Semin Plast Surg 2009; 23(1): 005-015
DOI: 10.1055/s-0028-1110096
© Thieme Medical Publishers

Oriental Upper Blepharoplasty

Chau-Jin Weng1
  • 1Department of Plastic Surgery, Chung Shan Hospital, Taipei Chung Shan Medical University, Taichung, PCC Private Clinic, Taipei, Taiwan
Further Information

Publication History

Publication Date:
09 February 2009 (online)


Aesthetic surgery of the upper eyelids is a very common procedure performed in cosmetic practices around the world. The word blepharoplasty, however, has a different meaning in Asia than it does elsewhere. Orientals have different periorbital anatomic characteristics, their motivations for seeking eyelid treatment are different, and operative techniques have been adapted consequently. There are also many eyelid shapes among Orientals, mostly with regard to the presence and location of the supratarsal fold and/or presence of an epicanthal fold. The surgeon must therefore master a range of surgical procedures to treat these variations adequately. It is critical to know the indications for each blepharoplasty technique as well as their complications to select the right surgery and avoid unfavorable results. Epicanthoplasty performed on the right patient can greatly improve aesthetic results while retaining ethnic characteristics. This article will discuss Oriental eyelid characteristics, preoperative patient assessment, commonly used corrective techniques for the “double-eyelid” creation, and complications and how to avoid them.


Chau-Jin Weng, M.D. 

Instructor, Chung Shan Medical University, Taichung; Chief, Department of Plastic Surgery, Chung Shan Hospital, Taipei; Director, PCC Private Clinic

12, Lane 112, Jen Ai Road, Sec. 4, Taipei, Taiwan