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Double Eyelid Surgery: An Overview

Asian blepharoplasty is a cosmetic surgery procedure better known as Asian double eyelid surgery. Beverly Hills is home to a growing Asian population and, as a result, demand for this procedure is also growing. Although it is considered the plastic surgery capital of the world when it comes to general cosmetic surgery procedures, with regards to this type of specialized eyelid surgery, Beverly Hills still lags behind places like South Korea, and Taiwan where it is more common.

Approximately half of all Asians have a naturally occurring eyelid crease which helps to define the top arc of their eye, and also helps to make their eyes look bigger. The other half of Asian people are born with a smooth upper eyelid. Some find that the crease-less upper eyelid makes their eyes smaller. Some critics claim that Asian blepharoplasty is performed to give Asian eyes a more Caucasian appearance. This is palpably false. Asian eyes with a naturally occurring crease don’t look Caucasian, and neither do Asian eyes with a crease created through eyelid surgery.

Beverly Hills may not yet be the world leader in Asian specific cosmetic surgical procedures, but those types of procedures are becoming more commonly available here, and an increasing number of exceptional cosmetic surgeons are seeking out training in them. Surgeons like Dr. Perry Liu, who received extensive training in Taiwan on many cosmetic and reconstructive procedures specific to Asian patients, are performing the best eyelid surgery Beverly Hills can provide — with the most aesthetically pleasing results outside of Taiwan.

There are three different methods that are commonly used to create an upper eyelid crease: full incision, partial incision, and the suture or Double Suture Twist (DST) method. They each have their own unique pros and cons, with each one being more suitable than the others for certain circumstances.

  • The suture, or no incision method is the quickest to perform, and results in less swelling and scarring than incision-based methods, but is only suitable for those with thinner skin at the eyelid, and with minimal amounts of fat in the area.
  • The full incision method is indicated for patients with heavier fat deposits, or unusually thick skin. This method results in the highest amount of swelling, takes the longest to perform, and is the most invasive of the three methods. In its favor, this method carries the lowest chance of the crease unfolding at a later date.
  • The partial incision method is generally used for patients who would prefer not to use the incision method, but whose facial characteristics are not suitable for the DST method.


In the end, the method used will be determined in consultation with your plastic surgeon. It is important to choose the surgeon with both the training and experience to accommodate the special requirements of Asian patients, as well as the patience to perform a thorough consultation and answer all your questions. Thankfully, if you are interested in Asian double eyelid surgery, Beverly Hills is home to Dr. Perry Liu.

Dr. Perry Liu is a board certified plastic surgeon. His skills embody the convergence of art and medicine that is the essence of aesthetic and reconstructive plastic surgery. Dr. Liu is graduate of Duke University, and continued on to medical school at Emory University in Atlanta You can find Dr. Perry Liu on Google+