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Asian Blepharoplasty Open Incisional approach

The incisional "double eyelid" surgery or open Asian blepharoplasty technique is used to create a long lasting and natural looking skin crease in the upper eyelid that appears when the eyes are open. This technique is performed under local anesthesia and involves making a cut in the upper eyelid to remove excess skin, muscle, and fat. The incisional approach is the gold standard in Asian blepharoplasty.

Asian Blepharoplasty Open Incisional approach

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The Skinny


Average Recovery

3 weeks

Permanence

Temporary

Application

Surgical Procedure

Surgical

Yes

Cost

$2500 - $3500

The Specifics


What is an Asian blepharoplasty open incisional approach?

An Asian blepharoplasty open incisional approach is a cosmetic surgery procedure performed by a plastic surgeon to create a static, natural appearing eyelid crease in the upper eyelid. The monolid (single eyelid) commonly seen in individuals of Asian descent is strongly correlated to the epicanthal fold at the medial epicanthus, which is a prominent feature of Asian eyelids. Therefore, individuals of Asian descent with the monolid appearance typically utilize Asian blepharoplasty to achieve an upper eyelid crease.

The Anatomy of the Eye

Eye Anatomy Close-Up Photo

The Asian blepharoplasty open incisional approach utilizes a surgical incision in the upper eyelid to remove excess fat, tissue, and adjust muscle tissue as needed. Asian blepharoplasty open incisional approach is considered the gold standard of Asian blepharoplasty as it allows the most access and refinement of the upper eyelid.

What cosmetic concerns does an Asian blepharoplasty open incisional approach procedure treat?

  1. Sagging & Hooded Eyelids: An Asian blepharoplasty open incisional approach technique allows a plastic surgeon to utilize a small incision to access both the skin of the upper eyelid and internal eye tissues, like fat and muscle, to create a natural appearing upper eyelid crease. Soft tissue debulking by the plastic surgeon allows for a highly specific and targeted alteration to the upper eyelid.

Who is the ideal candidate for an Asian blepharoplasty open incisional approach procedure?

The ideal candidate for an Asian blepharoplasty open incisional approach has thicker or excessive upper eyelid skin, or a thickened pretarsal orbicularis muscle. Asian blepharoplasty open incisional approach is not recommended for patients with significant brow ptosis, prominent or bulging eyes, or certain chronic medical conditions, such as dry eye.

What is the average recovery associated with an Asian blepharoplasty open incisional approach procedure?

The acute healing phase of an Asian blepharoplasty open incisional approach lasts about seven to ten days. Swelling, bruising, and pain of the upper eyelids and orbit typically lasts one to two weeks, and can be alleviated with cold compresses and over the counter pain medications. Nonabsorbable sutures will be removed from the upper eyelids after one week. Strenuous physical activity and sun exposure should be limited for up to six weeks. In some cases, swelling of the upper eyelids can last up to six months following an Asian blepharoplasty open incisional approach.

What are the potential side effects of an Asian blepharoplasty open incisional approach procedure?

The potential side effects of an Asian blepharoplasty open incisional approach include difficulty in closing the upper eyelids to the lid margin when sleeping, blurred vision, prolonged swelling and bruising, scarring, bleeding, and changes in sensation around the upper eyelids and/or eye area.

What can someone expect from the results of an Asian blepharoplasty open incisional approach procedure?

The results of an Asian blepharoplasty open incisional approach are immediately noticeable following the eyelid surgery. This incisional technique creates permanent enhancements to the upper eyelid with the formation of a natural eyelid crease. The results will be subject to natural aging over time.

What is the average cost of an Asian blepharoplasty open incisional approach procedure?

This is a one time permanent plastic surgery procedure that can cost anywhere from $2,500 to $3,500. The actual cost of an Asian blepharoplasty open incisional approach is dependent upon location, plastic surgeon, and length and involvement of the plastic surgery. Learn more in our complete guide to blepharoplasty cost.

Pros

More permanent resultMore dramatic resultLess likely to failPreferable if excess or thick skin

Cons

Longer procedure timeExternal scar on the eyelidMore post op painLonger recoveryIrreversible

Invasiveness Score

mildmoderatesevere
1
2
3
4
5
6
7
8
9
10

Invasiveness is graded based on factors such as anesthesia practices, incisions, and recovery notes common to this procedure.

What to Expect


An Asian blepharoplasty with an open incisional approach creates a long lasting and natural looking skin crease in the upper eyelid. Here is a quick guide for what to expect before, during, and after an Asian blepharoplasty with an open incisional approach.

The Takeaway


An Asian Blepharoplasty Open Incisional Approach (aka a double eyelid surgery) targets the upper eyelid of individuals with a monolid (usually those of Asian descent) who are looking to create the eyelid crease seen in those with the appearance of a typical Caucasian eyelid. The incisional approach allows the plastic surgeon maximum access to the eyelid tissues of the upper eyelid for soft tissue debulking and refining. The result of an Asian Blepharoplasty Open Incisional Approach plastic surgery is a permanent, natural appearing upper eyelid crease.

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Source List

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AEDIT uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

  1. Dailey RA, Wobig JL. Eyelid Anatomy PubMed; 1982-12-01
  2. Harry S Hwang The effect of "single" vs "double" eyelids on the perceived attractiveness of Chinese women PubMed.gov; 2014-03-03
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