Is non-incisional Asian double eyelid surgery right for me?
Double eyelid surgery or eyelid crease surgery is a popular request from patients of Asian ethnicity who see me in consultation.
They often expressed a preference for non-incisional double eyelid procedure. This is based on a belief that the non-incisional procedure is a less invasive or minimally invasive procedure. If I get to the surgery sometimes of course non-incisional approach creation eyelid surgery or double eyelid surgery is still a surgical procedure and it can be affected. I’ll discuss how i determine during the consultation and examination wheather you’re a good candidate for the non-incisional Asian eyelid surgery. I’m doctor Amiya Prasad I’m a board-certified cosmetic surgeon and fellowship trained occulofacial plastic and reconstructive surgeon. I’ve been practicing in New York city and Long Island for over 25 years. As a cosmetic eyelid surgery specialist i would deal primarily and revision surgery procedures performed by other doctors. For example I help people improve their appearance of their hooded eyelids and under eye bags. I also performed advance eyelid surgery for conditions like eyelid ptosis or eyelid retraction and eyelid ectropion. I’m also become well-known for my approached to performing ethnic specific eyelid surgery for people with darker skin as well as Asian double eyelid surgery. Its well known that double eyelid surgery is a popular treatment worldwide among people of Asian descent.

It’s estimated that about 50 percent of Asians such as those Koreans, Chinese or Japanese lineage are born with an eyelid crease also known as double eyelid. The other 50% either have no eyelid crease or what refers to monolid or don’t have a deep or defined crease. Rather a single shallow crease or multiple shallow creases. The purpose of Asian double eyelid surgery in general is to create a defined eyelid crease when there wasn’t one there before. Or to create a more defined crease where there where previously more shallow crease or multiple undefined creases. An eyelid crease made surgically by creating a connection between the eyelid skin and the muscle that lift the eyelid called levator muscle. The word levator was like the word elevator but without the letter e. A surgical connection is made by passing the suture through the skin and levator muscle in both non-incisional and incisional approaches to Asian double eyelid surgery.
The point where the skin and muscle are suture together is where the eyelid skin folds in when the eyes are open. I perform incisional Asian eyelid surgery in situations whether maybe excess skin, excess fat or combination of both.

This is a situation that is commonly seen in older people where the fat may have pushed forward due to aging can prevent from securing proper connection between the skin and levator muscle to create a stable and well defined crease. Older patients generally have stretched or redundant skin which needs to be tailored in order to create a well defined eyelid crease. Since younger people haven’t yet experience skin laxity due to aging and often lil to no fat upper eyelid where it can be a problem. There are often time candidate for non-incisional approach to Asian eyelid surgery. I also perform non-incisional eyelid procedure for patients who had previous excisional surgery where skin and fat had been removed.

I’ve observed that the definition of the eyelid crease can be improved in the situation using this non-incisional approach. During the incisional asian eyelid surgery i create a connection between the skin and the levetor muscle using limited small openings located on the skin where i intend to crease. During consultation I show my patients a very accurate approximation of how their eyelids will appear after surgery.

I do this by using an instrument or a q-tip to stabilize the eyelid skin in a way such that in sutures will be placed during a non incisional procedure. I would performed both the incisional and non-incisional double eyelid surgery using local anesthesia with LITE IV sedation in my office operating facilities. My patient are relaxed, just sleeping without having to go the risk and complications that are associated with general anesthesia. My patients usually get back to work in a few days with minimum swelling.
So to answer the question of whether the non-incisional approach is right for you, it depends on your individual anatomy. Ultimately you should be comfortable with your surgeons familiarity and experience with Asian anatomy and the eyelid surgery. And hopefully you found this information helpful. Thank you for your question.