Creating Double Eyelids Naturally

The monolid or single eyelid is a facial characteristic commonly found in the Asian population, specifically people with East Asian heritage. Individuals with a single eyelid lack a muscle attachment to the skin that causes the upper eyelid crease. Many individuals of Asian descent wish to create a “double eyelid” through Asian blepharoplasty or Eyelid Surgery in New York. The procedure involves modifying the shape of the eyes so that they appear more open. Dr. Richard Westreich is a renowned board-certified facial plastic surgeon specializing in Asian eyelid surgery in NYC.

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What is a Double Eyelid Surgery?

Double eyelid surgery is a cosmetic procedure that involves reshaping the eye to create a crease in the upper eyelid and make the eyes appear more round. Also referred to as Asian blepharoplasty, double eyelid surgery is popular among individuals of East Asian descent, whose eye anatomy is often characterized by an eyelid without a crease. A double eyelid surgery can modify the appearance of the eye by adding a crease in the upper eyelid, an anatomical feature that is absent in about 50% of the Asian population and occasionally only absent in 1 of the two eyes.

The anatomic basis for a lack of an eyelid crease has been well established. The crease is formed by fibrous connections between the eyelid skin and the levator palpebrae superiorus muscle. When this connection is absent, the eyelid still functions normally but does not have a supratarsal crease. Surgical techniques designed in order to create a crease establish attachments between the levator muscle aponeurosis and the overlying skin with sutures. All other aspects of the procedure are identical to typical blepharoplasty techniques.

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Ideal Candidates for Double Eyelid Surgery (Asian Eyelid Surgery)

You may be an ideal candidate for double eyelid surgery in NYC with Dr. Westreich if you:

  • Lack a crease in the upper eyelid
  • Do not heal with thick scars (although this is uncommon on eyelids, even in patients who do not heal well in other areas of the body)
  • Are in good health, both physically and mentally
  • Have reasonable expectations based on doctor consultation

Techniques for Asian Double Eyelid Surgery

The goal of an Asian blepharoplasty is to create a natural-looking fold or crease in the upper eyelid. The procedure can be performed using different surgical techniques, the most common being: full incision, partial incision, and the suture technique (DST method). Which Asian blepharoplasty technique is best depends on a patient’s individual eyelid anatomy and particular aesthetic goals.

The surgical methods Dr. Richard Westreich uses depend on the patient’s unique anatomy and aesthetic goals. The doctor will evaluate the thickness of your eyelids and their volume of fat, the results of prior procedures, your age, and whether you are male or female. The placement of the incisions is what distinguishes the surgical methods from one another – as does the extent of tissue removal.

Double Eyelid Surgery Incision Techniques

Some techniques for double eyelid surgery include:

  • A full incision requires the removal of tissue (fat, muscle, and skin) around the eyelid. This is often done when a patient has thick and/or excessive skin in the eyelid area. This method provides efficient and long-lasting results that augment natural beauty. It is the most common and popular approach for reshaping the eyelids.
  • A partial incision, on the other hand, is based on a more selective removal of tissue. Segmented incisions are made, and tissue is removed selectively. This technique is well suited to those with droopy, thin eyelids who require a procedure with minimal downtime and scarring.
  • A suture technique is performed without making full incisions. The suture technique is suitable for those with thinner skin in the eyelids. No incision (DST method or suture technique). Small sutures are placed above the eye to create folds. This method is appropriate mostly for those with thin eyelid skin.
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Revision Asian Eyelid Surgery

On occasion, a surgeon less accomplished than Dr. Westreich may deliver unsatisfactory results to a client, prompting the need for a revision double eyelid surgery. This can occur when the eyelids have been rendered asymmetrical when the crease is placed too high or too low, or simply when a client is not happy with their outcome. Revision surgery requires great skill and experience, qualities Dr. Westreich holds in abundance. He is known for his ability to overcome a variety of obstacles, such as the buildup of scar tissue from former surgeries. Most clients find that their disappointment with the original procedure quickly turns to delight upon undergoing eyelid surgery with Dr. Westreich.

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Asian Ptosis Surgery

When the edge of the eyelid gets lower and starts to cover the eye more, this is called ptosis. This condition may impair vision or cause significant asymmetry of the eyes. While there are many origins to eyelid ptosis, the most common is onset in advancing age. Often the doctor can address this issue during your Asian double eyelid procedure. Your double eyelid surgery in NYC with Dr. Westreich will be performed under twilight sedation or local anesthesia and usually takes about one hour.

Dr. Westreich will then make an incision at the eyelid’s crease, eliminating excess tissue, skin, and fat and thus correcting the ptosis. He uses ultra-fine sutures to close the wound, which are usually taken out after approximately seven days. Asian ptosis surgery typically has a brief downtime of 1-2 weeks while the swelling gradually subsides.


An epicanthal fold is an elevated extension of the upper eyelid crease towards the nose. Epicanthoplasty can be performed in tandem with Asian double eyelid surgery or as a stand-alone procedure.

During the procedure, Dr. Westreich will create a series of tiny, invisible incisions using sophisticated instruments designed for this purpose. Through these incisions, he will reshape the eyelid to give the eyes a more elongated, attractive look. Downtime and scarring are minimal, thanks to Dr. Westreich’s highly conservative techniques.

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What Should I Look for in a Surgeon When Considering Asian Eyelid Surgery?

The procedure for Asian blepharoplasty is a very delicate one, which requires skill, an artistic eye, and intimate knowledge of the anatomy of the Asian eye.

The crease in the Asian eye is quite different from that of the Western eye, and your surgeon must know how to create a sophisticated, natural-looking crease while embracing your ethnic heritage.

Furthermore, it is imperative that you find a board-certified facial plastic surgeon with a reputation for consistently creating elegant, harmonious, natural-looking results.

Why Select Dr. Westreich for Your New York Asian Eyelid Surgery?

As a pillar of the New York surgical community, Dr. Westreich delivers subtle, engaging eyelid surgery results that complement the rest of the features.. He is double board certified in both otolaryngology and facial plastic surgery and provides a meticulously detailed approach that preserves spontaneity in the expression while minimizing flaws. Dr. Westreich is keenly attuned to the preservation of cultural identity and makes it his mission to offer an in-depth consultation process so that each client might have the time and space to fully and confidentially express their deepest aesthetic wishes.

Dr. Westreich is also keenly attuned to the latest trends and innovations in cosmetic surgery and passes these advances on to his patients. As such, he regularly attends industry conferences, seminars, and networking events to learn cutting-edge techniques, equipment, and software that may be of benefit to his practice. He is called on regularly to contribute his expertise and knowledge to peer-reviewed journals, as well as to appear on radio and television programming.

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Where is Double Eyelid Surgery Performed?

Dr. Westreich is pleased to offer his clients treatment on-premises at our acclaimed office in New York City or a nearby accredited surgical suite.

Here, you will find outstanding client care in a safe, innovative environment that boasts groundbreaking technology and state-of-the-art equipment and software.

On hand to serve you is our team of compassionate and seasoned RNs, surgical techs, and medical assistants, all standing by to go the extra mile on your behalf. From the moment you step into our comfortable, climate-controlled waiting room to your final stay in our tranquil recovery suites, your visit will be one of healing and repose. If there is anything special you require during your stay, do not hesitate to ask.

Preparing for Asian Eyelid Surgery

Before undergoing any procedure, it’s important that you let the doctor know of any serious medical issues, including diabetes, hypertension, and lung or heart conditions. To ensure your safety and comfort, Dr. Westreich will want to know about any medications you are taking, including blood thinners and vitamin supplements. Clients are asked to stop smoking at least several weeks before surgery, as this will maximize their chances of successful treatment and hasten their recovery period.

Asian Eyelid Surgery Recovery Process

Dr. Westreich, a New York facial plastic surgeon, performs double eyelid surgery as an outpatient procedure. The recovery period depends on the surgical method, but patients can expect at least 2-3 days of post-operative bruising. If extensive work is done, the healing time can be 1-2 weeks. It can take up to six months for the eyes to fully heal and settle into their new shape, but the eyelids will appear natural-looking after a couple of weeks.

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Why Choose Dr. Westreich for Your Manhattan Double Eyelid Surgery?

As a double-board-certified surgeon, Dr. Westreich possesses a unique blend of skill, artistry, and compassion that has served to grow his NYC practice and foster positive, long-term relationships with all his clients. He is especially attuned to the Asian anatomy, having performed many successful double eyelid surgeries that enhance and complement the Asian features.

Asian Eyelid Surgery Consultation in NYC with Dr. Westreich

Eyelid surgery is an excellent way to refresh your appearance, but it demands a subtle and skillful surgical approach. Cosmetic procedures on the forehead and upper face– a region that exhibits a range of facial expressions–are, by nature, delicate ones. If not done with care, an eyelid surgery can produce an overdone and unnatural effect. Dr. Westreich has honed his surgical technique on upper-face procedures, perfecting a balanced method that yields dramatic yet natural-looking results.

If you are considering cosmetic surgery and would like to know if getting this eyelid surgery is the right procedure for you, contact Dr. Westreich and schedule a consultation for Asian eyelid surgery in New York. During this initial session, the doctor will examine your anatomy, take down your medical history, and work with you to formulate the ideal treatment plan for your needs and lifestyle. The doctor can provide you with a library of before and after photographs that will help you to better visualize your results.

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