Trish Hammond: I’m here today with Dr Lionel Chang, and he’s a specialist plastic surgeon based in Burwood, Sydney. Thank you so much for taking the time to talk to us today. We’re just going to have a bit of a chat about Asian blepharoplasty and asian rhinoplasty, and why is it a bit different, because Dr Chang is a specialist in this area. He’s been doing it for many, many years, so thank you.

First of all, how long have you been doing Asian rhinoplasty and Asian blepharoplasty?

Lionel: Well, more than 30 years let’s say. A long time, yes.

Trish Hammond: You’ve done a lot in your time?

Lionel: Yes, I have because my training is based… All my teachers… Caucasians. Whereas I’m ethnically Chinese. When I started my practice, a lot of Asian patients approached me to do all these things. I never had training, and I didn’t know how to do it. Nobody was doing it in Australia, so I started off by reading the textbooks, and taught myself how to do it. In the early days, the patients are very forgiving. I made some mistakes, but I learn from my mistakes. Out of that, I acquired this particular skill. That’s been my enduring interest in in my practice.

Trish Hammond: What’s the difference between an Asian bleph, and a Western bleph?

Lionel: I think, common knowledge is that they all think that Asians have slit, very narrow eye appearance. That they lack this secondary focal supratarsal fold that most Caucasians have. But in fact, most Asians have that fold, but it is a bit low. It is so low that the skin hooding comes down and covers it. Sometimes it depresses the eyelashes so you can’t even see the eyelashes. When you lift that up, you create a second fold. You open up the eye, the eyelashes become visible, and that makes them look more attractive and also gives them a chance to put on eyeliner; create more interesting scenery so to speak, because you have more features. I think it’s all these things add up that make them look more attractive. I think Asian, like everybody else, they want to look better, or beautiful. I don’t think they want to look like the Caucasians. People think that they want to look like European, but they don’t. They just want to look more beautiful.

Trish Hammond: They just want to look better, a better version of them. All right. Tell us a bit about the Asian rhinoplasty. Why is that different?

Lionel: Another difference in feature between the Asian and the Caucasian, is in the bone structure of the face. If you look at the Asian face they tend to be more flat, more rounded; whereas the Caucasian have a very prominent supraorbital ridge. Their nose is very much forward; their eye sockets set backwards. These are the main difference. Because of that, Caucasian have what I call a ‘large nose’ and sometimes like a hooked nose that make them look aggressive. For women, that looks not feminine. Whereas in Asian, because their flat bone structure, their middle there is so flat, that sometimes they don’t have any projection at all. Because of that, they look like a young child, because young child don’t have a prominent middle area of the face. Because of that, nobody take them seriously, because they look…

Trish Hammond: They look too young. They do look young.

Lionel: … like they’ve never grown up yet.

Trish Hammond: It’s so true.

Lionel: If you give them a little bit of a build up in the middle of the face, it’s suddenly they look like a young adult, and that’s what they want to look like because when you become young adult, you start looking for partners.

Trish Hammond: Exactly.

Lionel: You’re in the… Wedding market. You’re looking for boyfriend, so you want to look … You want people to take you more seriously, and I think that’s a reason.

Trish Hammond: Totally. All right, Dr Chang has done thousands of these operations over the years so if you’re Asian and you’re after a rhinoplasty, or a blepharoplasty, Dr Chang’s your man. Burwood, Sydney. Thank you so much for taking the time to talk to us today.

Lionel: Thank you Trish.

Trish Hammond: If you want a bit more information, drop us an email at Thank you.

Lionel: Thank you.

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