Asian blepharoplasty

Abstract

The author describes blepharoplasty and related techniques to achieve fresh, youthful, and attractive eyes in the Asian patient. Emphasis is on maintaining ethnic integrity and recognizing the need for appropriate adjunctive procedures. (Aesthetic Surg J 2002;22:558-568.).

30 Cosmetic Surgery of the Asian Face

“…Flowers 34 described the anchor-invagination technique in 1970-his technique for crease fixation is by using 6-0 absorbable sutures to pass through the dermis of the pretarsal skin flap to the superior aspect of the tarsus and to the free edge of the aponeurosis, and laterally, the aponeurosis is attached to the dermis. For skin closure, the suture catches the edge of the aponeurosis into the skin.…”

13 Double-Eyelid Surgery: Incisional Techniques

“…13.6b). 11 The amount of redundant skin excision depends on the pre-determined pretarsal show when the incisional technique is performed. Even though designed at the same height as the eyelid crease, the height of the crease is determined according to the amount of skin.…”

“…11 Lower-positioned transverse ligament or LPTL (arrow). Severing this ligament helps further excursion of the upper eyelid and is recommended when performing eyelid crease surgery.…”

Extended Preseptal Fat Resection in Asian Blepharoplasty

“…1,3 Moreover, the brow often drops after blepharoplasty such as "double eyelid" blepharoplasty or the correction of the blepharoptosis, 6 leading to the enhancement of the thickness of the eyelid because the preoperative compensation exerted by the frontal muscle is nullified. 2 Consequently, the patient is disappointed with the unnaturally thick and heavy eyelid after blepharoplasty.…”

“…[1][2][3][4][5] Thinness and pliability are vital for an esthetic eyelid with a superior palpebral fold, which is generally termed a "double eyelid" in Asian society. [1][2][3][4][5] Thickness derives from the inherent excess tissues of the eyelid, where the fullness and the heaviness are enhanced by brow ptosis with aging because the skin drooping from the supraorbital area is very thick. In blepharoplasty for Asians, for the purpose of debulking, the orbicularis oculi and the subseptal fat are often resected 2,4,5 ; however, the effect of this method is not satisfactory for some patients (Fig.…”