The Asian eyelid is different than the caucasian lid anatomically. There is an attachment of the skin to a muscle that creates the fold found in caucasians. Most Asians lack this attachment.  Dr. Sanders is able to create this attachment with tiny sutures and adjustments of the skin and muscle. He will spend a significant amount of time preoperatively discussing the procedure and will tailor the surgery so that your eyes look like you want them to. This is strictly a cosmetic procedure and does not affect the function of the eyelid.  To help him get an idea of the type of eyelid you want we suggest that you bring a photo of someone with eyes you would like as a goal.