Anesthesia

Asian eyelid surgery is typically performed under local anesthesia, allowing for patient comfort and precise intraoperative assessment.

Time Required

The procedure generally requires one hour or more, depending on eyelid anatomy and surgical technique.

Recovery Period

Sutures are usually removed after approximately one week. Most patients are able to respond to emails or perform light virtual work within 2 to 3 days. Swelling and bruising continue to improve over the first one to two weeks.

Surgical Technique

A double eyelid crease may be created using either a suture-based technique or an incisional technique. While suture methods are sometimes marketed as “scarless,” they carry a higher risk of long-term failure, with the crease loosening or disappearing over time.

The incisional technique allows for precise control of crease height, shape, and placement, with a significantly lower risk of recurrence. This approach also provides access to underlying tissues when refinement is needed, resulting in a more stable and predictable outcome.

Dr. Forbes’ Surgical Approach

Crease height selection is one of the most important decisions in Asian eyelid surgery and is carefully determined in collaboration with the patient. Dr. Forbes uses an incisional technique to achieve greater control over crease position and long-term stability.

This approach allows for conservative contouring of fatty tissue above the eyelid when appropriate, helping to create a smooth transition and natural shadow between the eyebrow and eyelid. In addition, the technique enables subtle adjustment of eyelash orientation, often resulting in a gently more upturned lash position that many patients find aesthetically pleasing.

Each surgical plan is fully customized based on eyelid anatomy, facial proportions, and patient goals. A detailed consultation and individualized assessment are essential to achieving a natural, balanced result that respects both form and function.