With all this talk about the eyes and upper blephs, the conversation has to turn to a type of blepharoplasty known as double eyelid surgery or Asian eyelid surgery, which is a completely different surgery than an upper bleph or brow lift, explains Gabriel Chiu, DO, a board-certified plastic surgeon and founder at Beverly Hills Plastic Surgery in Beverly Hills. While an upper bleph is designed to remove excess skin, muscle, and fat from the upper eyelid to correct droopy lids, he explains, Asian eyelid surgery is a specialized procedure to create or refine what’s known as the “supratarsal crease” (the fold that forms the “double eyelid”).