As an Asian American my upper eyelids are puffy and impede my vision

An Asian American blepharoplasty takes a certain amount of experience due to the fact that it is important to remove the necessary skin and increase the patient's vision while at the same time maintaining the ethnic appearance. If you have experience with this particular procedure you certainly can do what you would like, which is create a less puffy upper eyelid and still maintain an Asian looking appearance to the eyelid.