Cosmetic eyelid surgery is the most common elective procedure among people of Asian ethnicity in the United States and in Asia. The procedure can thin a full eyelid, alter the shape or height of the upper or lower eyelid, decrease a pronounced epicanthal fold (the flap of tissue on the nasal side of the eyelid), or create a natural-looking crease in a double eyelid, which occurs in about 50-70% of the Asian population.
Dr. Moskowitz has worked within the Asian community for over 21 years and his practice is about 30% Asian. He has extensive experience with both functional and Cosmetic procedures and the subtleties of the anatomic differences. Moreover, he is well versed in the cultural inclinations of these cosmetic patients.
A common misconception is that blepharoplasty is performed to "Westernize" the eyes in an attempt to look "less Asian." While each person's reasons for having surgery are unique, this kind of cultural dissatisfaction is almost never a factor. Rather, the overall goal is to help the patient look and feel his or her best by changing the eyelid shape to achieve a more attractive or younger look, balance the facial features and boost self-confidence.
The procedure itself varies depending on the techniques used as well as the patient's goals and eyelid anatomy. Generally, the surgery is performed under local anesthesia. An incisional approach is usually taken for double eyelid surgery, in which the skin and sometimes muscle are trimmed and some fat may be removed. In some cases, particularly for lower eyelid surgery, a transconjunctival (minimally invasive) approach is possible. Occasionally, the physician may be able to employ a non-incisional method using permanent sutures. Incisions and sutures are carefully placed to minimize visible scarring.
The new crease will likely appear to be too high immediately following surgery, but it will lower as the skin heals and softens, and stabilizes at about 4-6 weeks. The last of the swelling should subside after six months.