For Our Asian Patients

Up to 30% of the patient population in the San Francisco Bay Area is Asian, yet most cosmetic surgeons lack experience and understanding when it comes to the subtleties of the Asian eye. In our office we have extensive experience with the Asian eyelid.

What is different about Asian and non-Asian upper eyefold surgery?

In many Asian patients, it is the shape and position of the double-eyelid (eyelid crease) that determines how the eyelid will look.

What are the common mistakes made by general cosmetic surgeons with regard to Asian patients? Assuming Asian patients want to look “westernized” or “Caucasian”

  • Forming a crease that is too high.
  • Ignoring the importance of a youthful, well-formed eyelid crease and fold
  • Removing precious eyelid skin, muscle, or fat, thereby accelerating the aging process.
  • Ignoring the many differences between patients from China, Japan, Vietnam, Cambodia, Laos, The Philippines, Thailand, Myanmar, Korea and other Asian countries.

What about patients with mixed Asian and non-Asian ancestry?

This is common in the Bay Area—and of course no two people are the same. If you are of mixed ancestry, it is particularly important to understand your options and express your desires. What will look natural and aesthetic will depend on your other facial features, such as your bone structure, nose, and cheeks.

At what age can upper eyelid eyefold (double eyelid surgery) be performed?

While the procedure can technically be performed in the teenage years and older, Dr. Levin insists (with rare exceptions) that the patient be an adult and mature. The changes made are permanent, and we will not perform surgery solely because a parent desires it for their child.

Do you perform other types of Asian eyelid surgery?

Due to his San Francisco Bay Area practice, as well as his extensive work at Stanford University and Lucille Packard Children’s Hospital, Dr. Levin has performed procedures on many hundreds of Asian patients. With young children, this is most commonly lower eyelid surgery to repair eyelashes that roll inward (entropion/epiblepharon). Some children with weak eyelid upper eyelid muscles (as opposed to absence of an eyelid fold) require “ptosis repair”. Experience with these intricate operations has given us insight and skills that help with standard cosmetic eyefold surgery.