Double Eyelid Surgery Sydney – Asian Eye Lift

Known in Asia as the ‘double-eyelid’, this procedure has become increasingly popular in Australia over the past decade.

Single eyelids are a common characteristic for people of East Asian descent. The ‘monolid’ look is caused by the absence of an upper eyelid or supratarsal crease, which often results in smaller, puffy or droopy-looking eyes. Asian eyelid surgery, or Asian blepharoplasty, is a relatively simple in-office procedure designed to create a soft, natural-looking upper eyelid crease that makes the eyes appear brighter, larger and more defined. Dr Liew performs this procedure by paying meticulous attention to the anatomical shape of the Asian eye. He aims to preserve the beauty of this feature by enhancing the eye according to the specific structural needs of each patient, rather than creating ‘cookie cutter’ outcomes. The result is a beautiful new outline of the eyes that looks utterly natural and enriches your entire facial profile.

Asian Eyelid Surgery by Dr Steven Liew

Asian eyelid surgery is a specialised form of blepharoplasty designed to create a crease in the upper eyelid that brightens and enhances the contour of the eyes. Dr Liew’s personalised surgical technique draws on an in-depth understanding of the Asian perception of a beautiful eyelid, which he believes to be the key to successful Asian eyelid surgery.

Rather than trying to mirror or copy a Western look, Dr Liew’s primary objective is to capture and preserve your natural beauty and reveal its greatest aesthetic potential. He performs this procedure by first conducting a detailed assessment of the eyelids, which involves measuring the parallel versus lateral flaring, as well as the inner versus outer creases. The aim is to observe the unique aesthetic of your eyes and enhance them to appear bigger and brighter.

Types of Asian Eyelid Surgeries

There are two primary variants of Asian blepharoplasty, known as the ‘open incision’ and ‘closed suture’ technique. The surgical method used will depend on the individual needs and aesthetic goals of each patient. During your consultation, Dr Liew will discuss each option and work with you to determine the most suitable approach to treatment.

The Open Incision Technique

The open incision technique is generally performed under local anaesthetic and sedation. While this method is slightly more invasive, it is also considered the most effective and longest-lasting technique. During this procedure, Dr Liew places a single or several small incisions in the upper eyelid, where he will identify all anatomical layers and may remove any connective tissue that is creating multiple or unstable folds. He then places extremely fine stitches to support the newly made crease and the double eyelid contour. The open incision technique takes approximately one hour to perform and requires a downtime of five to seven days.

The Closed Suture Technique

Some patients may achieve their desired crease from the suture technique. This method is slightly less invasive and is generally performed under local anaesthetic. During this procedure, Dr Liew will make small punctures in the upper eyelid area before passing sutures through these holes to connect the upper eyelid muscle layer to the new skin fold, creating the desired crease. Since this approach is slightly less invasive, it takes approximately 35 minutes to perform and requires a downtime of 48 hours. Results generally last from five to ten years, though individual results may vary.

Which Technique is Right for Me?

During your consultation, Dr Liew will take the time to understand your needs and reasons for treatment. Based on your unique features and aesthetic goals, he will determine which technique will most effectively address your concerns. The open incision may be a suitable option for patients with more complex needs, or those seeking a thorough and long-lasting eyelid enhancement. Alternatively, for younger patients who do not require skin or fat removal, the closed suture is a quicker and less involved approach. Since this method is less invasive than the incision technique, it produces less swelling and bruising, requires less downtime, and can be effective for the right candidates. An in-person consultation is essential and will allow Dr Liew to thoroughly examine the condition of your eye and determine the best technique.

Benefits of Asian Eyelid Surgery

Asian eyelid surgery aims to create an upper eyelid crease that re-defines the eyelid yet preserves its unique ethnic morphology, creating results that look like you were born with it. For optimal outcomes, this operation requires the skills and experience of a specialist plastic surgeon with an in-depth understanding of the anatomy of Asian eyes. Boasting both cosmetic and functional benefits, Asian eyelid surgery can:

  • Make eyes look bigger and more expressive
  • Improve symmetry and facial harmony
  • Raise and re-define the eyelid
  • Reduce puffiness
  • Improve the results of eye makeup and application
  • Treat droopiness and improve vision
  • Treat ptosis (upper eyelid drooping)

Pair this Treatment with Facial Injectables

The eyes are one of the most defining and expressive facial features. When considering surgery of the eye, it is important to address the area holistically to ensure a smooth, naturally convincing transformation. At Shape Clinic, many patients have benefitted from a combination of treatments. Asian eyelid surgery is often combined with a lower eye-lift for a more comprehensive improvement of the eyes. As the skin thins over time, the lower eyelid can become baggy or drop vertically, disturbing the youthful curvature between the eyelid and cheeks, which can lead to a fatigued or worn appearance. Dermal fillers can also help to correct these issues and revitalise the eyes for a more vibrant, well-rested profile.

Book a Consultation

Since over 50% of East Asian people are born without the supratarsal fold, Asian eyelid or double eyelid surgery has become an increasingly common option for patients of East Asian descent. By creating an upper eyelid crease, this procedure can significantly improve the condition of the eyes and rejuvenate your profile as a result. Asian blepharoplasty can reduce puffiness and enhance facial symmetry without compromising your natural distinctive features.

Dr Steven Liew is one of Sydney’s leading specialist plastic surgeons. He is recognised globally for his technical and aesthetic skill and is particularly experienced in the intricate art of eyelid surgery. Dr Liew is an expert plastic surgeon with a detailed understanding of the anatomy of the Asian eye. Rather than trying to resemble the ‘Western’ appearance, he aims to bring out the best version of your unique self by capturing and enhancing your natural beauty.

Drawing on pillars of symmetry, shape and facial harmony, Dr Liew aims to achieve personalised and beautiful results that complement your natural features, encouraging you to feel happier and more confident about your appearance. At Shape Clinic, we strive for service excellence through all parts of the process; we provide an exceptional level of care and support to ensure you are comfortable and relaxed from consultation to aftercare. Asian eyelid surgery is a highly advanced procedure that can provide truly transformative results. If you would like to know more about how Asian blepharoplasty can benefit you, email us at or call + 61 2 8356 2888 to book a consultation

*This information about Asian Eyelid Surgery was reviewed by Dr. Steven Liew. If you have any questions, please don’t hesitate to contact us using our contact form here.

Closed suture technique

Procedure time: 35 minutes (local anaesthetic)

Downtime required: 48 hours

Results duration: Up to 5 - 10 years*

Pair this treatment with: Facial injectables

*Individual results may vary


Open incision technique

Procedure time: 60 minutes (local anaesthetic and sedation)

Downtime required: 5 - 7 days

Results duration: Long lasting*

Pair this treatment with: Facial injectibles

*Individual results may vary

All Treatments