Eyelid tape can work to a degree but it requires daily maintenance and the crease is always less distinct.  My mother used to tape and it worked to some extent but her crease was never really distinct and her eyelid crease would have probably formed to that degree anyways.  Double eyelid surgery (Dr Young Seattle) is really the only way to make a distinct crease that will last for years and sometimes indefinitely.  Here is video on Asian Blepharoplasty and Medial epicanthoplasty.

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

You may need a brow lift, volumizing or an Asian Double Eyelid Blepharoplasty (Dr Young, Bellevue Office). This would all depend on how you looked in person or in a photograph.   Your eyebrows should form an arch that is higher at the arch than either the lateral or medial end of the eyebrow.  Also the lateral eyebrow should be slightly higher than the medial eyebrow.  Also the distance from eyelashes to the bottom of your eyebrow should be one iris width until you reach the arch where the distance from the lashes to the eyebrow should be around 1 1/2 iris widths.  Also the highlight created by the arch should line up with the iris and nasal tip.  If your eyebrow is below this you could benefit from a brow lift or volumizing.  A browlift would be good if you never had this ideal before and you want to change your anatomy.  Volumizing would be good if you had this ideal before and want to restore it.  Volumizing is also good if you want to improve the loss of tissue around your eyes as well.  This loss of tissue often is the biggest culprit that causes aging around the eyes.  Volumizing can be done temporarily with fillers or more permanently with fat injections and the YoungVitalizer.  Asian double eyelid blepharoplasty is usefull if you would like to define the eyelid crease and to remove some extra skin.  One thing to realize is that removing extra skin can lead to thicker eyebrow skin being opposed to the thinner eyelid skin and this can look unnatural in the asian eyelid due to the thickenss of their skin.  Here is video on Asian Blepharoplasty and Medial epicanthoplasty.

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

2 1/2 weeks is a little early to judge the results after Asian Double Eyelid Blepharoplasty (Dr Philip Young, Bellevue Washington).  Swelling and inflammation could cause the extra fold that you are noticing by the new eyelid crease.  I would definitely advise you to wait.  You don’t want to do anything right now when there is swelling.  Because if you do something right now, when the swelling dissipates, your results will be different.  Also at this stage your eyes have different swelling and if you try to do something symmetrical right now it will be asymmetrical when the swelling goes down.  I would wait at least 3-6 months before contemplating a revision Asian Double Eyelid Crease Blepharoplasty (Double eyelid crease formation / Asian Eyelid Lift / Asian Eyelid Crease Formation).  Don’t worry things will look better for you over time.  Here is video on Asian Blepharoplasty and Medial epicanthoplasty.

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Hooded eyelids could be improved by double eyelid surgery (Bellevue, Washington) and / or browlift.  The big question is how old are you. If you are older the possibility that you have a droopy eyelid could be contributing to the hooded eyelid and a browlift could help.  Fat injections around your temple and forehead could elevate your eyebrow in a natural way. A double eyelid surgery could raise your eyelid crease and open your eyes a little bit.  Fat injections could rejuvenate your eyebrows and eye so that your eye is less hooded. A pictures of your condition could help.  Here is video on Asian Blepharoplasty and Medial epicanthoplasty.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

I have a lot of patients that come in to have “double eyelids”.  Many patients ask me what the difference is between a regular eyelift and an null that entails creating the double eyelid.  There are significant differences and going to someone that specializes in these type of procedures can mean the world of difference.  Creating the double eyelid requires a more thorough knowledge of the eyelid anatomy.  You have to understand all of the layers of the eyelid in order to find the muscle that elevates the eyelid called the levator aponeurosis (colored purple) in the picture.  This is the muscle that helps pull up the eyelid margin and create a tight layer of skin that folds under the more superior areas of skin.  The superior areas of the skin then hang over to be the crease part of the eyelid.  Prior to doing the procedure, it is important to relay to your doctor some of the important things you would like accomlished during the procedure.  Questions regarding whether you would like an inside or outside fold, how high you would like the crease, whether you would like the crease to follow the eyelid margin or flare upward as the crease approaches outside the eye or that lateral parts of the eyelid near the lateral part of your eyebrow, etc.  When people come in for an Asian Eye lid fold procedure, I sit down with them and recreate the crease while the patient looks in the mirror to determine exactly what they want.  This is a really important part of the consultation.  Going to a facial plastic surgeon that understands the Asian patient and how Asian eyelid surgery works for this particular patient is important as well.  Many surgeons attempt to make Asian patients look more caucasian and this can be a mistake. In fact, when an Asian Plastic Surgery requests this change I really talk to them about this and what this westernization type of eye lift / blepharoplasty can do to change their appearance.  I often get many Asian patients asking me to change their westernized eyelid back so they look more Asian.  Many times these patients had their surgery done in Asia, which is puzzling to me.

Dr Young is located in Bellevue near Seattle, Washington

Race doesn’t necessarily matter but you want someone that understands the Asian Patient and the nuances that this patient presents.  Knowledge of what Asian patients desire and the ability to communicate with them is the challenge.  Many Asian patients today desire to maintain their ethnicity with Asian Blepharoplasty.  This should mean something to the Surgeon doing the procedure and how to do this surgically is very important.  I see many Asian patients that go to Asia to get plastic surgery and they at times come back disappointed.  Hence going to an Asian doctor is not necessarily a cure all.  You have to go to a doctor that has the repertoire of skills that can treat all conditions that Asians present.  Some questions that will need to be answered when discussing Asian blepharoplasty include how high they want the fold, whether the fold should be inside or outside the epicanthus, whether the fold laterally should be parallel or ride higher, whether the epicanthal fold will be dealt with, etc.  Here is video on Asian Blepharoplasty and Medial epicanthoplasty.

Dr Young is located in Bellevue near Seattle, Washington