Dr. Lee’s goal is to create a natural appearing double eyelid crease that flows in harmony with the rest of the face. The aim of Asian eyelid surgery is not to create westernized eyelids, but an Asian eyelid with a naturally appearing crease. The crease height and shape is pre-determined by each individual’s pre-existing unique anatomy. Here are some guidelines to consider:
Asian crease surgery does NOT correct pre-existing asymmetry; actually, creating a line following the natural shape of the eyelids provides a point of reference that can accentuate ones pre-existing asymmetry
Asian crease surgery only creates a line that follows your pre-existing eye shape; most people have one eye that is narrower (which will create a shorter crease) and one eye that is wider (which will create a longer crease). Therefore, the width of the crease is determined by the width of the eyes.
Brow shape and underlying brow bone structure is very important to the overall symmetry and shape of the crease.
The brow is above the eyelids and pushes down on the eyelids so the shape of the eyes is directly affected by the position and shape of the brow. This is why some of our patients elect to have the suture brow procedure along with the Asian crease to address this issue.
Rule of thumb regarding crease height- crease height is pre-determined by the shape of your eyes and brow height; the wider your natural eyes, the higher the crease naturally wants to form (it’s simple geometry- longer distance creates a higher arc); narrow eyes will only accommodate a low crease; brow height and shape also contribute to the crease height
Some candidates are NOT the best candidates for this procedure. Anatomy with hollowness under the brow bone and very thin skin can not “capture” a crease due to the eyelids tendency to fold/crease under the brow bone. Dr. Lee usually does not accept these cases.