Asian Blepharoplasty (Double Eyelid Surgery) is different from Occidental Blepharoplasty

"Asian blepharoplasty" or double eyelid surgery are common terms used for blepharoplasty but this not exactly a blepharoplasty. Both surgeries are certainly done on the upper eyelid but there are so fundamental differences that both Asian blepharoplasty and occidental blepharoplasty are thought as unique operations rather than related procedures.
Basically "Blepharoplasty" surgery is developed for European and Occidental descent patients which is now old, while "Asian Blepharoplasty" surgery is developed recently for patients of Asian lineage. Many blepharoplasty surgeons who can very well perform occidental blepharoplasty may have little or nearly no experience with double eyelid surgery.
The differences between Asian Blepharoplasty and Occidental Blepharoplasty related to anticipated goals, age of the patient, and surgical procedure are:
• Most European patients want blepharoplasty surgery in their forties, fifties and sixties, while the immense mass of Asian patients demanding surgery in their twenties and thirties.
• In the Occidental blepharoplasty, the major concern is rejuvenation of the aging upper lid. The surgery is considered as subtractive for most part. The stretched and weakly positioned skin or fat are removed from upper lid. Small attention given to reshaping the present crease.
• In the Asian Blepharoplasty, the major concern is the enhancement of the asymmetrical or unbalanced crease or creation of a new crease in upper lid. Minimal attention is given to the skin and fat removal and in some cases, no fat is removed from lid.
• The "suture techniques" for crease formation in occidental blepharoplasty becomes more fragile.
• If a young Asian patient is operated with procedure similar to that is used in Occidental blepharoplasty, the result can be unnatural or surgical.