Asian Blepharoplasty (Double Eyelid Surgery)


The Asian Blepharoplasty creates a fold in the upper eyelids. The procedure is known as a Double Eyelid Surgery and it is a highly sought procedure in East Asian countries.

Lead Doctor

Dr. Mulholland

Length of Procedure:

1-2 hours


Starting from $4,000

Pain Factor:




Recovery Time:

7 days


General or Local



Dr. Stephen Mulholland and his fellow Plastic Surgeons in Toronto, work meticulously to achieve the desirable aesthetics you look to achieve for your face.


With age, wrinkles develop on the side of the eye, called crows-feet, and these wrinkles extend to the lower lid region. The loss of support and deflation of our cheeks, fat pads can develop.

The eyelid changes result in looking tired, sad, beleaguered and deflated. The frustration that eyelid aging can cause makes it one of the most common procedures sought after at SpaMedica.

    Blepharoplasty on Cityline with Dr. Mulholland | SpaMedicaTV
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Good Candidates

Candidates for Asian Blepharoplasty are typically patients that are looking to improve the aesthetics of their eyelids and create a crease in their upper eyelids. Patients also include those that want to make their eyes look bigger and brighter, without an aged appearance.

Image: Wikipedia

Blepharoplasty Before & After


Your surgeon will specify to you the required precautions to take prior to your Asian Blepharoplasty, such as:

  • Your surgeon will need to do medical evaluations, so be prepared to have your medical history. 
  • Avoid aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), and other non-steroidal anti-inflammatory medications), Vitamin E, herbal supplements or any medications containing these compounds for two weeks before surgery. Acetaminophen (Tylenol or generic equivalent) and the daily multivitamin are fine.
  • Smoking is an absolute no-no three weeks prior and after the surgery. Nicotine and tobacco are both harming the body and will prolong your recovery. It can negatively affect your healing and performance of surgery.
  • Stay out of the Sunlight as much as possible and put on your Sun Screen (SPF 30 or highter).
  • Any prescribed drugs will be administered on the day of the surgery.
  • The night before the surgery after midnight, do not drink nor eat, this includes water.
  • Arrange a ride back from the surgical clinic. You will be unfit to drive back home alone, and you will require plenty of rest.

Adhere to your surgeon’s guidelines.

Procedure Details

Cosmetic Blepharoplasty surgery and eyelid rejuvenation surgery is very common. Generally, as we age, loss of fat and volume support of the brow and upper lid result in a droopiness of the brow and excess upper lid skin. This holding of the upper lid skin will descend upon our upper eyelid structures creating a deflated, tired, saggy and aged appearance.

Excess upper lid skin will also limit the ability to apply makeup effectively to the upper eyelid region.

At  SpaMedica Cosmetic Plastic Surgery Centre, Dr. Mulholland can perform the Blepharoplasty procedure (also referred to as an eye lift) of the upper and lower lid under local anesthesia, IV sedation or general anesthesia depending on the desires and health status of his cosmetic Blepharoplasty patients.

Your SpaMedica in clinic eye lift procedure will be complemented with a recommendation for our medical grade Home Skin Care which will help support and enhance your surgical results.

The operation is performed on an outpatient or overnight basis, under sedation and local, IV sedation or general anesthesia. The incisions are made where the natural crease should be in the upper lids and below the lash line in the lower lids. Excess fat and skin are removed. If only excess fat is present in the lower lids, it may be removed through an incision inside the lower lids conjunctively, with no external incision or scar (Transconjunctival Blepharoplasty).

After Care Instructions and Expectations

All sutures are usually removed within 4-6 days. Initial mild discomfort is easily controlled with oral medication. Bruising and sensitivity to light can last up to a week or two, but is generally able to be camouflaged with make-up after 7 days Swelling progressively disappears over several weeks. Eye makeup can be used shortly after sutures are removed.

  • Have someone drive you home after surgery and help you at home for 1-2 days.
  • Constipation is a side effect of decreased activity, use of pain medicines, and dehydration. Be sure to walk, drink fluids regularly, and consider adding raw fruit to your diet.
  • Take pain medication as prescribed. Do not take aspirin or any products containing aspirin unless approved by your surgeon.
  • Do not drink alcohol, drive a car, or make important decisions when taking pain medications.
  • If you are taking vitamins with iron, resume these as tolerated.
  • Do not smoke. This can be the most significant cause of serious healing issues.
  • Sleep with your head elevated 45 degrees for several days to minimize swelling.
  • Start walking as soon as possible – this helps to reduce swelling, lower the chance of developing blood clots and/or pneumonia, and avoid constipation.
  • Avoid activities that raise your blood pressure, including bending, lifting and rigorous sports. Keep activities to a minimum for 3-5 days; avoid strenuous activities for 2-3 weeks. Read or watch television after 2-3 days.
  • Return to work in 10-14 days.
  • Avoid exposing scars to sun for at least 12 months. Always use a strong sun block, if sun exposure is unavoidable (SPF 30 or greater).
  • Keep incisions clean with soap and water and inspect daily for signs of infection.
  • Use cold saline compresses for the first 24 hours for comfort and to reduce swelling and bruising.
  • Wait at least 2 weeks before wearing contact lenses.
  • You will have sensitivity to sunlight, wind and other irritants for several weeks, so wear sunglasses and a special sun block made for eyelids.
  • Maximum discomfort should occur in the first few days, improving each day thereafter. Expect temporary swelling of the eyelids, tightness of lids, bruising, dryness, burning, and itching of eyes. You may have gummy eyes for approximately 1 week.


Your surgeon will carefully discuss maintenance for your post-op during your consultation. Regular tips are staying out of the Sun following your surgery, keeping hydrated, do not stress the eyes too much and getting proper rest. 

In most cases, you will not need a follow up procedure and if you follow the guidelines set out by your Plastic Surgeon, you will have long-lasting beautiful looking eyelids that will place well with your facial features.

Risks and Complications

Like any cosmetic surgery, Asian Blepharoplasty does carry its degrees of risks and complications including:

  • Infections
  • Excessive swelling
  • Pain, redness, and discomfort
  • Possible allergic reactions

Aesthetical risks include with disproportionate eyelids and patients not being pleased with their results. Research the background of your cosmetic surgeon and request before and after pictures for previous procedures they have done.


Double Eyelid Surgery is a popular procedure in East Asia and is one of the most sought surgeries in countries such as Korea. The surgery is highly specialized for Asian decents and patients wanting their eyes to look larger, apparent and brighter.

The scarring of the surgery is very minimal and hidden well with the natural folds of the eyes. The extra fold may also help with vision and better quality of life for patients.

Cost and Payment

The cost of Double Eyelid Surgery in Toronto, ON starts from $4,000. Depending on your facial profile and complexity of the surgery, the cost will vary. Special financing options are available for our patients who are seeking Asian Blepharoplasty.

Come visit our clinic and speak to our clinical staff to learn more details about financing options available to you.

Next Steps

If you are interested in Asian Blepharoplasty, book an appointment at our Cosmetic Surgery Clinic in Toronto, ON by calling 1-877-695-2835 or alternatively book online and have our customer service representatives reach out to you. 

Schedule An Appointment

Book your appointment today with a board-certified cosmetic surgeon specializing in Double Eyelid Surgery at SpaMedica's Plastic Surgery Clinic in Toronto, ON.