How can I make my eyelashes more visible many people we see of Asian ethnicity
express frustration about their appearance of not looking like they have eyelashes this is due to
the eyelashes being obscured by the upper eyelid skin I'll discuss how I help my patients who want
their eyelashes to be more visible and also make their eyes look brighter I'm Dr. Amiya Prasad
I'm a Diplomate of the American Board of Cosmetic Surgery and Fellowship-trained oculofacial plastic
and reconstructive surgeon I've been in practice in New York City and Long Island for over 25 years
I perform all types of cosmetic eyelid surgeries such as treating puffy under eye bags drooping
eyelids and hooded eyes I specialize in revision surgeries to correct complications from eyelid
surgeries originally performed by other doctors I'm also well known for Asian eyelid surgery or
double eyelid surgery where an eyelid crease is created for people who want a double fold for the
upper eyelid in addition to having less visible eyelashes many people who consult me for
double eyelid surgery say that their eyes look small and that they're unable to apply eye shadow
terms of Asian eyelid anatomy the skin and soft tissue of the upper eyelids
with no discernible fold can make the eyes appear smaller as well as obscure the eyelashes
it's generally understood that about 50 percent of people of Asian descent
are born without a defined eyelid crease so they have what's called a monolid
Asian double eyelid surgery or creating an eyelid crease helps to make the eyes appear
more open which also reveals the eyelashes and creates a space for the application of eye shadow
now during a consultation I routinely use a Q-tip to elevate the upper eyelid skin and show my
patient an approximation of how they would look after surgery I do this in a way that I feel is
how nature would have created a natural eyelid fold if the patient had been born with one
as far as surgical options are concerned there are two ways to perform double eyelid surgery
the options are incisional and non-incisional surgery in both of these categories of surgery
the skin is being connected with sutures to the muscle which lifts the eyelid called the levator
muscle incisional surgery is performed when there is excess skin or fat that needs to be removed
if there's no need to remove skin or fat I perform the non-incisional technique
I perform non-incisional Asian eyelid surgery by placing openings in the skin
of the eyelid and passing sutures through those openings to engage the levator muscle
thereby creating an eyelid crease i perform incisional
and non-incisional double eyelid surgery using local anesthesia with LITE IV sedation
my patients appreciate avoiding the risks and recovery associated with general anesthesia
aftercare is minimal involving the placement of cold compresses for about two days and antibiotic
ointment to the skin most of our patients return to work and other activities in about
one week so essentially the take home message is that limited visibility of the eyelashes
seen in many Asian people is one of the characteristics of having the upper eyelid
skin resting on top of the eyelashes associated with the presence of a monolid or the absence
of an eyelid crease in my practice I approach Asian double eyelid surgery from an objective of
creating a crease as if one had always been there since birth I find that my patients like having
a natural result where their eyes look brighter and the eyelashes are revealed this further opens
countless possibilities for the application of eyeliner mascara and other eyelash enhancements
I hope you found this information helpful and thank you for your question