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Chirurgie : l'oeil asiatique à Paris 8 - Dr Hayot, chirurgien esthétique

Asian Eye

A percentage of the Asian population is born with a little fold on the upper eyelid, this is known as the “double eyelid”.
The other half of the Asian population have eyelids that form a veil between the eyelashes and the eyebrows, ultimately narrowing the eye shape. When the palpebral fold is nonexistent, this is known as a “single eyelid”.

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Dr Hayot, chirurgien et médecin esthétique à Paris 8

A Word from Doctor Hayot

« Aesthetic surgery on the Asian eye shape allows the surgeon to create a palpebral fold or to reposition the existing fold in order to create a double eyelid. As a general rule, the fold is positioned 5 to 8 mm above the eyelash line for the most natural results.

We should never seek to “westernize” an expression or attempt to transform the Asian eye into a Caucasian one, on the contrary, we should aim to expand the eye contour whilst preserving the ethnic origins. »

Asian blepharoplasty

Over the past 50 years, surgery on the Asian eye has been one of the most popular aesthetic procedures in Asia. The majority of Asian patients who request this operation wish to open up their eye shape . It is important to respect the Asian eye shape and with this premise, I work on creating a fold so that the application of eye make-up becomes easier.

In addition to the repositioning or the creation of a new palpebral fold, Asian blepharoplasty is used to rejuvenate the eyelid, remove any eye bags and treat excess skin

Practical information

  • Anaesthetic : potentiated local (neuroleptanalgesy)
  • Length of the procedure : around one hour
  • Hospitalization : ambulatory
  • Downtime : three weeks to one month (due to the presence of oedema).

With incision by laser

Once the exact position of the palpebral fold has been decided prior to the operation, I make a horizontal incision with the laser scalpel, then I create adhesion between the skin and the eyelid levator muscle using very deep stitches.

This technique can be used on all Asian eye shapes to help with the signs of ageing. It can also be combined with other eyelid surgeries like eye bag removal.


  • Excess skin and wrinkles can be removed simultaneously.
  • The distance between the palpebral fold and the eyelashes may be corrected.
  • The “double eyelid operation” result is permanent.
  • Eyelashes are charmingly curved and the overall eye expression is enhanced.
  • The scar is discretely positioned within the eyelid fold.
  • Lesser post-operative oedema,
  • No scarring,
  • No stitch removal, ensuring the patient recovers quickly,
  • The result is both natural-looking and reversible.

Without skin incision

In some cases, Asian eyelid surgery can be performed without the excessive skin incision to avoid scarring.
In this case, I make 5 or 6 incisions with a needle on the eyelid and stitch the eyelid between the tarsus and the new palpebral fold line. The stitches are removed 6 days after the procedure.

This technique is particularly suitable for young patients who wish to reposition or deepen an already-existing palpebral fold.

Epicantus incision

The epicantus refers to the skin fold at the innermost corner of the eye at the lacrimal punctum. Epicanthoplasty is performed to modify the shape and the size of the inner contour of the eye. In keeping with the teachings of my Korean counterparts, I make an incision in the epicantus and stitch the inner corner of the eye at lower eyelid level in order to open up the eye shape.

This technique is suitable for patients who appear to have very laxe eyelids or if their eyes seem to be set very far apart. I generally combine this with a “double eyelid” surgery.


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