Asian Blepharoplasty
"Double Eyelid Surgery"

Asian Eyelid Surgery

This is a common aesthetic eyelid surgery popular amongst Asian descendants globally. Given the difference in anatomy compared the westerner eyelids, patient may seek the “double eyelid” appearance to create a more visible crease or eyelid fold when the eye is open.

Why is Asian eyelids different?

The upper eyelid of Asian patients can be variable in terms of underlying muscle layers, epicanthal fold, excess fat and amount of skin. Performing surgery to create the “double eyelid fold” requires detailed knowledge of anatomy in order to create predictable results.

What can surgery achieve?

Different procedures can be done to address different ageing conditions around the eye. The primary goals are:

  • Create a natural yet visible eyelid crease
  • Correct the appearance of multiple lid creases
  • Customise the lid crease height to your liking/li>

Types of surgery?

With surgery, we aim to achieve a natural-looking double eyelid based on Asian features – taking in account, age, gender, and patient preference. Detailed assessment will be done to see which surgical methods will work best for you. Different techniques can be broadly classified into are:

  • Incisional method: This may offer longer lasting results and allows more opportunity to address other issues such as excess skin or fat. However the swelling and recovery time may be slightly more than suture ligation method.
  • Suture ligation method: This will offer much shorter recovery time and still achieve a natural lid crease formation. The effect may wear off over time however.

Planning your surgery / Procedure


Our doctors will take detailed history and assess your eyelids to discuss the ideal shape and appearance that you desire. Dr Woo will also determine which method will be the best in achieving this.

Preparing for the surgery?

Prior to surgery, please ensure that you allow 6 hours of fasting prior to surgery, you will be directed to the operating theatre at the Sydney Eye Hospital.

What happens during the surgery?

This procedure can be safely performed under local anaesthesia as an outpatient. Some patients may choose to have a light sedation throughout the procedure. Light sedation may be used for more extensive procedures like lower eyelid blepharoplasty. The surgical technique may vary depending on the underlying condition. In most cases, your doctor will determine the best method of achieve the results you want.

What happens after the surgery?

Here are some points to be mindful of following surgery:

Eye patch

You may have an eye patch over-night and will be prescribed antibiotic eyedrops or ointment for about a week. If surgery is done to both eyes, one patch will be removed before you leave the surgery.


These are generally removed between 7-10 days after the surgery.

Returning home after surgery

It would be ideal to have someone (friend or family) to take you home or arrange a taxi.

At home

Vision may seem a bit smeary following surgery or from the ointment prescribed.
Please take care not to rub on or near the surgical wound for at least 2 weeks.

Post-operative ointment

Please use Chlorsig eyedrops to use 3 times during the day and ointment at night. The ointment can also be applied to the skin wound.

This is used for 1-2 weeks following surgery


Can I wash and bath normally?

It is okay to bath and shower, however, please try and keep the surgical wound dry until the sutures are removed. During healing phase, it is best to keep the wound dry.

Exercise and swimming?

While gentle exercises are okay following surgery, it is best to avoid any strenuous exercise, sports, or heavily lifting for at least 2 weeks until the wound heals.

Swimming should be avoided until the wound heals and stitches removed.

Can I drive after the surgery?

You should be able to continue to drive following day after surgery when the patches are removed. However the ointment may make the vision blurry, thus please do take great care, or stop driving if the vision is not clear.

Can I still use makeup after the surgery?

Make-up can be worn from the day after the operation, however please avoid putting make on or close to the wound or stitches.

Is it okay to watch television or use the computer as usual?

Yes, these can continue as usual.

Further questions?

If you have any concerns or questions, please contact us on: Ellumina Cosmetic Surgery 02 8041 6477