Asian Blepharoplasty in Turkey: Double Eyelid Surgery

Asian blepharoplasty Turkey, also known as double eyelid surgery, is an upper-eyelid procedure that may be used to create, define or modify the supratarsal eyelid crease.

The term describes a group of surgical techniques rather than one standardized operation. Eyelid anatomy varies considerably between individuals, including among people of East and Southeast Asian ancestry.

Some patients naturally have no visible upper-eyelid crease, while others have a low, partial, asymmetric or multiple crease. These are normal anatomical variations and do not require treatment unless the individual chooses surgery for aesthetic or functional reasons.

The purpose of Asian blepharoplasty should be individualized according to eyelid anatomy, existing crease, skin thickness, fat distribution, levator function and the patient’s preferred crease design.

For general information about upper and lower eyelid surgery and current treatment costs, see our Blepharoplasty in Turkey guide.

What Is Asian Blepharoplasty?

Asian blepharoplasty usually refers to surgery that creates or modifies an upper-eyelid crease, sometimes called a double eyelid fold.

The crease forms through relationships between the skin, tarsal plate, levator aponeurosis, orbicularis muscle and surrounding soft tissues.

Asian upper-eyelid anatomy can vary in:

• presence or absence of a visible crease;
• crease height;
• skin thickness;
• upper-eyelid fat distribution;
• levator attachments;
• presence and shape of an epicanthal fold;
• brow position;
• eyelid-opening function;
• natural asymmetry between the two eyes.

For this reason, one crease height or one surgical technique is not appropriate for every patient.

Is a Monolid a Medical Problem?

No.

A monolid, or an upper eyelid without a prominent supratarsal crease, is a normal anatomical variation.

Double eyelid surgery is therefore usually performed because a patient would like to change the appearance or definition of the upper-eyelid crease, not because the absence of a crease is itself a disease.

Surgery should not be presented as a method of correcting an ethnic characteristic that is inherently abnormal.

Does Asian Blepharoplasty Make the Eyes Look Western?

Not necessarily.

Modern Asian blepharoplasty can be planned around the patient’s existing anatomy rather than attempting to reproduce one predetermined eyelid shape.

Possible goals may include:

• creating a subtle low crease;
• making an existing crease more defined;
• improving crease asymmetry;
• changing the shape or continuity of an existing fold;
• addressing selected excess upper-eyelid skin;
• combining crease surgery with another medically appropriate eyelid procedure.

The desired crease height, shape and relationship to the epicanthal fold should be discussed before surgery.

How Is Double Eyelid Surgery Performed?

Several techniques have been described.

They can broadly be grouped into:

• incisional techniques;
• non-incisional or buried-suture techniques;
• small- or partial-incision techniques.

Each category also contains multiple technical variations.

There is no single universally superior technique for all Asian eyelids.

Incisional vs Non-Incisional Double Eyelid Surgery

What Is Incisional Asian Blepharoplasty?

In incisional double eyelid surgery, an incision is made along the planned upper-eyelid crease.

Depending on the patient’s anatomy, the surgeon may perform selected adjustment of:

• skin;
• orbicularis muscle;
• soft tissue;
• fat;
• crease-forming attachments.

The surgeon then creates fixation between selected tissue layers to form the planned crease.

Incisional techniques can offer greater access to eyelid tissues, but they also create a surgical scar and may require a longer recovery period.

Is the Incisional Double Eyelid Method Permanent?

It is usually intended to create a durable crease, but the word permanent should not be used as an absolute guarantee.

Changes can occur over time because of:

• ageing;
• tissue relaxation;
• changes in eyelid fat;
• scar behaviour;
• changes in brow position;
• individual healing;
• technical factors.

A crease may also become asymmetric or change in definition over time.

What Is Non-Incisional Double Eyelid Surgery?

Non-incisional double eyelid surgery creates crease fixation using buried sutures without making a full-length upper-eyelid incision.

There are several variations involving different:

• numbers of fixation points;
• suture patterns;
• tissue layers;
• continuous or interrupted fixation techniques.

The technique may be considered in appropriately selected eyelids when substantial skin or soft-tissue removal is not required.

Can a Non-Incisional Double Eyelid Crease Disappear?

Yes.

Crease fading or loss is a recognized limitation of non-incisional double eyelid surgery.

However, one fixed failure percentage should not be quoted for every technique and patient.

Recent research demonstrates that crease retention can be influenced by:

• fixation technique;
• eyelid soft-tissue characteristics;
• eyelid puffiness;
• individual anatomy;
• other technical factors.

A large recent observational study found significant differences in crease retention according to suture configuration and eyelid anatomy.

Who May Be Better Suited to the Non-Incisional Method?

The decision should be anatomical rather than based on age alone.

A non-incisional approach may be discussed in selected patients with:

• relatively limited excess skin;
• appropriate upper-eyelid tissue characteristics;
• no requirement for substantial tissue removal;
• a suitable existing eyelid anatomy;
• realistic expectations regarding crease durability.

It is too simplistic to state that the suture method is always for young patients and the incisional method is always for older patients.

What Is Small-Incision Double Eyelid Surgery?

Small-incision techniques attempt to combine selected characteristics of incisional and non-incisional procedures.

Instead of one full-length crease incision, one or more shorter incisions may be used.

A systematic review involving more than 4,000 patients found substantial variation in:

• number of incisions;
• incision length;
• tissue removal;
• fixation method;
• closure technique.

This illustrates why terms such as “three-point” or “mini-incision” do not describe one standardized surgical operation.

What Is an Epicanthal Fold?

An epicanthal fold is a skin fold near the inner corner of the eye.

Its size and shape vary considerably between individuals.

The presence of an epicanthal fold is a normal anatomical characteristic and does not itself require treatment.

What Is Epicanthoplasty?

Epicanthoplasty is surgery that modifies the medial epicanthal fold near the inner corner of the eye.

It can sometimes be performed together with double eyelid surgery when the surgeon and patient believe modification of the medial eyelid anatomy is appropriate.

However, epicanthoplasty should not automatically be added simply because an epicanthal fold is present.

Does Every Asian Blepharoplasty Need Epicanthoplasty?

No.

Many patients undergo double eyelid surgery without epicanthoplasty.

The decision can depend on:

• shape and extent of the epicanthal fold;
• planned eyelid crease;
• distance and relationship between eyelid structures;
• patient preference;
• risk of visible medial canthal scarring;
• individual anatomy.

Medical literature contains many different epicanthoplasty techniques, and no single technique has been established as universally best.

Can Epicanthoplasty Leave a Scar?

Yes.

Epicanthoplasty involves tissue modification near the medial canthus and can leave a scar.

Scar visibility varies according to:

• technique;
• skin characteristics;
• incision tension;
• individual scar biology;
• postoperative healing.

Recent analyses of patient complaints after Asian eyelid surgery identify noticeable scarring as an important concern following epicanthoplasty.

What Is Ptosis?

Ptosis refers to drooping of the upper eyelid caused by problems affecting eyelid elevation.

It is different from simply having a low or absent eyelid crease.

Ptosis assessment may consider:

• upper-eyelid position;
• levator muscle function;
• symmetry;
• brow compensation;
• visual symptoms;
• underlying medical or neurological causes when relevant.

Can Ptosis Correction Be Combined With Double Eyelid Surgery?

Yes, in selected patients with confirmed ptosis.

However, a patient who feels that the eyes look “sleepy” should not automatically be diagnosed with weak eyelid muscles.

The appearance may instead be related to:

• brow position;
• upper-eyelid skin;
• crease height;
• natural asymmetry;
• true ptosis;
• other eyelid anatomy.

Ptosis should be assessed separately before deciding whether an additional procedure is appropriate.

Can Asian Blepharoplasty Change Eye Shape?

Creating an upper-eyelid crease can change how the eye is visually perceived.

However, standard double eyelid surgery is different from procedures that directly alter the medial or lateral canthus.

Operations such as:

• epicanthoplasty;
• lateral canthoplasty;
• canthopexy;
• other eyelid-corner procedures

have different anatomical goals and risks.

How Is the Eyelid Crease Height Selected?

There is no ideal crease height for every patient.

The surgeon may consider:

• tarsal anatomy;
• existing crease;
• brow-to-eyelid relationship;
• skin thickness;
• fat distribution;
• eye shape;
• epicanthal fold;
• patient preference.

Creating an excessively high crease can produce an appearance that the patient considers unnatural and can make revision more difficult.

Can Both Eyes Be Perfectly Symmetrical?

Perfect symmetry cannot be guaranteed.

Natural facial and eyelid anatomy is asymmetric before surgery.

Postoperative asymmetry can additionally result from:

• unequal swelling;
• different preoperative anatomy;
• crease fixation;
• scar formation;
• ptosis;
• brow asymmetry;
• differences in healing.

Asymmetry is one of the most frequently reported concerns following double eyelid surgery.

What Are the Risks of Asian Blepharoplasty?

Possible complications include:

• bleeding;
• infection;
• swelling and bruising;
• dry-eye symptoms;
• temporary blurred vision;
• visible or unfavourable scarring;
• crease asymmetry;
• crease that is too high or too low;
• crease fading or loss;
• multiple or irregular folds;
• suture-related problems;
• suture granuloma;
• difficulty closing the eyelids;
• eyelid retraction;
• ptosis;
• need for revision surgery;
• rare but potentially serious eye-related complications.

The individual risk profile depends on anatomy, technique, medical history and the procedure performed.

Can Asian Blepharoplasty Affect Vision?

Standard upper-eyelid crease surgery is performed on eyelid tissues rather than directly on the eyeball.

However, it is too absolute to say that eyelid surgery can never affect vision.

Temporary blurred vision can occur because of:

• swelling;
• dryness;
• eye ointment;
• tear-film changes.

Rare but serious orbital or ocular complications can also occur after eyelid surgery.

Sudden visual loss or significant visual change after surgery requires urgent medical assessment.

What Are Emergency Warning Signs After Eyelid Surgery?

Patients should seek urgent medical assessment for symptoms such as:

• sudden loss or significant reduction of vision;
• rapidly increasing severe eye pain;
• rapidly expanding swelling around one eye;
• significant bleeding;
• new difficulty moving the eye;
• severe headache with concerning eye symptoms;
• another sudden neurological or visual change.

Routine patient-coordination messaging should not delay emergency medical care.

Dry Eyes After Double Eyelid Surgery

Temporary dryness or ocular irritation can occur after upper-eyelid surgery.

Risk may be more relevant in people with:

• pre-existing dry-eye symptoms;
• contact-lens use;
• eyelid closure problems;
• previous eye surgery;
• other ocular-surface conditions.

Patients with significant pre-existing symptoms may require additional ophthalmological evaluation.

What Is Lagophthalmos?

Lagophthalmos means incomplete eyelid closure.

It can occur temporarily because of swelling, but excessive skin removal or other postoperative problems can contribute to more persistent closure difficulty.

Incomplete closure can expose the ocular surface and contribute to dryness or corneal problems.

For this reason, conservative tissue management is important in upper-eyelid surgery.

What Is Recovery Like After Asian Blepharoplasty?

Early recovery commonly involves swelling, bruising, tightness and temporary changes in crease height.

An incisional crease can initially appear:

• higher than expected;
• deeper;
• more swollen;
• less symmetrical.

This does not necessarily represent the final result.

The appearance normally changes as swelling decreases and scar tissue matures.

When Will the Final Double Eyelid Result Be Visible?

There is no exact month in which every eyelid reaches its final appearance.

Visible bruising and substantial swelling usually improve earlier, while crease position and scar maturation can continue changing for several months.

Therefore, statements such as:

“70–80% of swelling is gone at exactly three months and the final result occurs at exactly six months”

are unnecessarily rigid.

The treating surgeon should determine when the result is sufficiently mature to assess.

When Can Asymmetry Be Judged?

Early postoperative asymmetry can be caused by unequal swelling.

Some differences improve as healing progresses, while others may persist.

Unless there is a medical reason for earlier intervention, revision decisions are often delayed until postoperative swelling and scar maturation have progressed sufficiently for the anatomy to be assessed reliably.

No percentage of early asymmetry should be guaranteed to resolve spontaneously.

When Are Sutures Removed?

If external sutures are used, removal timing depends on:

• surgical technique;
• incision condition;
• suture material;
• individual healing;
• the surgeon’s postoperative protocol.

Non-incisional techniques may use buried sutures that are not routinely removed.

When Can Eye Makeup Be Used Again?

The timing depends on incision healing.

Applying makeup too early to an incompletely healed incision may irritate the area or introduce contamination.

The treating surgeon should confirm when products such as:

• eyeliner;
• eyeshadow;
• mascara;
• concealer;
• false eyelashes or eyelash adhesives

can safely be used again.

A fixed two- or three-week rule should not replace individual wound assessment.

Can Contact Lenses Be Used After Surgery?

Contact-lens use may need to be temporarily restricted because insertion and removal can require pulling on the eyelid.

Patients should follow the treating surgeon’s advice and consider ocular dryness or irritation before restarting lens use.

Will Asian Blepharoplasty Leave a Scar?

Incisional surgery creates a permanent surgical scar along the planned crease.

The scar may become less noticeable as it matures, but it should not be promised to become invisible.

Final scar appearance can depend on:

• individual scar biology;
• incision placement;
• wound tension;
• infection or delayed healing;
• skin characteristics;
• surgical technique.

What if I Do Not Like My Double Eyelid Result?

Revision surgery may be considered for selected concerns such as:

• persistent asymmetry;
• crease loss;
• an excessively high crease;
• an excessively low crease;
• multiple folds;
• scar-related problems;
• persistent ptosis;
• another anatomical concern.

Revision Asian blepharoplasty can be more complex than primary surgery because scar tissue and previous fixation can alter the normal tissue planes.

The cause of dissatisfaction should therefore be identified before planning another operation.

How Much Does Asian Blepharoplasty Cost in Turkey?

Asian blepharoplasty should receive an individual quotation rather than using one fixed price for every patient.

The treatment plan can vary depending on whether the patient requires:

• non-incisional double eyelid surgery;
• incisional double eyelid surgery;
• a small-incision technique;
• skin or soft-tissue adjustment;
• epicanthoplasty;
• ptosis correction;
• revision surgery;
• another eyelid procedure.

General blepharoplasty pricing can be found in our Eyelid Surgery Turkey Cost guide.

The final quotation should clearly state the procedure being proposed and what services are included.

Who Provides Eyelid Surgery for Clinic Care Center Patients?

Clinic Care Center is a medical tourism provider and does not independently perform Asian blepharoplasty or other eyelid surgery.

Patients coordinated through Clinic Care Center may be evaluated by Op. Dr. Abdolreza Khash, a Plastic, Reconstructive and Aesthetic Surgery specialist whose practice includes blepharoplasty.

For patients under his care, procedures coordinated through Clinic Care Center take place at Beylikdüzü Kolan Hospital in Istanbul.

The exact availability and suitability of double eyelid surgery, non-incisional techniques, epicanthoplasty or ptosis correction must be confirmed during individual medical assessment.

Medical examination, diagnosis, surgical technique, prescriptions and clinical follow-up remain the responsibility of the treating surgeon and medical facility.

Questions to Ask Before Asian Blepharoplasty

• Which eyelid technique is appropriate for my anatomy?
• Why are you recommending an incisional or non-incisional method?
• What crease height and shape are being planned?
• Do I have ptosis or only a low eyelid crease?
• Do I need epicanthoplasty?
• What scars should I expect?
• What is the risk of crease loss or asymmetry?
• Could my pre-existing dry-eye symptoms affect surgery?
• When will the result be mature enough to evaluate?
• What would happen if revision surgery became necessary?

Frequently Asked Questions About Asian Blepharoplasty

What is Asian blepharoplasty?

Asian blepharoplasty usually refers to upper-eyelid surgery designed to create or modify the supratarsal eyelid crease. Several incisional and non-incisional techniques are available.

Is a monolid abnormal?

No. A monolid is a normal anatomical variation. Surgery is optional and should be based on the patient’s individual goals.

Is double eyelid surgery permanent?

Incisional surgery is designed to create a durable crease, while non-incisional techniques can have a greater concern for crease fading or loss. No technique should be guaranteed to remain unchanged for life.

Which is better: incisional or non-incisional surgery?

Neither method is universally better. The appropriate technique depends on skin, soft tissue, eyelid anatomy, need for tissue adjustment and the patient’s goals.

Will I need epicanthoplasty?

Not necessarily. Epicanthoplasty is a separate procedure and should only be considered when modification of the epicanthal fold is appropriate for the patient’s anatomy and goals.

Can epicanthoplasty leave a visible scar?

Yes. Visible medial-canthal scarring is a recognized possible concern after epicanthoplasty.

Can ptosis be corrected at the same time?

Potentially, if true ptosis is diagnosed and combined treatment is medically appropriate. A “sleepy-eye” appearance alone does not confirm ptosis.

Will my eyes be perfectly symmetrical?

No surgeon can guarantee perfect symmetry. Natural asymmetry exists before surgery, and some asymmetry may remain after healing.

Can the crease disappear after surgery?

Yes. Crease regression or loss can occur, particularly with some non-incisional methods, although risk varies according to technique and anatomy.

Does Asian blepharoplasty affect eyesight?

Most procedures involve eyelid tissues rather than the eyeball itself, but temporary visual symptoms and rare serious eye-related complications can occur. Sudden visual change after surgery requires urgent medical assessment.

When will I see the final result?

The crease changes as swelling decreases and scars mature. There is no exact postoperative month that defines the final result for every patient.

Medical References

• Systematic Review – Surgical Decision Making in Incisional Blepharoplasty in Asian Patients
• Complications of Asian Double Eyelid Surgery: Prevention and Management
• Review of Complications in Double Eyelid Surgery
• Systematic Review – Small-Incisional Techniques for Double-Eyelid Blepharoplasty
• Review – Nonincisional Blepharoplasty for Asian Eyelids
• Study of Crease Loss After Non-Incisional Double Eyelid Surgery
• Medial Epicanthoplasty: Techniques, Indications and Limitations
• Analysis of Patient Complaints Following Asian Blepharoplasty and Epicanthoplasty

Request Asian Blepharoplasty Treatment Information

The Clinic Care Center patient coordination team can provide information about consultation availability, eyelid surgery treatment planning and medical tourism coordination in Istanbul.

Patients considering double eyelid surgery may be asked to provide photographs showing the eyes open and closed for preliminary review.

A photograph-based assessment cannot confirm the presence of ptosis, determine the final crease design or replace an appropriate examination by the treating surgeon.

Medical Disclaimer

This page provides general educational information and does not replace individual medical or ophthalmic assessment.

The appropriate eyelid technique, crease design, need for epicanthoplasty or ptosis correction, possible risks, recovery and final outcome depend on individual anatomy and clinical assessment.