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Asian Eyelid Surgery


How is the Asian eyelid different?

How is the Asian eyelid treated?

What are the possible Asian eyelid surgery techniques?

Upper Asian Eyelid Lift

The upper Asian eyelid lift is often performed to create a crease in the upper eyelid. Without a crease on the upper eyelid, the eyelashes touch the upper part of the lot, making the eyes seem smaller. An eyelid crease without unwanted fat deposits makes the eyes appear larger and more alert. However, it’s important to emphasize that no one “needs” an upper eyelid crease, so you should only pursue this procedure if you truly desire an upper eyelid crease.

An upper Asian eyelid lift may also be performed to remove excess skin from the upper eyelids. In this case, an incision is made in the eyelid crease to remove excess skin and fat deposits. However, when removing excess skin from the upper eyelid, the surgeon must follow a conservative approach because removing too much skin can cause a sunken appearance. Dr. Ramesh follows a conservative approach to eyelid lifts, ensuring the results match your desired goals.

Lower Asian Eyelid Lift

The lower Asian eyelid lift is often performed to remove excess fat pads from under the eyes, thereby reducing puffiness. Individuals of Asian ethnicity generally have more fat deposits under the eyes, leading to a puffy and tired appearance. The lower eyelid lift involves making incisions within the eyelids to remove excess fat and skin tissues. However, surgeons must be extremely cautious and conservative while performing Asian eyelid surgeries because Asian skin is less prone to wrinkles and reacts strongly to incisions.

How is the upper eyelid crease made?

When creating an upper eyelid crease, Dr. Ramesh may select one of two possible techniques. The first technique involves flipping the eyelid over and using sutures to create the desired eyelid crease. This surgical technique doesn’t involve incisions, so it also ensures faster recovery and the presence of a natural-looking fold. However, in this case, the crease may eventually be lost due to pressure, especially if the patient has thicker skin.

The second technique, known as the open technique, involves making an incision in the upper eyelid. After making an incision, the surgeon sutures the skin to the muscle responsible for pulling your eyelids open (the levator muscle). However, the surgeon must perform this technique delicately to avoid damaging the levator muscle, leading to eyelid drooping (ptosis). The incision is completely hidden, and this procedure ensures long-lasting results.

Will I be asleep for surgery?

Dr. Ramesh is typically able to perform these delicate surgeries under IV sedation, or twilight anesthesia. This avoids the risks of general anesthesia and being put to sleep completely, while still preventing you from feeling any pain. Twilight anesthesia also allows you to participate in the surgery in a way that allows a more symmetric result.

What is recovery like?

Surgery takes between 1 – 2 hours, and patients can go home afterwards. Usually, patients have bruising and swelling around the eyes for 1 – 2 weeks, and pain is minimal. Most patients are ready for social events in 2-4 weeks, and “wedding-ready” by 3 months. Strenuous activities must be limited for the first week, and patients may return to normal exercise and other activities after 7 days.

No matter the approach, our goal is for you to look more youthful and refreshed, without any appearance of having had surgery. Eyelid surgery, upper or lower, generally does not cause visible scarring after surgical healing is complete. Complications after surgery are extremely rare, and patients are typically very satisfied after the procedure.

Before & After

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    The Center for Eye and Facial Plastic Surgery
    35 Clyde Road, #104
    Somerset, NJ 08873
    Monday – Friday: 8:30a – 4:30p

    Livingston Office
    22 Old Short Hills Rd Suite 202
    Livingston, NJ 07039
    Monday: 9:00a – 5:00p
    Tuesday: 12:00p – 7:00p
    Wednesday – Friday: 9:00a – 5:00p

    P: (609) 608-0142
    F: (855) 644-0469

    Contact Us 609-608-0142