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For almost everyone interested in facial rejuvenation, the eyelids are usually the start, and a great way to get a good bang for your buck. Big bags under the eyes, droopy upper eyelid skin, wrinkly lower eyelid skin can easily be fixed with cosmetic surgery of the eyelid. Asian Upper Eyelid Procedure Creating a successful Asian upper eyelid fold is like a specialty within a specialty. Not all cosmetic surgeons can tackle this. They probably don’t want to, because it is much more technical than the standard aging eyelid procedure. Eyelid anatomy is only tissue paper thin and miscalculations can be costly. Technique and experience is EVERYTHING !  And yes, sometimes more than one procedure may be necessary to achieve the desired result. I don’t believe “stitch only” procedures offer lasting results.  Instead, the full incision procedure is recommended, and allows the doctor to remove unwanted fat as well. Plotting the incision cannot be learned from a book. Only experience and clarity of the anatomy and endpoint can give you a great result.  OTHER EYELID PROCEDURES If you have bags under your eyes, but the eyelid skin looks good without wrinkles, then a “TRANSCONJUNCTIVAL LOWER BLEPHAROPLASTY” is enough. The incision is inside the eyelid. No scar, no stitches. Little down time.  
The skin is the same as before surgery. Only the fat bag is gone. The fat removed from the lower eyelid can be injected into the cheeks as well. For maximal eyelid rejuvenation, upper or lower eyelids, there is   “EXTERNAL LOWER BLEPHAROPLASTY” and  ‘UPPER BLEPHAROPLASTY” This means cutting a little extra skin from the upper or lower lids.  
When this is performed optimally, the results should:
Look natural and pleasing, sexy even. You should look younger, not different.
The sides should not droop or hang.