What is an 'oriental' eyelid?

An oriental eyelid is an ethnic variation of the eyelid anatomy, seen in east asians, such as Koreans, Chinese, Taiwanese, and Singaporeans. In India, it is a common feature of the north-east region. The eyelid fold is very low, or may even appear to be absent. In this figure, the lady on the left has a distinct eyelid fold, but the one on the right has a low lid fold.


Evaluation of oriental involves several critical measurements, and checking for other findings like epicanthal folds, and rarely inturning of lashes. The measurements decide the type of surgery to be performed, and also determines the possible side-effects, if any. 

Double eyelid Surgical Technique

This surgery is often called double eyelid surgery, and involves creation of eyelid fold to give a more natural look. It moves the eyelid skin away from the lashes, thereby allowing easy application of make-up such as eye liners. A droopy eyelid, or abnormal fold (epicanthus) if present, can be corrected at the same time. Double eyelid surgery may also be combined with other cosmetic procedures like upper or lower eyelid blepharoplasty.

Recovery Time

Double eyelid surgery can be performed as a day-care procedure under local anesthesia and takes about 30 to 45 minutes. Discomfort is minimal, and stitches are removed in 5-7 days. Most patients are back to light work within a week. Minimal bruising may persist for 1-2 weeks.

Will insurance cover it?

Health insurance will not cover the costs of double eyelid surgery, as it is a cosmetic procedure.

Before and After photos:

This young lady underwent double eyelid surgery to create a natural upper eyelid fold. Note the eyelid scar that hides in the fold, and fades over few months.

This middle-aged lady underwent double eyelid surgery  combined with upper blepharoplasty to create a natural upper eyelid fold and reduce the extra skin.