Asian blepharoplasty

in Toronto

You Can Have Larger, Brighter Eyes

Scientific research has found that the eyes contribute significantly to the measurement of beauty as it pertains to the human face

Asian Eyelid Facts

While the perception of beauty is subjective, what is generally favoured are eyes that are larger, wider and more prominent

Wider more prominent eyes may be attributed to the presence of a crease or fold in the upper eyelids. An upper eyelid that has no crease or fold is typically referred to as a monolid. A monolid can make the eye appear smaller and obstruct the prominence of the iris (the coloured portion of the eye). A monolid may make the eyes appear weighed down and heavier, or even perhaps less vibrant and youthful. *The only option to create a fold in the upper eyelid is double eyelid surgery.

How to create larger, brighter eyes

Double eyelid surgery, or Asian blepharoplasty, is a cosmetic surgical procedure that creates a crease in the upper eyelid.

The creation of a crease or fold in the upper eyelid is a common surgery performed on individuals of Asian descent. For years, it has been one of the most popular procedures performed in North American and East Asia (i.e. Korea, China and Japan). Due to its popularity, the procedure is also called Asian eyelid surgery or Asian blepharoplasty.

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The essence of a successful transformation depends on a comprehensive understanding of your eyelid anatomy, deft surgical skill and your expectations. Dr. Fialkov has successfully performed blepharoplasty many times on male and female patients of East Asian descent. He takes a scientific approach that is combined with a high caliber of artistry to determine the height, length and depth of the crease or fold in your upper eyelids, as well as a reduction of excess fat and skin if necessary to achieve the most aesthetically pleasing outcome. The general reaction of Dr. Fialkov’s patients is marked by high rates of satisfaction and contentment that last for years, which is why many patients refer their family and friends to him.

Are you a candidate?

Asian blepharoplasty is designed for healthy men and women who want to create a crease in their upper eyelids.


Your medical history will be examined and your health assessed. You will find out more about the surgery and its related risks. Photos will be taken. Make sure to discuss your expectations and concerns so Dr. Fialkov can better understand what you’d like to achieve.


You’ll receive instructions on how to prepare for surgery with guidelines for eating, drinking and smoking. Smokers should stop well in advance of surgery. You’ll most likely need to stop taking certain medications, particularly those that may increase bleeding. You’ll also find out what to do the night before and day of your surgery. You should make plans to have someone pick you up after surgery and help you the first few days of recovery, since simple tasks may be difficult to perform.

Your surgery

Anesthesia will be administered. It may be intravenous sedation or general anesthesia.

Incisions will be made in your eyelids at an exact location to achieve a delicate crease to create the appearance of a double eyelid. All incisions will then be closed and dressed.


The incision for the Asian eyelid blepharoplasty is hidden within the natural fold that will be created in the upper eyelid, and it is through this incision that excess fat and skin is removed to produce the result. The incision follows the natural contour of the upper eyelid and it is very well hidden when healed.

Not all Asian patients that have a blepharoplasty procedure are necessarily seeking a double fold procedure. Some Asian patients seek lid rejuvenation in a similar fashion to a non-Asian patient. These patients may undergo standard Blepharoplasty, with modifications possibly geared towards Asian patients if a more defined crease is desired.


After the Asian eyelid blepharoplasty procedure, the patient will be moved to the recovery room and will be monitored as they awaken, and rest until they feel ready to go home. Patients can leave the same day accompanied by a family member or friend.

Resting and relaxing at home in the following days post-surgery will aid in a fast and full recovery. Strenuous activities should be avoided as well such as watching television, looking at computer screens and reading, to not strain the eyes.


It is normal to notice that the new crease looks a bit higher than expected however, this is normal and due to swelling of the eyelids. The swelling will dissipate and the effect will look more as intended in the following weeks. The crease will settle into the location the surgeon intended it to and the patient will see this happening more every day.

To reduce swelling and bruising it is recommended that patients sleep in a reclining chair or sleep with their head propped up.

The pain experienced after an Asian eyelid blepharoplasty is usually moderate but light sensitivity for the first three days after surgery is common and to be expected. Pain medication will be prescribed to manage pain, and bruising will last for up to a couple of weeks.

Follow up appointments will generally be scheduled one week after surgery. Patients can also return to work one to two weeks after their procedure. Patients can resume walking as exercise in the first weeks and more strenuous exercise (going to the gym) after 4-6 weeks. Follow up appointments will also be scheduled 6 weeks, 6 months and a year after surgery.


Clear communication between surgeon and patient is extremely important when planning a double fold procedure. The crease height in Asians is much lower when compared to Caucasians. The height can be created at any level, and the surgeon will make recommendations based on the measurements of the patient’s face to achieve the ideal aesthetic look but it is important for the surgeon to know the exact level desired by the patient as well, to ensure everyone is happy with the placement.


What are the risks of Asian Eyelid Surgery?

There is always some inherent risk with every surgical procedure, including blepharoplasty surgery. However, when an eyelid surgery is done by a highly experienced surgeon, the risk of complications is low and very few patients experience adverse effects and complications.
There are more risks for patients with pre-existing medical conditions such high blood pressure, thyroid problems, diabetes and pre-existing eye problems. The patient should let the surgeon know about allergies or if you have a “dry eye” problem. The surgeon will assess your health and overall wellness as part of the consultation even before making any recommendations. For patients with medical conditions that prevent the surgeon from proceeding with surgery there are other treatments, including less invasive cosmetic procedures, which will be proposed for the patient’s consideration.


Some rare but serious complications include: ptosis, which is the drooping of the eyelid, a risk of losing the fold or developing multiple folds; chronic dry eye, inability to close the eyelid, bleeding, infection, heavy scarring, out-folding of the eyelid and permanent vision changes.


During the consultation the surgeon will provide detailed information on the risks involved and the aftercare instructions will help to prevent complications from arising throughout the recovery process.

Why is there a separate “Asian eyelid” surgery apart from normal upper eyelid surgery?

Many Asians have no eyelid fold, but would prefer appearance of so-called “double eyelids”, which opens the eye and makes it look larger and more open.

How long does double eyelid surgery take?

In most procedures the Asian double eyelid surgery takes approximately one hour if no other procedures are being performed simultaneously, one hour to prepare including preoperative sedation and one hour for postoperative recovery. However, the surgeon will never rush the procedure to maintain these timelines and will do what is beneficial for the best outcome of the procedure.

Does Asian Double Eyelid Surgery Affect or Change Cultural Identity?
Our patients do not see it that way. A double eyelid is a look, and although many patients with Asian heritage have a single eyelid, many have a natural double eyelid. The double eyelid surgery is not about looking Caucasian, rather, it is a procedure to make the eyes appear brighter and larger, and for women, to help accentuate their eyes by making the application of makeup easier. Our surgeon does not want to change the eye of Asian patients in a way that will make them unrecognizable to their family and friends. The Asian eyelid procedure creates a double eyelid that is much lower than where it is found most in Caucasian populations so the cultural identity and look and shape of the Asian eye is maintained.

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