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Facial Services / Asian Blepharoplasty

Asian Blepharoplasty in Atlanta, GA

A monolid configuration of the upper eyelid is common in people of Asian descent. Monolid eyes lack an upper eyelid crease normally seen between the eyebrows and eyelashes. Asian Double Eyelid Surgery in Atlanta, also known as Asian blepharoplasty, aims to create an upper eyelid crease.

What is Asian Blepharoplasty?

Asian eyelid surgery is a cosmetic procedure designed to create a natural crease in the upper eyelid and remove excess eyelid tissue. This specialty procedure is designed to enhance the aesthetic appearance of the eyes while maintaining your ethnic identity. 

Commonly, this procedure is undertaken in Asian patients desiring larger, more symmetrical eyes that are better balanced with other facial features. The excision of excess skin overhanging the eyes can remove obstructions to the vision for functional improvement.

Understanding Asian Eyelid Anatomy

The monolid configuration is a testament to the genetic diversity among the population, especially those of Asian descent. It is estimated that approximately 50% of the Asian population have monolids. 

Monolids lack the natural crease seen in the double eyelid configuration resulting in the skin of the upper eye making direct contact with the eyelashes. This results in a reduced opening between the upper and lower eyelids giving the eyes a smaller appearance. 

While this procedure can help improve one's visual field, some seek this procedure to change the aesthetic appearance of the eye and improve makeup application. Given the cultural significance, it is important to realize this procedure is a personal choice and not a prerequisite for beauty.

Benefits of Asian Blepharoplasty

Double eyelid surgery in Atlanta is a successful procedure with a variety of benefits for its patients. These benefits include:

  • Enhancement of the eyes. Aesthetically giving the eyes a larger, more open appearance that improves the symmetry with other facial features.
  • Eliminates vision impairment. Drooping of the monolid can obstruct one's vision and removing excess skin and creating a natural crease can improve the visual field of the patient.
  • Boosts self-confidence. Asian blepharoplasty can give a more youthful, refreshed appearance to the eyes which can directly impact one’s self-esteem.

Types of Asian Blepharoplasty

An Asian blepharoplasty accomplishes the creation of a natural upper eyelid using one of two different surgical techniques. The technique of choice depends on the characteristics of the eyelids and the presence of excess skin, muscle, and fat.

  1. Incisional (full or partial) technique – Patients with excess skin and fat around the eyes, can benefit from the incisional technique to remove these excesses and is performed through an incision that extends down the entire (full) or a part (partial) of the new eyelid crease.
  2. Suture (non-incisional) technique – Patients without excess skin or puffiness around the eyes, can benefit from a suture technique to create an upper eyelid crease.

Experienced facial plastic surgeons will recommend one of these procedures depending on the needs of their patient. The incisional technique allows for a greater degree of correction and a more permanent solution. However, the suture technique can reduce the recovery time and overall cost of the procedure. 

The Asian Blepharoplasty Procedure

Preoperative Consultation

During your initial consultation at the Georgia Center for ENT and Facial Plastic Surgery, Dr. Fletcher will discuss your goals and expectations of the procedure and examine the eyes to decide how best to achieve the desired outcomes. A detailed surgical plan will be developed and the overall cost and financing options for the procedure will be discussed.

The Surgery

Asian eyelid surgeries are typically performed under local anesthesia. Incisions are then made along the natural curve of the eyelid and excess skin and fat are addressed. Once the surgery is complete, the incision is closed with sutures. 

If undergoing the suture technique, two sutures are passed through the eyelid and twisted around each other to create a fold in the upper eyelid. These sutures are left in place and can be removed if a patient wishes to reverse the surgery.

This procedure typically takes 1–2 hours to complete with the suture techniques often being shorter. 

Postoperative Care

After the non-incisional technique, minimal to no swelling can be expected and the recovery period is about ten days. However, incisional blepharoplasty presents with swelling and bruising that resolves over the first two weeks after surgery. The majority of patients will return to work after one week but will need to avoid physical activity for two to four weeks.


Risks and Complications

As with all surgical procedures, Asian blepharoplasties do have risks that are important to understand before proceeding. The risks of Asian blepharoplasty include:

  • Creation of asymmetric folds
  • Infection and bleeding
  • Noticeable scarring
  • Drooping of lateral eyelid skin
  • Dissatisfaction with the appearance

Why Choose Our Clinic?

At his office in Stockbridge, GA, Dr. Fletcher provides world-class cosmetic surgery to the greater Metro Atlanta area. Dr. Fletcher has been recognized for his outstanding surgical skills throughout the years and received multiple top doctor awards. At the Georgia Center for ENT and Facial Plastic Surgery, you will receive exceptional individualized care in a comfortable, relaxed environment. 

Why Choose Our Clinic?

At his office in Stockbridge, GA, Dr. Fletcher provides world-class cosmetic surgery to the greater Metro Atlanta area. Dr. Fletcher has been recognized for his outstanding surgical skills throughout the years and received multiple top doctor awards. At the Georgia Center for ENT and Facial Plastic Surgery, you will receive exceptional individualized care in a comfortable, relaxed environment. 


Dr. Aaron Fletcher is a board-certified head and neck surgeon with expertise in eyelid surgeries. Dr. Fletcher understands the complex anatomy and cultural differences of the eyelids and uses this knowledge to provide you with the best results possible. 

If you are considering double eyelid surgery, call our office to schedule an appointment at (678) 902-9495.



“Dr. Fletcher and his staff are amazing. They have walked with my husband and I through every step of his surgery process. They are patient resourceful and genuine. God couldn’t have blessed us with a better team. Thank you for everything."


“Dr. Fletcher and his staff are all I could have hoped for in an ENT specialist. He has been my specialist for several years now and has always provided the absolute best care, best advice and treatment during every visit!"

Nicole S.

“That was my first visit and I really appreciate how prompt, attentive and thorough the staff and the doctor was. I would recommend my friends."


“I've been looking for a great ENT, I'm so glad that I've finally found one in Dr. Fletcher! He makes me feel a part of the family, I recommend all of my friends and co-workers."

Genette Roberson.

“A very professional and friendly staff. Dr. Fletcher is very detailed and informational in his explanations. His office staff Ashley C Valerie are warm and friendly. They walked my daughter through her tonsils being removed and made it seamless."


“Terrific ENT practice. Was able to get an appointment by the next day to clear ear canals. In and out within 45 minutes. Excellent and professional service by friendly staff."

Rick Andreoli.

“Appt was on time. Staff very courteous. Every step & procedure explained.
Nothing rushed or ignored. Left with a clear plan of action and follow up in place."

Anne Leath.

“Wish I could give this place 10 stars. I've been seeing Dr. Fletcher for over a year about my under eye hollows. He always gets me right and when I came in for a touch-up yesterday, I received exactly what I'm used to. I love that although they were pretty busy, I still felt safe and clean in the office. The staff is friendly and comforting as well. I always look forward to seeing Dr. Fletcher and his team."

Kri Peck.

“Dr. Fletcher removed my thyroid. He took excellent care of me pre-op and post-op. Dr Fletcher took the time to answer all the questions that I and my family had. We were all at ease going in to the procedure and recovery has gone smoothly. Dr Fletcher has kept me well informed on my care and condition and I will readily recommend him and his staff for all of their services."

Dawn Zinn.

“Five star experience. I came to Dr. Fletcher for lip fillers and they turned out amazing. He did some tweaking to a previous filler job I had done, and I couldn’t be more impressed. Friendly office environment, staff is amazing."

Jasmina Alston.

Frequently Asked Questions


The typical recovery period for the incisional technique is two to four weeks. If a candidate for the suture (non-incisional) technique the recovery period can be as short as ten days.

The majority of patients return to work one week after their surgery, but it is important to avoid strenuous exercise for two to four weeks as determined by your doctor.

The incisional technique can provide long-lasting results but they are not necessarily permanent. The appearance can change during the aging process but will continue to look better than if no surgery was performed. On the other hand, the suture techniques often provide good results for five years.

The procedure is reversible, should the patient no longer desire the effect with the suture technique being the most easily reversed.

Patients unhappy with the monolid configuration of the upper eyelid may be candidates for this procedure. To determine if you are a good candidate, schedule a consultation with our experienced blepharoplasty surgeon.

Thanks For Visiting!


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