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Asian Eyelid Surgery

What is Asian Eyelid Surgery (blepharoplasty)?

Asian eyelid surgery (“Asian blepharoplasty,” “eyelid crease surgery,” or “double eyelid surgery”) is a procedure that creates or enhances an eyelid crease. The anatomy in Asian eyelids is different and many Asian patients have a more pronounced “hood” over their eyes.

There is some confusion as to the reasons why patients seek out double eyelid surgery. For non-Asian patients, the view seems to be that Asian patients want to look more “western.” However, Dr. Liu frequently finds that the real reason patients want to come in are to achieve a different Asian aesthetic of beauty through larger, more expressive eyes, and to downplay the natural hooded eyelids.

Dr. Liu has trained in Japan and South Korea to perfect her Asian blepharoplasty technique and establish herself as the premier Asian eyelid specialist in Orange County. Given her extensive training and ability to achieve natural-looking results, as well as her own Asian heritage, Dr. Liu is frequently sought out to perform Asian eyelid surgery for all Asian ethnicities.

Commonly asked questions

What should I look for when choosing a surgeon?

Selecting the right cosmetic surgeon is a choice that you live with for years, if not your entire life. A successful procedure will make you feel more like yourself and give you greater confidence for years to come. On the other hand, selecting the wrong surgeon increases your chances of having poor results, which can lead to additional costs, time, and heartache.

When choosing your surgeon, there are a few key points to keep in mind:

  • What credentials should my surgeon have? Making sure that your doctor has received the right training focused on your issue. General plastic surgeons work on the entire body, and facial plastic surgeons perform work on the entire face. Dr. Liu is an Oculoplastic Surgeon, and completed an ASOPRS fellowship, and is therefore one of the most highly qualified oculoplastic surgeons in North America. When you are having surgery done near your eyes, you want to make sure that you have a surgeon that was trained in the eyes, and general and facial plastic surgeons typically have inadequate training in this area.

  • Ask detailed questions. Make sure that your surgeon answers all of your questions clearly and is willing to spend the time with you to address all of your concerns. A physician that cannot give a clear answer as to how many of a particular procedure they have performed or how their training qualifies them to perform a procedure should be chosen with care.

  • What do other patients say? While a referral from a friend or colleague can be helpful in narrowing down a physician search, it is important to try and get a well-rounded view of the physician. Look online at their reviews on websites such as,, and on Google and Yelp. Getting the full picture of other patients’ experiences with a physician can be helpful in putting your interaction with the doctor into the correct context.

What kind of anesthesia is used during eyelid surgery?

A blepharoplasty is typically performed using only local anesthesia in Dr. Liu’s procedure room. In some cases the surgery may be performed at an off-site surgery center for additional sedation, but only in very rare cases would general anesthesia be used.

How much does an Asian blepharoplasty cost?

It is difficult to provide pricing before a patient has had a consultation with Dr. Liu. The cost of a procedure can vary depending on what a patient needs and what the surgery will entail. More importantly, many patients come to Dr. Liu believing that they need a certain procedure, only to find out during the consultation that a different procedure will provide a better outcome.

How does Dr. Liu perform her Asian blepharoplasty?

Dr. Liu performs both an open technique and a buried suture technique depending on your eyelid anatomy. In the open technique, an incision is made at the level of the desired lid crease and the eyelid tissues are contoured to allow formation of a lid crease. Sometimes ptosis surgery can be performed at the same time to make the eyes bigger along with formation of a lid crease. Once Dr. Liu has achieved the desired restructuring and reshaping of your eyelids, she places sutures to smooth and reconfigure your eyelids.  The sutures are finer than a human hair and will be removed at 5-7 days after surgery.

In the buried suture technique, three small incisions are made at the level of the desired lid crease. A fine suture is passed through the eyelid to form the lid crease and then buried underneath the skin so that it is not visible. No skin sutures are placed and there is no need for suture removal following surgery.

The specific techniques that Dr. Liu uses will be selected based on your needs. Because Dr. Liu has such specialized training, she has access to a number of techniques that are not utilized by most other doctors, and she may mix and match these techniques to get the best outcome.

How long does the procedure take?

An Asian blepharoplasty typically takes about 1 – 2 hours from start to finish.

Does an Asian blepharoplasty scar?

An Asian blepharoplasty will have scars in the crease of your eyelid that may not be visible after you have fully healed. Non-specialized surgeons typically have results with more visible scarring.

Are there any risks to an Asian blepharoplasty?

Eyelid surgery is generally a very safe procedure. When considering any eyelid surgery, please inform your surgeon of any abnormalities of your eyes, vision, or your general medical health. It is important to remember that all surgery carries some risks, even when performed by the most highly trained surgeon and at the best facilities. Below are some of the more common risks associated with eyelid surgery:

  • Pain

  • Swelling

  • Scarring

  • Infection

  • Excessive tearing

  • Adverse reaction to anesthesia

  • Dryness or burning of the eyes (both of which can usually be treated with artificial tear drops)

  • The formation of whiteheads, or milia, that appear after suture removal; typically, the surgeon can treat these post-operatively

  • Difficulty keeping the eyes closed while sleeping; though temporary for most individuals, this particular complication has become permanent in others

  • On occasion, individuals have also reported experiencing blurred or double vision, but in most cases, these complications subside in a few days

The likelihood of serious complications arising from the procedure is typically influenced by both the surgeon’s skill as well as the patient’s individual response to the eyelid surgery. Certain severe risks or complications can be avoided by cooperating fully and completely following your surgeon’s instructions. With patience, a willingness to cooperate, and a qualified surgeon, the risks associated with eyelid surgery can be dramatically reduced.

What should I expect after surgery?

Surgery should be scheduled for a time when you can relax for at least 1-2 weeks. It is important to avoid any strenuous activity, heavy lifting, or bending down during this time to avoid complications and to promote the best healing. It is also important to avoid taking any blood thinning medications for at least two weeks prior to surgery. If you are on a blood thinning medication due to a specific medical condition, you will need to discuss this with Dr. Liu and your primary care physician prior to stopping any medication. Dr. Liu’s staff will review a list of common medications, supplements and vitamins that can cause your blood to be thinner.

Please note that Dr. Liu expects to see patients back in the office a few days after a procedure to ensure that the healing process is going as expected and that you are on track for a good result. Do not plan any travel immediately after your procedure.

I am beyond happy with my experience and results. Dr. Liu is an outstanding and truly talented surgeon. I can't believe how great my eyes look. The nurses made me feel safe, comfortable, and ready for my procedure. I have already recommended Dr. Liu and her team to all of my friends and family. I'll be back soon for Botox and I can't wait.

Huntington Beach

Dr. Liu is the top rated oculoplastic surgeon in Orange County.

Click here to read more patient testimonials.

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