The anatomy of the Asian eyelids is different from that of occidental eyelids that the septum which is in the orbital space (is the layer where the fat holds back). Asian eyelid is also known as double folded eyelid surgery, because this mechanism is specially mend for the Asian eyes in which fold is absent which is generally present in European and American eyes. The surgery is done by placing a tarsal in the crease area of the eyes. Patients want to look brighter and always wish that operation is done in that way that they can easily apply applies the eyeliner. The patients don’t want to look tired and distended as they used to look earlier.

It is also important that the surgeon should operate the patient up to the mark, so that looks of the patients should not look westernized and his appearance will totally changed.

While the operation it should be taken care that anesthesia should be given in little amount so that he can open the eyes to check the crease in the eyes. As the process is long lasting and the incision inside the skin is created. The Asian patients whose crease in not present and have fatty upper eye layer may not like such appearance. The main thing is the presence of pretarsal crease in the 50% of the Asian (Japanese, Chinese and most patients from the east Asian countries) patients.