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Oriental Eyelid Surgery

Oriental Upper eyelid surgery, or Asian double eyelid surgery or oriental eyelid surgery is a specialized plastic surgery procedure that can change the appearance of the upper eyelid.

What is Oriental Eyelid Surgery?

Oriental Upper eyelid surgery, or Asian double eyelid surgery or oriental eyelid surgery, is a specialized plastic surgery procedure that can change the appearance of the upper eyelid. It is also known as double fold surgery. This procedure of cosmetic surgery is very common among Asian because they feel their appearances are changed in a very positive way. The goal of Oriental Eyelid Surgery is to create an upper eyelid fold (double eyelid) through a quick and relatively simple plastic surgery procedure.

Signature Cosmetic Clinic has over 15 years experience to modify and individualize the double eyelid operation so that normal looking eyelids that maintain flattering oriental characteristics can be reliably constructed. This is also done with the client individual likes and dislikes, customizing the final looks.

Oriental Upper eyelid surgery can address the condition of excessive skin and/or fatty deposits in the upper eyelid, which can result in eyelids drooping.

If the upper eyelid condition is accompanied by sagging of the eyebrows, then a forehead (brow) lift may be recommended.

Smoothing of crow’s feet may require Botox, chemical peeling, or ablative or non-ablative laser procedures. Circles beneath the eyes caused by dark pigmentation may be treated with a bleaching solution or chemical peel and rejuvenation of the orbital structures.

Oriental Eyelid Surgery Methods

1. Non-incision method

Two or three small incisions are made in the eyelid. The skin is connected with the muscle which opens and closes the eyelid to make a double fold.

This is an especially good procedure for patients who are very young and does not have excessive skin as well as unusually thin eyelids.

Advantages: It’s easy to fix, is a simple operation, and won’t leave a scar.

Disadvantages: This method prohibits the removal of fat or drooping skin during the operation. Occasionally, after the operation, the suture linking the skin and muscle becomes loose, and the altered eyelid ceases to exist.

2. Incision method

The surgeon makes one continuous incision on the eyelid to remove fat and tissue.

This is an especially good procedure for patients who have fatty or drooping eyelids.

Advantage: This method removes the fat and thick muscle. The sutures remain in place indefinitely.

Disadvantage: Healing is a gradual process. The suture line remains pinkish for six months, then the color gradually begins to take on the natural skin color.

Asian Blepharoplasty Image

Improves These

Eyes that appear larger and ‘brighter’
Eyes that appear more expressive
The overall facial appearance is more ‘alert’
There is enhanced eyelid symmetry


Larger and more symmetric almond-shaped eye

About the Procedure

The incision is hidden within the natural fold of the upper eyelid, and it is through this incision that excess skin and fat are removed. Because the incision follows the natural contour of the upper eyelid, it is well camouflaged when it is healed.

There are two approaches to this procedure. Your age and the extent of the fatty deposits will determine the more appropriate approach. One approach uses an external incision, and the other is performed from inside the lower lid.

For lower lid surgery, the incision is usually hidden below the lower lashes. Through the incision, excess skin, muscle, and fat are removed. Fat may also be redistributed to improve puffiness or bulges. Other adjustments such as eyelid tightening may be done to correct special problems such as muscle laxity.

Potential Side Effect

Impaired lid function may be treated with additional surgery. Mild swelling persists for several weeks in some cases, while others see swelling subside in just seven days. Bruising typically disappears in seven to ten days, and makeup can be used in the first week to hide discoloration.

You may find that your eyes are temporarily sensitive to light. You may also experience some excess tearing or dryness. We may recommend using eye drops to relieve burning or itching. You may want to wear dark sunglasses for a couple of weeks to protect your eyes from wind and sun exposure. The incision lines will fade over several months until they become barely visible.

High blood pressure, thyroid issues or diabetes are some of the conditions that can increase the risks during eyelid surgery. You should inform us if you have allergies, or if you have been told that you have “dry eye” or any other eye problems.

Unfortunately, mistakes occur quite commonly with double fold surgeries even though it is one of the most commonly performed cosmetic surgery procedures. It’s easy to make a double fold, but it’s difficult to make a double fold which is unartifical and beautiful. Many people don’t really consider their plastic surgeon’s skill or experience before the operation. Sometimes they need a reoperation on their double fold. An unartifical double fold makes facial features look attractive and natural, but an artificial double fold ruins the facial appearance.

Procedure Details:


Non-incision 15–20 minutes
Incision 1-1.5 hours



Have more questions?

Read more about Oriental Eyelid Surgery!

What will Oriental Eyelid Surgery do?

This surgery should improve the appearance of your eyelids. The loose skin and muscle can be removed. The extra fat can be resected or moved. The hollowness may be improved with grafting.

Would Oriental Eyelid Surgery be my only option?

If the aging changes are minimal fillers, Botox, and possible chemical peel or laser may help. If there are moderate to major changes, surgery is the only option.

How long will the results of Oriental Eyelid Surgery last?

The surgical result is usually permanent. Aging changes are ongoing and you may consider another procedure to improve these changes after 10 years.

What can I expect my pain to be like after a Oriental Eyelid Surgery?

Most of my clients only take pain medication for one to two days. Most do not have to take more than 5 pain pills in total after the procedure.

How long will it be until I can drive again after a Oriental Eyelid Surgery?

In general, you should not drive the first 48 hours after surgery. Also if you are taking heavy narcotics, you should not be driving. Most of my clients are usually driving after 3 to 4 days.

How are we going to manage my pain after a Oriental Eyelid Surgery?

You will receive a pain pill prescription to fill before surgery. You may receive IV pain medication during the surgery.

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