People from East Asian background commonly have no or limited upper lid creases. Double eyelid is a normal variant and is considered to be aesthetically pleasing. People who would like to double eyelid surgery do not want Westernisation (high eyelid crease) but enhancement of their ethnic feature. Options are suture technique or surgical incision in the upper lid. While suture technique is less invasive the result is more variable and has higher recurrence in the long term. Surgery to form a permanent crease is more involve but provide the best long term result. It is performed as a day procedure under local anaesthetic with sedation.
Patients from East Asian background commonly request double eyelid surgery blepharoplasty and Nasal Augmentation / Augmentation Rhinoplasty together.