Asian double eyelid surgery is one of the most popular forms of cosmetic plastic surgery in Japan. Also known as Asian blepharoplasty, it has become very popular among the younger set. Asians in their teens, as well as those in their 20s and 30s, opt for Asian double eyelid surgery. This procedure is not, as the ages indicate, for rejuvenation. Instead, Asian double eyelid surgery has as its goal the creation of a new eyelid crease. This type of eyelid surgery applies only to the upper eyelid. It involves creating a crease. Controversy surrounds the practice as some define Asian double eyelid surgery as an attempt to obtain a more westernized or Occidental eye. Other surgeons feel it simply provides the Asian individual with a modified eyelid quite in keeping with Asian cultures since approximately half of all Asians are already born with a double crease. The legitimacy of Asian double eyelid surgery is not in dispute. The surgeon should follow the guidelines established by the American Society of Plastic Surgeons. He or she must have a minimum of 5 years surgical training and 2 years of plastic surgery. Knowing your doctor is qualified and certified will prevent possible disfigurement and the ensuing legal problems.