Lionel Chang:
Well, first my name is Lionel Chang, I’m a qualified plastic surgeon, a member of the Australian Society of Plastic Surgeons. I’m here to talk to you about Asian eyelid surgery which is the most popular operation in Asia because the way most Asian’s eyes looks. They love to have this procedure because it does change their face significantly and make them more attractive.

Well, I guess the people view Asian eyelids as a little bit narrower, or slit line. The reason why it’s look like that is because when the eye is open the skin drapes down and covers the top of the eye to make it look narrower. By raising that you’re not only adding feature to the upper eyelid but it makes the eye look bigger and because of that it looks more attractive. That’s why most Asian young women anyway want to have that kind of configuration.

Yes, the difference between Asian and Caucasian is not just a single factor, it’s not just the eyelid. People call the Asian the slit eye but in fact there’s a variety of things like hair colour, skin colour, the colour of the eye. Obviously, bone feature is a big thing because it influences the way the skin falls and the configuration and order sort of thing. If you look at the differences that in Caucasian they’re very prominent in the brow region, the supraorbital over the ridge and the nose is much bigger or forward projecting, especially in the bridge area of the nose.

Also, the Caucasians tend to have deep setting eyes. That means their socket is located a little bit back in the head and the eye is located backwards. Because of that when they open their eyelid their eyelid sort of slides up on top of the eyeball under the supraorbital shelf whereas in the Asian it’s the reverse. Their face tends to be relatively flat and the nose, especially the bridge area, is a little bit retruded. The orbit is a little bit shallow and more forward placed and because the eyeball is pushed forward by that it looks a little bit popped eye, so to speak. Because of that the eyelid tends to go up and down rather than slide under the supraorbital shelf. These are all the differences in feature that distinguish the two groups of people.

Well, like everything else in like handiwork or painting, an artist can do a better job than somebody who sort of has no idea of the concept of beauty. I think the concept of beauty is important. Not everybody has a good grasp of that. Secondly is the skill of the surgeon. You know, it’s a very delicate operation and you’re very close to the eye so you have to be very skilful. I think these two factors are very important. One is the artistic flair and the other is the surgical skill.

Mainly at Burwood in Sydney, that’s where my main practise is located and the surgery is also performed there under local anaesthesia. I prefer to do them under local anaesthesia than general anaesthesia for two very obvious reasons; one is cost – because if you need to go to hospital and do under general anaesthesia you got to pay the hospital, you got to pay the anaesthetist. That more than doubles the cost. Secondly is that it’s safer to do it under local anaesthetic because you’re fully awake and the surgeon has to be more careful. Therefore, that’s good for the patient. Thank you, Trish.


Trish is a plastic surgery blogger. She is passionate about wellbeing, health and beauty, and doesn't mind a little bit of 'help' from the amazing cosmetic and beauty procedures that are available today. Trish spends her days talking to women and men who are looking for suggestions and advice on procedures that are available to them. Cutting through the sales pitch and hype, a down-to-earth response on general information is what you will get.

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