Asian blepharoplasty, in essence, is the complex art of creating an upper eyelid crease. The surgery and techniques appear deceptively simple, but are unforgiving to those who approach such undertakings as a general Westernization procedure. Joseph K. Wong, MD, FRCSC, and colleagues review their modifications of the continuous buried tarsal stitch procedure in 1648 patients. The authors highlight the simplicity, reproducibility, and operative success using this technique while lowering the overall complication rate in this extensive clinical series. Perioperative, intraoperative, and conceptual illustrations convey with clarity the essentials of this aesthetic procedure.