Determining the Natural Placement of an Eyelid Crease in Asian Double Eyelid Surgery


Someone wants to know how much the eyelid falls six months, one year, and two years after Asian double eyelid surgery was done. They want to know if the crease will be significantly lower after all the swelling has subsided.

New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. reviews their concerns in this video, and explains the different approaches to creating an Asian eyelid crease—depending on the amount of extra skin and fat present—as well as how to achieve natural-looking crease placement:

0:43 — Dr. Prasad details his background training in cosmetic surgery and his specialization in Asian eyelid surgery

1:12 — Understanding the anatomy relevant to an eyelid crease, and how Dr. Prasad determines the most natural placement for an eyelid crease

2:13 — Dr. Prasad discusses the two ways to create an eyelid crease in Asians, depending on the presence or absence of extra skin or extra fat in the eyelid

3:25 — How the healing process affects the outcome of the appearance of the eyelid crease; and how long post-operative swelling can last

4:21 — Dr. Prasad further discusses the specifics of achieving natural placement for the Asian eyelid crease

6:04 — Why focusing on the exact height of the eyelid crease is not necessarily helpful

7:10 — Dr. Prasad’s recommendation