Ethnic Blepharoplasty
- Internationally recognised facial plastic surgeon.
- Dr De Silva uses precise, ethnic-specific techniques.
- Dr De Silva prioritises patient safety above all else.
Understanding Ethnic Eyelid Surgery
Ethnic Blepharoplasty, also known as ethnic eyelid surgery, is a highly specialised procedure designed to rejuvenate the eyelids of patients from diverse ethnic backgrounds without altering their natural identity.
Unlike traditional approaches to this surgery, the procedure takes into account the specific anatomical features of Middle Eastern, Asian, South Asian, Afro-Caribbean, and Mediterranean eyelids. Differences in skin thickness, fat distribution, eyelid crease formation, and underlying bone structure all influence how the eyes appear and how surgery should be performed.
Dr Julian De Silva, based in Harley Street, Central London, is internationally recognised for performing scarless eyelid surgery that achieves natural-looking results while respecting each patient’s cultural heritage.
How Eyelid Anatomy Differs by Ethnicity
Each ethnic group presents variations in skin elasticity, crease formation, and orbital structure. Understanding these subtleties is essential to achieving seamless, scarless, and natural-looking outcomes.
Dr De Silva has many patients of ethnic descent who request eyelid surgery in London, the most popular destination in the world for Middle Eastern patients to have this cosmetic surgery.
Asian Patients
Asian patients often seek double eyelid creation, designed to surgically create an eyelid crease that has previously been covered beneath epicanthal folds. Dr De Silva refines the eyelid crease to enhance definition while maintaining the characteristic softness of the Asian eye shape.
Middle Eastern Patients
Middle Eastern eyelid surgery patients frequently present with thicker eyelid skin and prominent under-eye bags. Surgery focuses on smooth, rejuvenated contours while preserving their natural ethnic features and avoiding an overly “operated” look.
South Asian Patients
South Asian patients may exhibit skin laxity, pigmentation, or mild puffiness around the eyes. Dr De Silva uses precise, delicate techniques to refresh the eyelids while respecting their ethnic anatomy and overall facial balance.
Afro-Caribbean Patients
Afro-Caribbean patients have a higher risk of keloid or hypertrophic scarring, so Dr De Silva employs advanced scarless transconjunctival techniques and careful tissue handling to minimise visible scarring and achieve natural results.
Mediterranean Patients
Mediterranean patients often seek subtle eyelid rejuvenation, addressing puffiness or heaviness while maintaining their strong, defined features. Dr De Silva’s approach balances aesthetic enhancement with preservation of ethnic identity and natural facial harmony.
The Importance of Choosing a Surgeon Skilled in Ethnic Eyelid Surgery
Ethnic blepharoplasty is a highly complex procedure that demands a refined understanding of heritage-specific anatomical differences. Dr Julian De Silva is internationally recognised, having performed thousands of successful ethnic procedures for patients from across the globe. He is also a Fellow of the Royal College of Surgeons with extensive Harley Street experience. Many patients seek reassurance that surgery will not ‘Westernise’ their eyes.
By taking a comprehensive view, looking at the entire periorbital area instead of just the eyelid itself, Dr De Silva avoids common pitfalls associated with traditional surgery, such as hollowing, high-riding creases, or the development of multiple folds, which can detract from the eyelid’s natural appearance instead of celebrating the patient’s heritage. Variations in skin thickness, eyelid crease formation, fat distribution, and bone structure mean that a one-size-fits-all approach can compromise results.
Ethnic Patients: See Before & After Gallery
View real patient transformations demonstrating natural, ethnic-specific results.
This Asian doctor had noticed an increasingly tired appearance as a consequence of facial ageing around her eyelids with lower eyelid swelling/bags. She had become fed up of people commenting on whether she was tired or had lack of sleep. She came to see Dr De Silva as a specialist in facial plastic surgery, and underwent lower blepharoplasty (hidden incision) with laser skin resurfacing. The result shown 5-weeks after surgery shows a refreshed more youthful appearance, yet natural with no signs of surgery. The patient was very happy with the results of her surgery.
This young Asian man in his late 20s described increased bags in the lower eyelids, which been present for a number of years and resulted in a tired appearance. Lower eyelid bags in this younger person was a result of the anatomical position of his eyelids in a relatively forward position in relation to his cheek, referred to as negative vector.
This woman in her 20s was looking to have Asian blepharoplasty with cosmetic surgery to create an eyelid crease. On examination she had complete absence of upper eyelid crease and she wanted a natural looking and conservative improvement in her appearance. Dr De Silva completed an Asian blepharoplasty with the trans-cutaneous approach resulting in a long-lasting and natural result. On review of the ‘after’ photograph there is a symmetrical and clear upper eyelid crease that looks natural and make the eyes appear more open. The patient was very happy with the result and had a natural looking improvement of her appearance.
What our satisfied clients are saying
Having Lower Blepharoplasty with Dr. De Silva gives you the benefit of years of experience, qualifications not only in the U.K. but also the U.S. and yet you don’t lose the gentle bedside manner from this doctor. From our first meeting, Dr. De Silva won me over because he gave me the time to obtain answers and explanations to all my questions in kind details, as many times as I needed.
Preserving Ethnic Identity While Enhancing Appearance
The most common concern for ethnic patients is: “Will I lose my cultural features?”
Dr De Silva’s philosophy is simple: enhance, don’t alter. Using advanced, ethnic-specific techniques, he carefully evaluates:
- Skin thickness and elasticity
- Eyelid fat and muscle distribution
- Underlying bone structure
This ensures that rejuvenation is harmonious and natural, giving refreshed, youthful eyes without changing the features that define your heritage.
Recovery Considerations for Ethnic Patients
Recovery after surgery can vary depending on the individual and the techniques used, but generally follows the same process as the main Blepharoplasty procedure. Special attention is given to patients with darker skin tones to reduce the risk of keloid scarring, using scarless transconjunctival approaches whenever possible.
Discover the Real Patient Recovery Experience
Patients often find that recovery is smoother than expected thanks to Dr De Silva’s customised surgical approach and comprehensive aftercare.
What Are the Risks?
For Dr Julian De Silva, patient safety is always the top priority and he has been an advocate for this in the national media. He carefully assesses whether surgery is the right choice for each individual and will only proceed when it can be performed safely. Most risks are similar to those experience during a normal eyelid prodecure. However, for patients with darker skin tones, there is a higher risk of keloid or hypertrophic scarring, as well as potential pigmentation changes.
Frequently Asked Questions
No. Ethnic blepharoplasty is designed to refresh and rejuvenate your eyes while preserving your natural cultural features. Dr De Silva’s ethnic-specific techniques ensure results remain harmonious and true to your identity.
Not exactly. Double eyelid surgery is usually performed on Asian patients to create or enhance a crease. The surgery covers a wider range of cultural variations and eyelid anatomies, respecting identity.
Results from this surgery is long-lasting, providing a refreshed and natural appearance. While ageing continues, most patients enjoy enduring outcomes, and some may opt for minor refinements in the future for ongoing rejuvenation.
Costs vary depending on complexity, anatomical differences, and surgical technique. Ethnic blepharoplasty is not inherently more expensive, but requires specialist expertise to ensure safety, natural results, and preservation of ethnic identity.