A single eyelid, also known as a monolid, refers to an upper eyelid without a visible crease. This eyelid shape is most commonly seen in individuals of East Asian descent, affecting approximately 50% of the Asian population, though it can occur in other ethnic backgrounds as well.
While monolids are a natural and beautiful eye shape, some patients seek cosmetic enhancement to create a double eyelid crease–either to open the eye area, improve eyelid symmetry, or make makeup application easier.
At her practice in Irvine, Dr. Melanie Ho Erb is one of the most trusted specialists in Asian eyelid surgery. She has performed hundreds of successful procedures for patients from Orange County, Los Angeles, and Southern California who wish to create or enhance an upper eyelid crease.
Dr. Erb performed eyelid surgery and ptosis to remedy drooping eyelids and brows. Photo posted is 4 months post-surgery. I am thrilled. I feel “awake” and I often don’t even bother with makeup, it’s that much of a difference. I would recommend her to everyone. She is so friendly, knowledgable and extremely professional–as is her staff.
What Causes Monolids?
Monolids are genetic and occur due to differences in the structure of the eyelid anatomy. Specifically:
Absence of a Crease
Attachment In monolids, the skin of the upper eyelid does not attach firmly to the levator aponeurosis (the muscle responsible for lifting the eyelid), preventing the formation of a visible crease.
Thicker Upper Eyelid Skin
Monolid patients often have thicker skin and more preseptal fat, contributing to a smooth upper lid contour without a crease.
Natural Ethnic Variations
These anatomic differences are completely normal and not a “defect” but rather a natural variation in eyelid anatomy.
Many patients with monolids love their natural look, while others desire a subtle, natural-looking crease to enhance their eye shape without losing their ethnic identity.
Cosmetic Solutions for Monolids in Irvine
The most common treatment for single eyelids is Asian Double Eyelid Surgery (Asian Blepharoplasty). This specialized procedure creates a defined, natural-looking crease in the upper eyelid.
How Asian Eyelid Surgery Works:
Dr. Erb customizes the procedure based on your anatomy and goals, using techniques such as:
Incisional Method
Ideal for patients with thicker eyelid skin or excess fat. Involves a small incision to create a permanent crease.
Suture Method (Non-Incisional)
Uses strategically placed sutures to form a crease without cutting the skin. Best for patients with thin eyelid skin and no excess fat.
Hybrid Approach
Combines the incisional and suture techniques for patients who require both fat removal and crease creation.
Fat removal or repositioning may also be performed to refine the upper lid contour and ensure the crease looks natural and symmetrical when the eyes are open or closed.
Why Choose Dr. Melanie Ho Erb for Monolid Treatment?
As a double board-certified oculoplastic surgeon and an Asian female surgeon herself, Dr. Erb understands the cultural and aesthetic significance of the monolid and the desire for a natural-looking enhancement. She carefully listens to each patient’s goals and customizes the procedure to respect and preserve their unique ethnic features.
Patients throughout Irvine, Orange County, and Los Angeles choose Dr. Erb for:
- Extensive experience in Asian eyelid surgery
- Subtle, natural, non-Westernized results
- Honest, transparent consultations
- A warm, patient-centered approach
Schedule Your Monolid Consultation in Irvine
If you’re considering a crease enhancement procedure or want to learn more about monolid correction, trust the expertise of Dr. Melanie Ho Erb. She offers thoughtful, customized care to help you achieve your aesthetic goals while preserving your natural beauty.
Schedule your consultation in Irvine today and discover how Asian double eyelid surgery can enhance your eyes safely and naturally.
Medically reviewed by Melanie Ho Erb, M.D. on