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Asian eyelids have a unique structure requiring a specialized cosmetic surgery approach. At Wave Plastic Surgery, we understand the subtle details that make Asian eyelids distinct, and we use advanced techniques to create natural, balanced results that enhance your beauty while maintaining the integrity of your features.

If you’ve ever noticed that some double eyelid surgeries look more natural than others, it’s because of how the crease is formed. Naturally occurring double eyelids have a crease that appears when the eyes open and softens when they close. Poorly executed surgeries can create a fold that stays visible even when the eyes are shut, making it look unnatural. Our team avoids this by using refined techniques like loop sutures and tissue mobilization to mimic how a natural eyelid moves.

At Wave Plastic Surgery, our surgeons specialize in providing beautiful, natural Asian eyelid surgery results. Contact us at (888) 674-3001 to schedule your personalized consultation.

Types of Double Eyelid Folds

Everyone’s eyelids are different, and there’s no one-size-fits-all approach to double eyelid surgery. That’s why we take the time to evaluate your unique features and help you choose the fold that complements your face best.

1. Infold

This subtle crease sits lower than the epicanthal fold, making it a great option if you’re looking for a very natural enhancement. It’s often preferred by patients who want a refined yet understated change. Think of it as the “no-makeup makeup” of eyelid folds.

2. In-Out Fold

The in-out fold starts at the inner corner of the eye, similar to the infold, but extends outward to create a more noticeable yet natural-looking crease. This type of fold blends subtlety with definition, making it a popular choice for patients who want a refined but not overly dramatic enhancement. It’s particularly well-suited for patients undergoing open incisional double eyelid surgery.

3. Outfold

This crease sits above the epicanthal fold, creating a more prominent eyelid definition. This could be the right choice if you want a bolder, more noticeable fold.

Choosing the Right Fold Height

Fold height, or the distance between the lash line and the crease is crucial in achieving a harmonious look. The goal is to enhance your eyes naturally and flatteringly to your face shape.

1. High Fold

A high crease works best for individuals with large eyes and strong eyelid muscles. It creates a striking, glamorous look but requires careful planning to ensure it doesn’t cause heaviness or ptosis (droopy eyelids).

2. Low Fold

A lower crease is excellent for a softer, more natural look. It’s a good choice for those with smaller eyes or who prefer a minimal change. However, because the skin sits closer to the lash line, it may be more prone to hooding over time.

3. Ideal Fold

The best fold height enhances your natural beauty while maintaining the proper function of your eyelid. Our surgeons at Wave Plastic Surgery will work with you to determine the best approach based on your eye shape, muscle strength, and personal preferences.

4. Custom Fold Design

Not all double eyelid folds fit into a standard category. At Wave Plastic Surgery, we emphasize a custom approach, considering factors like individual facial symmetry, existing eyelid structure, and long-term aesthetic goals. Whether a patient wants a combination of fold types or a completely bespoke solution, our surgeons tailor each procedure for a seamless and natural result.

How Asian Eyelids Differ from Non-Asian Eyelids

Asian eyelids have distinct anatomical features that set them apart from non-Asian eyelids. Understanding these variations helps ensure that enhancements are natural-looking and harmonious with a patient’s unique facial structure. Below, we break down the key factors that distinguish Asian eyelids from non-Asian eyelids.

1. Eyelid Crease

One of the main differences between Asian and non-Asian eyelids is how the skin connects to the muscles underneath. In many Asian eyelids, the crease is lower or absent due to the position of the levator aponeurosis (the muscle that lifts the eyelid) and the presence of a thicker fat layer. This creates the characteristic “single eyelid” look.

2. Epicanthal Fold

The epicanthal fold is the small piece of skin covering the eye’s inner corner. It’s a defining feature of Asian eyelids, making the eyes appear farther apart. Some patients adjust this fold for a more open-eyed look while maintaining their natural beauty.

3. Lower Eyelid Feature (Aegyo-Sal)

You might have noticed a subtle puffiness below the lower lash line in many youthful Asian eyes. Known as aegyo-sal in Korean, this feature adds a warm and friendly appearance. Unlike under-eye bags, which can make the eyes look tired, aegyo-sal is considered a desirable trait contributing to youthful expression.

4. Eyelid Muscle Function in Asian vs. Non-Asian Eyes

Asian eyelids tend to have a smaller levator muscle (the muscle responsible for eyelid lifting) than non-Asian eyelids. This can lead to a higher incidence of ptosis (drooping eyelids) and affects how double eyelid surgery is performed. Our expert surgeons at Wave Plastic Surgery take muscle strength into account to prevent post-surgery heaviness or eye fatigue.

Asian Eyelid Anatomy eye anatomy

How Aging Affects Asian Eyelids

Aging impacts Asian eyelids differently than non-Asian eyelids, mainly due to differences in skin thickness and fat distribution.

1. Upper Eyelids

As we age, the skin and muscles around the eyes begin to loosen, which can lead to drooping and hooding. Since Asian eyelids naturally have more fat, they may start to feel heavier over time. This can sometimes result in the eyelid crease becoming less defined or even disappearing..

2. Lower Eyelids

Aging in the lower eyelid often leads to puffiness or hollowing. The fat pads that once supported the eye start to shift, creating either eye bags or a sunken appearance. Lower blepharoplasty (eyelid surgery) can help restore a youthful, refreshed look by repositioning or removing excess fat while maintaining natural-looking fullness.

3. The Role of Fat Pads in Aging

One key difference in Asian eyelid aging is how fat pads shift over time. Asian eyelids often have more preaponeurotic fat, which can make the eyelid appear fuller when young but lead to heaviness and sagging with age. Our approach to eyelid rejuvenation considers fat redistribution to ensure long-lasting, youthful results without creating an unnatural hollowed-out look.

Why Choose Wave Plastic Surgery?

portrait of pretty asian woman with healthy and strong hair isolated on black

At Wave Plastic Surgery, we specialize in procedures tailored to Asian eyelid anatomy. With locations in Los Angeles, Orange County, and San Francisco, our expert team provides customized treatments designed to enhance your natural beauty while respecting the unique structure of your eyes. Whether you’re considering double eyelid surgery, ptosis repair, or eyelid rejuvenation, we offer advanced techniques to deliver results that look and feel authentic.

Schedule a consultation today to explore how we can help you achieve your desired look with precision and artistry.

References

Kiranantawat, K., Suhk, J. H., & Nguyen, A. H. (2015). The Asian Eyelid: Relevant Anatomy. Seminars in plastic surgery, 29(3), 158–164. https://doi.org/10.1055/s-0035-1556852

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Give us a call today to schedule your consultation with one of our plastic surgeons at Wave Plastic Surgery to learn more about lower and upper blepharoplasty procedure and cost.

Our Asian Upper Blepharoplasty Specialists

Plastic Surgeon Peter Lee

Peter Lee

M.D., F.A.C.S.

Dr. Peter is CEO and Chief Surgeon of WAVE Plastic Surgery Center with over 20 years of plastic surgery experience, overlooking 30K+ successful plastic surgery cases. He has mentored master surgeons around the world in state-of-the-art techniques, and has been inducted into the RealSelf 100 & 500 Hall of Fame.

His many accolades and shining results are evidence of Peter’s expertise.

Plastic Surgeon Ben Lee

Ben Lee

M.D., F.A.C.S.

Throughout 20+ years in aesthetic plastic surgery, Dr. Ben Lee has always been passionate about using his skills to impart a lasting, positive impact on the lives of his patients.

“Time and time again, I have witnessed dramatic improvements in a patient’s confidence and well-being after a relatively minor cosmetic or reconstructive procedure. As a surgeon, that brings me great joy.” — Dr. Ben Lee

Plastic Surgeon Denise -Wong

Denise Wong

M.D., F.A.C.S.

With a focus on Upper Eyelid Surgery, Dr. Wong has a deep understanding of the unique anatomy of the eyelid which is critical in performing this highly technical and intricate surgery. She is experienced in approaching various specific eyelid characteristics for different ethnicities, especially Asian cultures.

She uses precise microplastic surgical techniques to enhance the natural shape and inherent beauty of your eyes, making them appear bigger and brighter.

Medically Reviewed By Dr. Ben Lee

M.D., F.A.C.S.

Proudly using his creativity to help patients regain a sense of wholeness and confidence, Dr. Ben Lee takes a very patient-centered approach to care.

Learn More About Dr. Ben Lee