edward D. Buckingham.

Remember to Bring a Driver

After surgery, patients are unable to drive; therefore, they must bring a driver with them. Those who do not will need to reschedule.

For-Hire Transportation After Surgery – What Patients Need to Know

Dr. Erin Smith and Dr. Edward Buckingham do not permit their patients to use any kind of for-hire transportation following procedures that require sedation or anesthesia. This policy is in place to protect their patients from individuals who may want to do them harm while they are in a potentially vulnerable state.

Double Eyelid Surgery at The Buckingham Center in Austin, Texas

The steps below represent the preparation process for an individual who is having double eyelid surgery at The Buckingham Center. These initial steps are the same, despite the Asian eyelid surgery technique the surgeon uses.

An Asian blepharoplasty usually lasts from 45 minutes to an hour. Patients who choose to have multiple procedures during the same session (e.g., a lower blepharoplasty) should expect to remain at The Buckingham Center for a longer period of time.

Preparing the patient for Asian eyelid surgery in Austin, Texas:

  1. Dr. Smith or Dr. Edward D. Buckingham carefully measures and then marks the skin on the patient’s upper eyelids. These markings indicate the location where the surgeon plans to make the incision or place permanent sutures. The location the surgeon chooses is the one that will create the patient the most natural-looking upper eyelid crease.
  2. Although patients remain awake during double eyelid surgery, they do receive oral medication to ensure they feel relaxed and comfortable throughout the procedure.
  3. Once the relaxation medication takes effect, the patient receives local anesthesia, which numbs the treatment area.
  4. When the treatment area becomes numb and the patient is comfortable, the surgeon begins his or her Asian eyelid surgery.

The Procedure Steps the Surgeon Uses Depends on the Surgical Technique the Patient Receives

Double Eyelid Surgery: The Suture Ligation Technique

During double eyelid surgery using the suture technique, the surgeon essentially uses fine caliber sutures to create the patient’s eyelid crease. These sutures remain in place permanently, but they are well hidden beneath the skin. Furthermore, since no incisions are necessary, there is very little scarring.

To create the patient a double eyelid, the surgeon:

  • Makes several small punctures in the skin of the upper eyelid.
  • Passes fine caliber permanent sutures through the punctures.
  • Secures the upper eyelid by inserting the sutures into the connective tissue and muscle of the upper eyelid.
  • Hides these sutures beneath the skin.

This suture ligation technique creates the patient a static crease, which means the crease is fixed.

Although double eyelid surgery using the suture technique offers patients less downtime than is required with the other Asian eyelid surgery techniques (i.e., the open-incisional approach and the partial incisional suture technique), the suture ligation technique is only a good option for a select group of patients.

Good candidates for an Asian blepharoplasty in Austin, Texas, using the suture method include:

  • Younger men and women who do not need the surgeon to remove any fat or excess skin.
  • An individual who does not wear contact lenses. This is an important factor to consider because most people pull on their upper eyelids while placing their contacts, which, as time passes, loosens the sutures.
  • A man or woman who would like to have double eyelid surgery but may not necessarily want the results to be permanent.

Benefits of the suture ligation technique:

  • Since there are no incisions, recovery following this Asian eyelid surgery technique is quicker than the open-incision and partial incisional suture techniques.
  • If the patient dislikes the results, the surgeon can reverse the procedure.

Results of the Suture-Only Asian Blepharoplasty Technique

The patient sees changes directly following the procedure; however, due to inflammation, it can take a couple of days to see the full results.

What to Expect While Recovering from a Suture-Only Double Eyelid Procedure in Austin, Texas

Patients should expect to experience mild inflammation. This swelling usually dissipates within three days. To reduce inflammation, patients can use light ice packs. Most patients return to work and their normal activities within 24 hours.

The Open-Incisional Approach for an Asian Blepharoplasty in Austin, Texas

Since the open-incisional approach is highly reliable and can meet the needs of most patients, surgeons use this Asian blepharoplasty method more frequently than they do the suture ligation technique.

To create the patient’s superior palpebral fold:

  1. The plastic surgeon creates an incision on the upper eyelid that runs parallel to the patient’s lash line.
  2. The surgeon gently removes a crescent-shaped piece of skin, as well as excess fat from the central compartment of the eyelid.
  3. Using internal stitches, the surgeon attaches the crescent-shaped piece of skin to the underlying cartilage or tendon.
  4. To create the crease, the surgeon stitches the skin together.
  5. The surgeon closes the incision, which creates the patient a dynamic crease.

Unlike the static crease, a dynamic crease moves with the eyelid.

Who is a Good Candidate for Asian Eyelid Surgery Using the Open-Incisional Approach?

Men and women who would like the outer shape of their eyes adjusted to make them appear more round or oval.

Individuals who have thicker or an excessive amount of upper eyelid skin, as well as those with a thick pretarsal orbicularis muscle that they need their surgeon to address during their blepharoplasty, are good candidates for the open-incisional approach.

The open approach is also a good option for individuals who would like their facial plastic surgeon to perform a medial epicanthoplasty and lateral canthoplasty.

A Medial Epicanthoplasty

During Asian eyelid surgery, a plastic surgeon can perform a medial epicanthoplasty for men and women who have a Mongolian fold, but would like their eyes to look longer and appear brighter. The surgeon accomplishes these changes for the patient by strategically contouring the inner corner of each eye.

A Lateral Canthoplasty

With the lateral canthoplasty procedure, the plastic surgeon re-contours the outer corner of each eye, which makes the eyes appear longer and wider. In addition, while performing a lateral canthoplasty, the surgeon can make subtle changes to the shape and the tilt of the patient’s eyes.

The Results of Open-Incisional Asian Eyelid Surgery in Austin, Texas

Patients see changes directly following surgery; however, over the two to three weeks following surgery, as the swelling decreases, the results become more evident. Initially, inflammation makes the crease of the patient’s upper eyelid appear higher than it will be once healing is complete. Nonetheless, as the swelling resolves itself, the crease settles into its proper position. Patients can expect to see subtle changes for several months.

How Long Do the Results of the Open-Incisional Asian Eyelid Surgery Approach Last?

During the open-incisional approach, the surgeon creates the patient a permanent superior palpebral fold. Therefore, these results are permanent; however, as with any aesthetic treatment or procedure, the results of the open-incisional Asian eyelid surgery approach are subject to the natural-aging process.

Benefits of the open-incisional approach include:

  • Permanent results that do not require maintenance.
  • A dynamic crease that softens as the individual shifts his or her eyes to look down.

What to Expect While Recovering from an Open-Incisional Asian Blepharoplasty in Austin, Texas

The temporary sutures the surgeon places during surgery are visible. Patients return to The Buckingham Center to have Dr. Erin Smith or Dr. Buckingham remove their sutures. The amount of time before a patient returns for suture removal varies greatly and can be from five to 14 days of surgery.

Directly following surgery, the patient should expect to experience a significant amount of inflammation. In addition, he or she will have bruising along with some upper eyelid pain. The swelling subsides substantially during the two weeks following surgery; however, it can take up to six months for the inflammation to diminish completely.

Patients must avoid strenuous activities and heavy lifting for at least four weeks following their Asian eyelid surgery in Austin, Texas.

Tips for Reducing Inflammation and Decreasing Pain

Patients need to sleep with their head elevated for several days following their Asian eyelid surgery in Austin, Texas. Keeping the head elevated helps reduce inflammation.

Patients can take over-the-counter medications like acetaminophen to bring swelling down, which reduces the amount of pain the patient experiences. However, for at least 10 days after surgery patients should avoid the same over-the-counter medications, vitamins and herbal supplements that they did before surgery (e.g., NSAIDs, aspirin, ibuprofen, vitamin E, Kava Kava).

Lightweight cold compresses are helpful with reducing inflammation. Therefore, patients should consider purchasing some small gel packs to use during recovery. These reusable gel packs are available at local pharmacies.

Most patients look presentable within two to three weeks of surgery. At this point, light makeup can camouflage any residual bruising.

Who is Not Considered a Good Candidate for Asian Eyelid Surgery in Austin, Texas, Using the Open-Incisional Approach?

Men and women who have chronic dry eye, bulging eyes or a drooping brow may not be good candidates for the open-incisional blepharoplasty approach. In addition, people who have certain medical conditions (e.g., a thyroid disease or a clotting disorder) are not considered good candidates for double eyelid surgery in Austin, Texas.

Asian Eyelid Surgery: The Partial Incisional Suture Technique

The partial incisional suture technique does require the creation of an incision; however, this incision only spans across about a third of the length of the eyelid, making it much shorter than the incision a surgeon creates during the open-incisional approach.

The partial incisional suture technique:

  1. The surgeon creates the incision.
  2. After creating the incision, the surgeon addresses puffy-looking upper eyelids by removing some of the excess fat that is present in the central compartment of the eyelid.
  3. To create the crease, the surgeon strategically places permanent, fixation sutures in the levator aponeurosis. The levator aponeurosis is the facial tissue that connects the levator muscle to the connective tissue in the upper eyelid.
  4. The surgeon closes the skin incision with nonabsorbable sutures.

During the partial incisional suture method, if the patient desires, the surgeon can also perform a medial encanthoplasty and lateral canthoplasty.

Who Should Consider Asian Eyelid Surgery Using the Partial Incisional Suture Method?

This technique is a good option for younger patients (e.g., late teens, early 20s) who have never had double eyelid surgery before. In addition, the patient’s pretarsal orbicularis muscle and skin on the upper eyelid should be thin.

Is There Anyone Who is Not Considered a Good Candidate for Asian Eyelid Surgery in Austin, Texas, Using the Partial Incisional Suture Method?

Yes, individuals who frequently experience dry eye, have chronic medical conditions (e.g., those negatively affecting the body’s healing process), a drooping brow as well as those with bulging or prominent eyes are not good candidates for an Asian blepharoplasty using the partial incisional suture technique.

How Long Will the Results of an Asian Blepharoplasty Using the Partial Incisional Suture Technique Last?

Using the partial incisional suture technique, the surgeon creates the patient a static crease. These results are not permanent, but they are long-lasting, only requiring the patient to return to The Buckingham Center periodically for maintenance appointments.

Benefits of the partial incisional suture technique include:

  • It is less invasive than the open-incisional approach.
  • If the patient desires, the surgeon can reverse the results.

Recovering After an Asian Blepharoplasty Using the Partial Incisional Technique

For the partial incisional technique, the swelling, bruising and upper eyelid pain usually lasts about a week, but can last for up to 10 days.

To reduce inflammation, patients should keep their head elevated for several days, even while sleeping.

Most of The Buckingham Center’s patients are ready to return to work and spend time in public 14 days after their Asian eyelid surgery. Nonetheless, strenuous activities must be avoided for at least four weeks.

Patients can use acetaminophen for pain and reduce their swelling with cold compresses. Reducing the inflammation helps decrease the eye pain.

Patients return to The Buckingham Center about a week after surgery to have Dr. Smith or Dr. Edward D. Buckingham remove their sutures.

If a patient has concerns following his or her Asian eyelid surgery, please do not hesitate to call Dr. Erin Smith or Dr. Buckingham at (512) 401-2500 or, in the case of an emergency, please dial 911.

An Initial Consultation for an Asian Blepharoplasty in Austin, Texas

The first step towards having Asian eyelid surgery at The Buckingham Center is scheduling an initial consultation with one of the center’s top-rated facial plastic surgeons, Dr. Smith or Dr. Edward D. Buckingham. Individuals can schedule this consultation by calling (512) 401-2500.

During this consultation, the facial plastic surgeon wants to know why the individual wants to have an Asian blepharoplasty.

Individuals need to provide the plastic surgeon with a detailed account of their medical history. This information should include the medications, vitamins and herbal supplements he or she is taking regularly. It is vital that this information be thorough because some products and medications will increase the likelihood of unnecessary bleeding: These medications will need a dose adjustment or to be discontinued for a short time prior to surgery. Medications that the patient needs to discontinue before surgery include blood thinners like Coumadin, non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen. In addition, patients need to refrain from taking herbal supplements (e.g., Ginkgo Biloba) and vitamins (e.g., vitamin E). These medications, herbs and vitamins need to be discontinued for at least 10 days before and 10 days after surgery. It is important to note that patients need to speak with their facial plastic surgeon or the physician that prescribes a specific medication before adjusting the dosage amount or stopping the medication altogether.

Individuals who have an allergy to latex or any type of medication need to inform the surgeon during this appointment.

If the potential patient drinks alcoholic beverages or participates in recreational drug use, the surgeon needs to know. Candidly answering these questions is important. Dr. Smith and Dr. Buckingham want to make sure that if the individual does decide to have an Asian blepharoplasty, the medications the surgeon uses will not interact with those that are in the potential patient’s system. Since alcohol promotes inflammation, patients need to refrain from drinking these beverages for at least two days before and two days after their Asian eyelid surgery in Austin, Texas.

Using products that contain nicotine (e.g., e-cigarettes, traditional cigarettes, smoking cessation products, chewing tobacco, pipe tobacco) can inhibit the body’s ability to heal itself. Nicotine is a vasoconstrictor, which means it causes the blood vessels to contract. These contractions make the pathways for blood to move throughout the body smaller, thus inhibiting the ability for the healing components in the blood to reach the wound area efficiently.

Continuing to use products that contain nicotine before and after surgery increases the likelihood that an individual will experience a complication (e.g., open wounds, infection, skin necrosis). For safety’s sake, patients need to discontinue using products that contain nicotine for at least four weeks before and four weeks after surgery.

The surgeon needs to know about the individual’s previous surgical procedures. Furthermore, if the individual experienced any type of problem (e.g., nausea) during or after surgery, please let the surgeon know because sometimes these problems are preventable.

After reviewing the potential patient’s medical history, the surgeon examines the patient’s eyes.

If the facial plastic surgeon believes the individual is a good candidate for an Asian blepharoplasty, the surgeon provides the potential patient with his or her treatment options. If the individual decides to move forward with Asian eyelid surgery, the surgeon takes pictures of the patient’s eyes from various angles. Measurements may also be taken. This information and the photos serve as references for Dr. Smith or Dr. Buckingham to use while creating the patient’s personalized surgical plan.

Patients are unable to drive following their Asian blepharoplasty in Austin, Texas; therefore, they need to bring a driver with them on the day of surgery.

What patients need to know about the incisional scar:

Patients who have an Asian blepharoplasty via the open-incisional or partial incisional suture technique should expect to have a small, barely visible scar along the newly created crease of each upper eyelid. As long as the patient protects the scar from UV light, it will continue to lighten for the next 12 to 18 months. Patients who expose their scars to UV light could cause the scar to darken, permanently.

Why Individuals Need to Choose a Facial Plastic Surgeon with Experience Performing Asian Blepharoplasty Procedures

Asian eyelid surgery and the standard blepharoplasty procedures are much different. To perform an Asian blepharoplasty procedure properly, the plastic surgeon needs to understand the specific anatomy of the Asian eyelid. For this reason, it is vital that individuals choose a facial plastic surgeon with experience performing Asian eyelid surgery.

Potential Risks Associated with Double Eyelid Surgery

As with all treatments, procedures and surgeries, there are risks to consider.

Possible risks of an Asian blepharoplasty include:

  • Difficulty closing the upper eyelids all the way while sleeping.
  • Changes in sensation.
  • Visible scarring.
  • Bleeding.
  • The development of an infection.
  • A reaction to the medications or products used during surgery.
  • Asymmetrical-looking eyelids.
  • Blurry vision (temporary).
  • Irritated, dry eyes.
  • Double vision (temporary).
  • Damage to the muscles of the eye.
  • Loss of vision (extremely rare).
  • Discolored skin.

One of the best ways to decrease the likelihood of experiencing a complication is by choosing a facial plastic surgeon who has experience performing Asian Eyelid Surgery.

How Much Does an Asian Blepharoplasty in Austin, Texas, Cost?

The cost for double eyelid surgery depends on several factors, including which procedure the patient is having. To learn how much your Asian eyelid surgery would cost, contact The Buckingham Center today at (512) 401-2500 to schedule a consultation.

Men and women throughout Austin, Texas, and its surrounding areas, choose Dr. Edward D. Buckingham, a double board-certified facial plastic surgeon and blepharoplasty specialist and top-rated facial plastic surgeon Dr. Erin Smith to perform their facial enhancement procedures. To learn more, contact The Buckingham Center for Facial Plastic Surgery at (512) 401-2500 to schedule an appointment for an Asian blepharoplasty initial consultation. The Buckingham Center’s address is 6420 Bee Caves Rd, in Austin, Texas.


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