Dr. Kang’s Perspective on Eye Surgery

Your eyes are one of the first things people notice about you. They are also one of the first to show signs of aging. In the upper eyelid, as the skin around the eyes begins to sag over time, the eyelids look droopy or puffy and the skin folds covering the lashes may even block your peripheral vision. In the lower eyelids, excess fat can cause puffy “bags” and shadow under the eyes, imparting a tired or sad look to your face. Fortunately, eyelid surgery (blepharoplasty) can significantly reverse these effects of time providing a more rested, youthful look to your eyes. After treatment, the upper lids will be tighter and eyelid folds better delineated. The skin under the eyes will be tighter and smoother with baggy appearance resolved.

Dr. Kang always reminds the patient that while the eyelid surgery significantly improves the overall appearance, it doesn’t “erase” all the fine wrinkles around the eyes. For further improvement of this area, Dr. Kang recommends Botox, sometimes in combination with dermal fillers. For patients wishing further improvement of the eyelid skin tone and texture, he will recommend a series of light chemical peels or quick recovery laser peels. Finally for patients with significant volume loss of upper eyelid sulcus, he will recommend lipo-transfer to this area either at the time of surgery or following surgery. For patients with severe tear trough deformity, he will recommend lipo-transfer or use of dermal fillers to “fill-in” the trough, ultimately to provide a more youthful frame work around the eyes.

Upper Eyelid

In the upper eyelid, an incision is made along the natural fold of your eyelid. Appropriate amount of excess skin, fat, and muscle are removed. In essence, Dr. Kang “sculptures” the upper eye to appear well rested and more youthful. The incision is then closed and protected with ointment. Incision usually heals imperceptibly, hidden in the natural fold of the eyelid. At the time of consultation, it is also very important to evaluate the entire peri-orbital complex including the brow position. In some patients, the brows tend to sag much faster and worsen the drooping and puffy appearance of the upper eyelids. With proper repositioning of the brow, either surgically or non-surgically (using Botox), a more optimal, natural look can be achieved. For Asian upper eyelid surgery, please refer to the appropriate section for more comprehensive information.

Lower Eyelid

In the lower eyelid, the puffy or baggy appearance is corrected by removing fat deposits through a small incision made “inside” the lower lid (transconjunctival approach). This surgery alone will address most of the lower eyelid aging, usually up to age 40 or so. Between ages 40 and 45, half the patient will need, additionally, “pinching” (trimming) of the excess skin as well. After age 45 or so, most patients will benefit from transconjunctival fat removal combined with appropriate pinching of the outside excess skin. Dr. Kang believes that the transconjunctival approach minimizes swelling and bruising, and therefore allows quicker recovery. Because there is no incision outside the skin, the technique is wonderful for patients who want quick recovery and do not want to give away any signs of having undergone surgery. Even when combined with pinching of the outside excess skin, because the in-between “muscle” layer is never manipulated or weakened, complications such as weakening of eyelid tone or positioning is minimized.

Check Dr. Kang’s “Near” Blood-less Technique.

  • I am 25 years old and I was referred by a friend of mine. My friend had her lower eyelid done with Dr. Kang. The results were very impressive and she told me how skilled he was so I decided to get the surgery done with Dr. Kang. I’ve been told by so many people that I look tired and my first impression was cold. After the surgery people tell me I look brighter and younger. I love the results and I thank Dr. Kang for his great work.
    Na Li (Google Review)
  • After being very hesitant on getting asian blepharoplasty and doing tons of research on finding the right surgeon, I decided to come to Dr. Kang. I just got a asian double eye lid procedure done in the beginning of January and now the results look as natural as ever along with minimal scarring. The staff and Dr. Kang himself made my healing process very smooth and reassuring. Definitely recommend if you're looking for natural results!
    charlene chen (★★★★★ Google)
  • I’m 20 years old. I had the double eyelid a year ago with Dr. Kang. I loved how it came out. This year I decided to have an open rhinoplasty with Dr. Kang again. He narrowed my nose tip and also improved the hump on my nose. He is a true artist. I’m very happy with my new look. I will recommend Dr. Kang to my family and friends!
    宋贞贞儿 Google reviewer