Is there any type of eyelid surgery that can make round Caucasian eyes more Asian?
There is an anatomic difference between the Asian “single lid” and the Caucasian “double lid.” It depends where a muscle attaches to the skin. To my knowledge, there are surgical means of changing an Asian eyelid to a Caucasian eyelid, but not the other way around. Indeed, one can surgically up tilt the lateral corner of the eyelids, but the basic eyelid structures would remain.
However, one of the hallmarks of an Asian eye is an “almond” shape, and this can be achieved, at least in part, with appropriate use of skin fillers such as Restylane.
Why not consult with a Board Certified plastic surgeon and inquire about this possibility?
Elliot W. Jacobs, MD, FACS
New York City
Eye shape is determined by many factors, among them are the shape of the boney orbit. Sometimes one can do a lateral canthopexy and shift the angle, but it may not be permanent.
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