People get double eyelid surgery to create a natural crease in the upper eyelid, making the eyes look larger, brighter, and more symmetrical. For many, this surgery helps reduce excess skin that weighs down the eyelids or obstructs vision, while for others, it enhances appearance in line with personal and cultural beauty standards.
At Kopelman Aesthetic Surgery in New York City, Dr. Joel Kopelman – a board-certified facial plastic and eye surgeon with over 35 years of experience – performs this surgery procedure, also called Asian blepharoplasty, for patients who want balanced, natural results. It is one of the most popular cosmetic procedures worldwide, chosen by people of east Asian and Asian descent seeking definition and harmony without changing their natural features.
Key Takeaways
- Double eyelid surgery creates a visible upper eyelid crease, making the eyes appear larger and more balanced.
- People choose it for both aesthetic and medical reasons, such as removing excess skin or improving eyelid heaviness that affects vision.
- It is especially common among people of East Asian and Asian descent, where cultural ideals and beauty standards play a major role.
- Dr. Joel Kopelman uses precise surgical techniques to achieve natural, lasting results tailored to each patient’s eye shape and anatomy.
- Most patients recover within weeks, experience little discomfort, and enjoy long-term improvement in appearance and confidence.
Table of Contents
ToggleWhat Is Double-Lid Surgery
Double eyelid surgery creates a new upper eyelid crease to make the eyes look more open and symmetrical. Many patients wonder why do people get double-lid surgery, and the reasons include cosmetic enhancement and better eyelid function. This surgical eyelid procedure provides subtle, natural results that align with modern beauty standards.
The crease forms from connections between the levator muscle, the tarsal plate, and the oculi muscle. Dr. Kopelman examines excess skin, muscle tone, and facial proportions to choose the right approach. His method ensures the fold looks balanced and natural.
What Causes a Double Eyelid
Some people are born with a crease, while others have a monolid. Genetics and epicanthal folds determine this difference. People of East Asian and Asian descent are more likely to have single eyelids, which is why many choose to undergo double eyelid surgery for more definition and symmetry.
Are Double Eyelids Rare
Double eyelids are less frequent among those of Asian descent, which explains the procedure’s popularity. In other groups, most have a natural crease. Many choose this type of plastic surgery to enhance the eye shape while preserving cultural identity.
Cultural and Historical Context
Double eyelid surgery became common in East Asian countries during the mid-1900s when beauty ideals began favoring more open eyes. Over time, it came to represent self-expression and confidence rather than imitation.
Today, this procedure reflects evolving beauty standards and the growing acceptance of cosmetic surgery as a tool for personal empowerment and self-care.
Why People Choose Double Eyelid Surgery
People seek this procedure for both cosmetic and functional reasons.
Why Is It Popular
It produces subtle changes that enhance beauty while respecting cultural beauty standards.
Why Do Asians Get Double Eyelid Surgery
Many Asian patients refine their upper eyelid crease to brighten their appearance while maintaining cultural identity. The goal is harmony, not drastic change, aligned with natural beauty standards.
Why Do Koreans Get Double Eyelid Surgery
Koreans get double eyelid surgery to make their eyes appear larger, more symmetrical, and aligned with local beauty standards that favor open, youthful eyes. The procedure helps reduce excess skin and create a defined upper eyelid crease, enhancing eye shape and balance.
In South Korea, one of the world’s leading centers for cosmetic surgeries, this surgery procedure is also viewed as a form of self-expression.
Are Double Eyelids Considered Attractive
Double eyelids are viewed as attractive because they make eyes appear bigger and more defined. The new crease enhances eye shape and balance. Some patients also remove excess skin that causes heaviness or reduced vision.
Functional and Medical Benefits
Double eyelid surgery can correct drooping eyelids that block vision or cause fatigue. Removing excess skin improves comfort and follows modern beauty standards that favor natural brightness.
The Procedure and Recovery
This surgical procedure is usually performed under local anesthesia and takes about one to two hours. The goal is to create a symmetrical upper eyelid crease while minimizing downtime.
Techniques Used
- Incisional method – removes excess skin or fat for permanent results.

- Non-incisional method – uses fine sutures to form the fold with shorter recovery.

Dr. Kopelman selects the best method based on eye shape and individual anatomy.
Is Double Eyelid Surgery Painful
Some patients ask if double eyelid surgery is painful, most of them report mild discomfort, not pain. Swelling and bruising last about a week and fade with care. Cold compresses and basic pain medication help recovery.
Double Eyelid Surgery Before and After
Before surgery, patients receive a consultation and digital preview. After healing, they notice brighter, more defined eyes aligned with current beauty standards.

Frequently Asked Questions about Double Eyelid Surgery
Most patients return to daily routines in about 7–10 days, though slight swelling may last a few weeks.
Yes. Skilled plastic surgeons design a crease that looks smooth and balanced.
Yes, results are long-lasting and stable with proper care.
Dr. Kopelman offers guidance and non-surgical options for those considering a subtle change.
Benefits, Risks, and Expected Results
When performed by an expert, double eyelid surgery enhances both form and function. Benefits include:
- A natural-looking upper eyelid crease
- Larger and more open eye shape
- Removal of excess skin causing heaviness
Risks such as minor swelling or asymmetry are rare. Dr. Kopelman ensures safe results that reflect realistic beauty standards.
Is Double Eyelid Surgery Right for You?
Ideal candidates want a more defined upper eyelid crease or improved symmetry and are in good health.
If you’re considering double eyelid surgery, scheduling a consultation with Dr. Joel Kopelman is the best next step. With decades of experience in facial and eye surgery, he provides clear guidance, personalized treatment plans, and results that look natural and balanced.



