This is a young Asian woman who wanted to make only moderate changes to the appearance of her crease. Using an incision method Asian eyelid surgery was performed also utilizing minor anchoring suture techniques to very slightly move the existing eyelid crease 2 mm superiorly. She now has improved but not perfect symmetry and a more noticeable crease with brighter eyes but still a very natural looking Asian eyelid. She now can wear eyeliner with confidence and less smudging.