Asian eyes are characterized by the occurrence of a monolid, or an upper eyelid that lacks the “pretarsal” creases or double folds typically found in Caucasian eyelids. Many people of Asian descent have monolid eyes that work well with their facial features, but for those who desire bigger eyes that appear more interested and awake, Asian blepharoplasty or double eyelid surgery is a popular solution.

Asian eyelid surgery is a procedure that aims to create “supratarsal” creases or natural-looking folds in the lids. The result is a permanent crease that helps make the eyes look bigger, brighter, and more appealing.

Reasons To Undergo This Procedure

Contrary to popular belief, most Asian patients do not undergo eyelid surgery to appear more “westernized.” Monolids can sometimes result in a permanently sleepy, disinterested, or unhappy facial expression, which is what most patients aim to improve upon.

Asian eyelid surgery creates subtle, natural-looking creases that make the eyes look bigger and wider, while still maintaining its inherent Asian characteristics. This procedure can help improve the following:

  1. Lack of an eyelid crease
  2. Asymmetrical upper eyelid folds
  3. Sleepy, tired-looking eyes
  4. Puffy eyelids due to fatty deposits

What Are The Benefits?

There are different anatomical considerations when it comes to Asian eyelid surgery, and in order to achieve the desired results, it requires a customized approach that is designed to address each patient’s unique needs.

Dr. Jacob Sedgh is a board-certified facial plastic surgeon with years of experience in cosmetic eyelid surgery. With artistry and surgical precision, he uses fully tailored techniques to help patients achieve their surgery goals.

Here are some of the benefits you can expect from this procedure:

  1. Permanent, well-defined eyelid folds
  2. Bigger and wider eyes
  3. Increased prominence of upper lashes
  4. Eyes that appear brighter and more engaged

Dr. Sedgh is known for his tailored approach and natural-looking results. During the initial consultation, he will listen closely as you explain your surgical goals and concerns before recommending the most ideal surgical plan to achieve the most optimum eyelid enhancements. This first meeting will also consist of:

  1. An inquiry and evaluation of your medical history
  2. A thorough physical assessment
  3. A comprehensive explanation of the procedure
  4. A discussion on the best surgical execution plan

For out-of-town or overseas patients who are unable to travel to Dr. Sedgh’s Beverly Hills clinic for a consultation, the doctor offers virtual consultations via video conferencing. Should you decide to undergo the procedure, assistance with travel logistics (transportation, hotel accommodation, aftercare services, and more) can also be arranged to ensure a more convenient and relaxed trip.

Asian Eyelid Surgery Procedure

Asian blepharoplasty or double eyelid surgery can be performed using one of two techniques: the incision technique and the suture technique. Both methods allow for the creation of a connection between the skin and the levator muscle, which creates a natural-looking eyelid fold. But while the suture technique will simply create a fold within the eyelid, the incision technique is more precise and may involve the removal of excess skin and other tissues to achieve the desired crease.

Prior to the surgery, you will be placed under local anesthesia, intravenous sedation, or general anesthesia, depending on the technique to be used and what was agreed upon during the initial consultation.


Incision Technique:

With this technique, Dr. Sedgh will begin by creating precise incisions on the eyelid. He will then carefully remove any excess skin, fat, and other soft tissues before attaching the skin and muscle to the tarsus, which is a dense connective tissue found in the eyelid.

The amount of skin to be removed will depend on the desired height of the crease. The incisions, meanwhile, will be hidden in the crease of the lid so that they will be virtually imperceptible once healed.

Due to the higher level of customization, this technique is generally preferred by most surgeons. It also yields longer-lasting results.


Suture Technique:

This technique is a less invasive method for achieving double eyelids. Also known as the Double Suture and Twisting technique or DST, this approach involves the strategic placement of sutures on the eyelids to compress the upper lid structure and create a natural-looking crease.

While DST can yield visible and highly natural results, it can have its limitations. Generally, it is only recommended for a very specific type of candidate.


Asian eyelid surgery is typically an outpatient procedure, which is why you will be advised to arrange for someone to drive you home and stay with you during the first 24 hours post-surgery.

You may observe some bruising and swelling in the immediate area after the procedure, along with minimal discomfort or pain. To effectively manage these, Dr. Sedgh will prescribe medications and specific postoperative instructions to help alleviate these symptoms and facilitate a speedier and more comfortable recovery.

Usually, most patients find that they are presentable enough to return to their daily activities after about 7 to 10 days.

Dr. Sedgh will personally examine you and assess your recovery progress through regularly scheduled follow-up appointments from the first postoperative day up to a year after the eyelid surgery. These meetings are usually conducted at his clinic, over the phone, or via video conferencing.

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