What can Asian blepharoplasty achieve for you? Double eyelid surgery, as it’s also known, is popular around the world and is growing in demand for Toronto clients. This is our brief guide to Asian blepharoplasty.

People of Asian descent from numerous countries share similarities in eye shape and eyelid form. A distinct upper lid appearance referred to as a “monolid” or “single fold” is characterized by the lack of a top lid crease above the lash line or by a very low eyelid crease. Some people with this feature view a single fold as less desirable than a double fold. This might be due to a lack of space to apply makeup and achieve a certain aesthetic or because it makes the eye itself appear smaller.

Wide-eyed shapes can often be achieved through a cosmetic surgery procedure known as Asian blepharoplasty. Toronto patients of all ethnicities and ages choose eyelid surgery in Toronto to smooth eyelid skin, achieve a youthful look, or create more surface area on the lids. People often develop a hooded, heavy-lid appearance as they age, motivating them to intervene.

Asian clients typically seek double lid surgery regardless of their age. Their goal is more often related to double-fold creation than anti-ageing. Here we’ll describe what the Asian eyelid surgery achieves and help you understand its benefits.

Why do Toronto Asian blepharoplasty patients choose this procedure?

Appearance of Ageing

Blepharoplasty is also commonly called eyelid surgery. Toronto facial plastic surgeons like Dr. Cory Torgerson perform blepharoplasty using different techniques, depending on unique clients and their needs. Often excess, sagging, or hooded eyelid skin is removed using precise incisions that are hidden in natural creases. For non-Asian patients, a distinctive upper eyelid fold typically allows for the discreet placement of the small scar required.

Lower eyelid blepharoplasty is also common. It will either involve fat and skin removal or just fat in some cases. This procedure is aimed at reducing “puffy eyes” and lower eyelid bags due to excess fat pad protrusion or stretched skin.

The skin on your eyelids is the thinnest skin anywhere on your body. It is delicate and prone to expansion over time. That makes blepharoplasty a popular choice to combat the first signs of ageing people see in this area.

Alteration of Features

There are other aesthetic purposes for eyelid surgery though. Blepharoplasty is by far the most requested cosmetic surgery for Asian people, and some estimates say it may be the most popular plastic surgery worldwide.

The precise origin of double-fold surgery is debated but generally attributed to Dr. David Ralph Millard. The late plastic surgeon received many accolades for repairing facial clefts in children. In the mid-1950s, while stationed in South Korea with the U.S. Marine Corps, his work with double eyelid surgery began while researching eye reconstruction for burn victims. He discovered that surgeons across Asia were performing operations to add an upper eyelid fold, so he perfected the technique. People who have a single, smooth, or hooded upper eyelid without a distinctive have been requesting Asian blepharoplasty for many years.

When the aim of blepharoplasty is fold creation, there is usually no stretched skin to remove, and fat removal may not be required either. Instead, the goal is to create a distinctive, defined, double-eyelid fold and secure it in place through small incisions and suturing techniques. If there’s an abundance of fat over the eye (which is common for Asian clients), then a portion of the fat may be removed or redistributed to allow the upper lid to take shape.

The double lid procedure is considered a specialized upper blepharoplasty. Dr. Torgerson sees patients from all over the world at his Toronto cosmetic centre. With the substantial Asian population in this world-class city, he’s pleased to customize the requests that he receives from an ethnically diverse community. Performing specialized Asian blepharoplasty procedures regularly, Dr. Torgerson hones the skills and techniques required to deliver stunning, natural results.

What can the Asian blepharoplasty procedure accomplish?

The same basic components of this detailed cosmetic procedure apply to most eyelid surgeries, but with a few key differences. Asian eyelid surgery aims to create an upper lid fold. It doesn’t typically focus on lower lids or skin removal.

This desired crease (supratarsal fold) is a distinctive element distinguishing Asian eyelids from European, African, or Middle Eastern eyelid features. Defining a supratarsal fold can make an eye appear larger and affect the facial appearance. With wider eyes, the overall look for the patient can be more youthful.

Some clients have a crease on one lid, but not the other. They may also have multiple thin, small folds, rather than one defined for each eye. Asian blepharoplasty can “westernize” the eyes, but it can also be done with such fine-tuned subtlety that ethnic features are maintained, and the look is entirely the patient’s own.

It’s vital that plastic surgeons understand how to retain natural Asian features and not “go overboard” to make the eye appear too westernized. A growing number of people from all backgrounds ask for natural-looking cosmetic surgery that preserves their features. This includes ethnic rhinoplasty and the judicious injection of specialized dermal filler products. If you’re seeking treatment that maintains your Asian heritage, choose a facial plastic surgeon who is skilled in this area.

Note* It’s important to note that just because a person is Asian, doesn’t mean their chosen blepharoplasty technique will necessarily be double fold creation. They may want to smooth under-eye bags, rejuvenate the lid, and decrease puffy eyes, just like any other client. An attractive feature of blepharoplasty is that it’s highly personal and completely customizable.

Techniques For Upper Blepharoplasty

Asian people tend to have narrow eyes, and the goal of the procedure is to widen the skin of the top lids, creating the desired upper fold. This makes the eyes appear larger and, in some cases, more proportionate to the rest of the patient’s face.

Dr. Torgerson offers permanent crease creation using a short (less than 1.5 cm) incision on the lid at the point of fold creation.

Another method is called the suture technique, and it doesn’t require any incision. Instead, the upper eyelid fold is created using stitches. The procedure is rapid and requires minimal recovery time, yet it’s not always long-lasting. It’s suitable for eyelids with no excess fat or sagging. The main drawback of a non-incisional method is impermanence. The desired look may last only a few years before the eyes return to their natural shape.

Choosing Crease Height

The surgeon and patient choose aesthetic details together before surgery, including the planned fold height. A natural-looking crease for an Asian will typically be lower than that of a European patient, and your surgeon will want to stay in tune with your overall appearance and features.

Dr. Torgerson will show you options and simulate what minor variances can do for your outcome. On the day of surgery, the process of planning the height and marking the placement is repeated directly on the skin so that you can see and understand the plan.

Blepharoplasty is an outpatient procedure, so you’ll be free to head home with a friend or family member as soon as you feel up to it.

Recovery After Eyelid Surgery in Toronto

As with any facial cosmetic surgery, Asian blepharoplasty patients should expect some temporary bruising and swelling. They’ll need to schedule a brief time off, usually 3 to 5 days. Most eyelid surgery is done with minor incisions and results in fast healing and virtually undetectable scarring.

We recommend that you arrange spaces to rest and relax while you heal at home. You’ll need to avoid heavy lifting, bending over, or even lying down flat for the first week. The sensitive eye area reacts to blood pressure increases and the strain of certain activities. You’ll also be advised to avoid straining your eyes watching television, reading, or working on a computer screen. That’s why planning ahead with plenty to listen to while resting your eyes is a great idea.

Your vision may seem blurry for a short time while swelling and eye-watering run their course. You may also have eye drops to apply during the first few days, and that can contribute to vision impairment.

Patients find it helpful to sleep with multiple pillows under their head and shoulders or in a recliner to keep their head up and reduce swelling.

You’ll have a follow-up appointment scheduled with Dr. Torgerson roughly one week after the procedure. In the meantime, he supplies all of his surgical patients with his personal number to call if they have any concerns. Any sutures will be removed at the first appointment, and you can expect to heal rapidly.

Asian blepharoplasty patients return to work, school, and light exercise within one week, with sports and gym activity resuming closer to 6 weeks afterwards.

Keep in mind that normal swelling may make your eyelid folds appear bigger or higher than they will be. The incision will be reddened temporarily. Scars fade fast over several months, and preventing sun exposure helps ensure that they stay thin and faint.

Dr. Torgerson’s blepharoplasty patients see results revealed soon after their procedure and are thrilled to view a refreshed appearance in the mirror each day.

Schedule a complimentary consultation for Asian blepharoplasty with Dr. Torgerson

With any cosmetic surgery you choose, consulting with experienced practitioners is critical. The particular operation that you’re interested in should be one that the surgeon regularly performs with consistent success.

Dr. Torgerson understands the unique considerations that Asian clients have when it comes to double-eyelid fold creation. He’s renowned for the ability to achieve natural-looking results that respect the unique beauty of each person. Your first appointment with us is free, so you can gather all of the information needed to make the best decision for you. We’ll be happy to help you with planning and answer any questions you have about Asian blepharoplasty.

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Dr. Cory Torgerson
Dr. Cory Torgerson
Dr. Cory Torgerson is one of Canada’s most talented and prominent facial plastic surgeons, focusing on head & neck facial surgery. Dr. Torgerson has been frequently invited to teach and lecture on these topics across North America. He has hospital privileges at Sunnybrook Hospital, one of the premier hospitals in the University of Toronto Health Network.
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