Cosmetic surgery and aesthetic dentistry go hand in hand. As dentists, we are trained to analyze aesthetics from the features of the skeletal pattern and dental malocclusion, symmetry of the face, measurement of golden proportions and the features of the smile line. However, several facial ethnic features such as a ‘single eyelid’ may cause a person to be deemed as aesthetically challenged due to Western influence. This article reviews the prevalence of single and double eyelid in Asians and explains why some present with either one or double eyelids. The readers are also introduced to the term “Asian Blepharoplasty”.