Managing the Asian Eyelid

The Asian eyelid has distinct anatomic features that distinguish it from the Caucasian eyelid. These anatomic features are responsible for the ethnic identity of the Asian eyelid and guide operative technique and intervention. In the younger patient, the goal of Asian blepharoplasty often centers on the enhancement of the ethnic eye features and the creation of the supratarsal fold often referred to as the "double eyelid." In the aging Asian eyelid, considerations should be made to evaluate and address dermatochalasis, blepharoptosis, and brow ptosis. In patients with significant lateral brow ptosis and lateral hooding, the infrabrow excision blepharoplasty technique may provide an additional functional and esthetic benefit.