A double eyelid refers to an upper eyelid with a visible crease that separates the mobile eyelid from the fixed portion of the lid. This crease creates the appearance of a larger, more open eye and is considered a desirable feature by many individuals of East Asian descent, though not all are born with it.
Roughly 50% of Asian individuals are naturally born without a defined upper eyelid crease, resulting in what is called a monolid. Some patients choose to enhance their eyes with a procedure known as double eyelid surgery to create a crease that looks natural and harmonizes with their facial features.
At her oculoplastic surgery practice in Irvine, Dr. Melanie Ho Erb is a recognized expert in Asian eyelid surgery, helping patients throughout Orange County, Los Angeles, and San Diego achieve beautifully balanced, symmetrical eyelids.
Doctor Erb is very professional,she did two surgeries on my eyes,one is double eye lid,one is dacryocystostomy,she did good job!She took a lot of time on her patients,I often saw her no time to have her lunch.She keep all patients pictures before surgery and after,she treat each patient as a great art,using her hands to make people more comfortable and natural beautiful.I just finished my surgery 5 days,but feel recover fast,now look forward to the fantastic result.
Why Patients Choose to Create Double Eyelids
Every patient’s reasons for pursuing double eyelid surgery are unique, but some of the most common motivations include:
- Enhancing eye openness without changing one’s ethnic identity
- Improving makeup application by providing a visible crease
- Creating eyelid symmetry in patients with uneven creases
- Balancing facial proportions for a brighter, refreshed appearance
- Eliminating monolids or correcting partial creases
Importantly, many patients are not looking to “Westernize” their features but rather to create a crease that looks natural, soft, and uniquely theirs.
Treatment Options to Get Double Eyelids in Irvine
Dr. Melanie Ho Erb offers multiple techniques to safely and effectively create a double eyelid crease:
Surgical Techniques
Incisional Method
A permanent procedure involving a small incision to remove fat and create a defined, lasting crease. Ideal for patients with thick skin or excess fat.
Non-Incisional (Suture) Method
Uses fine sutures to form a crease without cutting the skin. Best suited for patients with thin eyelid skin and no extra fat.
Hybrid Approach
Combines both techniques for patients needing crease creation and fat removal.
Non-Surgical Alternatives
For patients not ready for surgery, temporary options such as eyelid tape or glue can be used to simulate a double eyelid–though these solutions are not long-term.
What to Expect During Your Double Eyelid Surgery Consultation
During your consultation at our Irvine office, Dr. Erb will:
- Evaluate your eyelid anatomy, skin thickness, and fat distribution
- Discuss your aesthetic goals and preferences
- Determine whether the incisional, suture, or hybrid approach is best for you
- Explain what to expect during recovery and healing
- Ensure your desired crease height and shape matches your facial structure
Her goal is to achieve results that look natural, subtle, and balanced, never overdone or artificial.
Why Choose Dr. Melanie Ho Erb for Double Eyelid Surgery
As a double board-certified oculoplastic surgeon and an Asian female surgeon herself, Dr. Erb understands the cultural and personal significance of double eyelid surgery.
She has helped hundreds of patients throughout Orange County, Los Angeles, and San Diego enhance their natural beauty with Asian blepharoplasty. Patients trust Dr. Erb because she:
- Prioritizes ethnic preservation and natural results
- Offers advanced, minimally invasive techniques
- Provides honest, clear communication
- Performs every procedure herself for the highest level of precision and care
Schedule Your Double Eyelid Consultation in Irvine
If you are considering creating a double eyelid or want to enhance your eye appearance safely and naturally, Dr. Melanie Ho Erb is here to help. Her expertise in Asian eyelid surgery has made her a trusted choice for patients across Irvine, Orange County, Los Angeles, and San Diego.
Schedule your consultation today and learn how double eyelid surgery can help you achieve brighter, more balanced eyes–while honoring your natural beauty.
Medically reviewed by Melanie Ho Erb, M.D. on