westernization of the asian eye


A frequent demand from the Asian population is the westernization of the gaze. The wish is not really to have a causal eye but rather to get an opening of the gaze. Different techniques exist to meet this demand.


Asian upper eyelid

  • Orbital fat is more abundant.
  • The septum is inserted very low, with the aponeurosis of the levator, under the upper rim of the tarsus. There are no attachments between the expansions of the levator aponeurosis and the skin.
  • The palpebral skin is very lax.
  • The palpebral fissure appears narrowed. The upper palpebral fold, very often even absent, is situated very low, at a little distance from the line of the eyelashes.

Epicanthic fold

Conjugation of cutaneous laxity and the low position (or absence) of the upper palpebral fold create a medial canthal fold: the epicanthus. There are four stages of epicanthus depending on the importance of the pretarsal skin fold at the level of the canthus. Types II and III are most commonly found in the Asian population.

Lower eyelid

  • The insertion of the septum is high located near the ciliary line.
  • The palpebral muscle is less thick at this level.
  • The fat pockets appear early, but are stable over time.

There are several types of upper palpebral folds

Close-up of Asian eyes. Eye care and beauty.

Absent eyelid crease

This is known as the monolid, as there is no distinct eyelid crease separating the lid into two parts.


Tapering eyelid crease with lateral flare

The outer part of the eyelid platform is wider than the central part of the platform.


Multiple eyelid creases

Multiple creases exist in upper eyelid.

Macro shot of one brown eye with pupil and iris

Parallel eyelid crease

The inner corner of the crease does not narrow as a tapering crease does

close up eyes of asian men

Partial eyelid crease

There is a crease but it isn’t well defined and it may not extend entirely across the eyelid.  With age, the partial crease can become more defined as the skin above the crease becomes looser.

Beautiful Japanese eyes

Tapering eyelid crease

A tapering crease becomes much more narrow toward the inner corner of the eye.



Threads and mesothreads

The opening is at the level of the upper eyelid and the eyebrow. The result lasts about a year and a half and is visible after one week, once the inflammation has disappeared. For the upper eyelid of very fine threads, the mesofils are inserted into the skin which has a tightening effect. At the eyebrow we put notched threats, which have a lifting action more important but unfortunately can not be placed at the level of the upper eyelid.

Hyaluronic acid for making lower eyelid

A frequent request is the creation of the lower eyelid. The curved lower eyelid creates a zone of light at this level. We perform an injection of hyaluronic acid, usually by needle. The result lasts about two years.

seringue acide hyaluronique
seringue acide hyaluronique

Hyaluronic acid for look rejuvenation

As time goes by, the upper eyelid of Asia widens, like all eyelids. The loss of fullness is treated by injection of hyaluronic acid. Using a cannula, hyaluronic acid is injected at the orbital rim to replace the fat that has melted. The result is immediate and lasts about two years. The suites are mild, marked by hematomas (rare) and local edema.


She knew how to open my gaze thanks to injections. I can only praise this experience. The result is beyond all of my expectations.


Doctor Romano worked wonders on my asian eyes!


According to me, a very reliable doctor because she has a natural talent. Doctor Romano used strings to open up my gaze. Very beautiful result.


Enthusiastic of the result. My eye is more open.


Written by Valeria Romano

Former intern at the Hospitals of Paris Graduate of the Faculty of Medicine, University of Paris 7 – Paris Diderot Registered with the medical board of Paris, n° 75/80452 More informations

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