Dr. Steven Fagien & Dr. Elbert Vaca

Double Eyelid Surgery (Asian Blepharoplasty)


Many patients of Asian descent turn to a specific blepharoplasty procedure called “double-eyelid” surgery to achieve a natural-looking eyelid fold. The goal of this surgery is to create a pretarsal fold in the eyelid, which is the natural crease between the eyelid and the brow bone. A lack of this fold can give the eyes a puffy, tired look. Double-eyelid surgery allows the eyes to open wider, and results in a more alert appearance.

How Does Double Eyelid Surgery Work?

Several advanced techniques are used for Asian eyelid surgery today, and the variations include full incision, partial incision and non-incision.

Full Incision

Commonly recommended for older patients, the full incision technique is ideal for patients with thick or excess eyelid skin and those suffering from severe ptosis (drooping) of the eyelids. During this procedure, an incision is made on the eyelid where the crease will be created. Excess skin and fat are removed, and the reshaped eyelid is attached to the underlying tissues. When performed by an experienced surgeon such as Dr. Steven Fagien, this technique leaves a virtually undetectable scar.

Partial Incision

The partial-incision Asian blepharoplasty technique is less invasive than the full-incision approach, and is often recommended for those with puffy eyes or eyelids with excess fat (but no excess skin). Instead of one long incision across the entire eyelid, several small incisions are made along the line of the planned pretarsal fold to allow for the removal of fat before the new fold is created.

Non-Incision or DST

The “double sutures and twisting method” (DST) is the least invasive Asian blepharoplasty technique, and best for patients with little to no excess skin, droopiness or fat in the eyelids. This innovative technique uses double sutures with a central twist (like a figure 8) on each upper eyelid. These sutures are placed where the new crease will be and secured to underlying cartilage for long-lasting results.

Asian blepharoplasty is a highly advanced procedure that should be tailored for each patient’s unique anatomy. Boca Raton oculoplastic surgeon Dr. Steven Fagien has is highly experienced at performing double-eyelid surgery in a way that maintains each patient’s ethnic integrity while improving the appearance of their eye area as desired.

Dr. Steven Fagien’s Expertise in Asian Double Eyelid Surgery

When considering double-eyelid surgery, it is important to consult with a credible oculoplastic surgeon with extensive training and a proven track record of successful outcomes. Dr. Steven Fagien’s special understanding of the subtle anatomical differences of the eyelids for patients of all ages and ethnicities has made him one of the most sought-after surgeons for Asian eyelid surgery in the world.

Dr. Fagien is one of the foremost oculoplastic surgeons in the United States and he has built his reputation on challenging traditional techniques and developing cutting-edge advances for a variety of procedures. In addition to participating in many of the clinical studies that led to the FDA approval of various injectables, Dr. Fagien has authored over 300 publications, penned his own bestselling textbook on Cosmetic Oculoplastic Surgery, and has given more than 1,000 lectures about his techniques to surgeons around the globe.

To learn more about double-eyelid surgery, blepharoplasty and other eyelid procedures, schedule a consultation with Dr. Steven Fagien at 561.393.9898.

Meet Dr. Fagien

Dr. Fagien

Dr. Steven Fagien is one of the foremost oculoplastic surgeons in the United States and the world. He completed his medical training at the University of Florida and a fellowship in oculoplastic surgery at the University of Illinois Eye and Ear Infirmary.
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Meet Dr. Vaca

Dr. Vaca

Dr. Elbert E. Vaca is a Plastic & Reconstructive Surgeon who completed his medical training at The Johns Hopkins University School of Medicine and Northwestern Memorial Hospital.
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