Asian Upper Blepharoplasty Double-Fold Procedure Aesthetic Surgery

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For a double eyelid lift, excess skin and fat may be removed during this procedure for additional rejuvenation. Asian eyelid crease surgery can be performed to create a “double eyelid” appearance. This is often the ultimate goal 澳洲 整形 for patients with poorly defined creases or to even out asymmetric creases. Following a similar procedure to eye skin malposition, there are two main types of techniques for Asian blepharoplasty or eye fold crease formation.

This study included 250 patients who underwent double-eyelid blepharoplasty between March 1997 and November 2012 using a modified single-knot continuous buried non-incisional technique. Both ends of the sutures were knotted within a lateral stab incision of the upper eyelids and were buried in the orbicularis oculi muscle. If you're looking for a way to restore your vision, reduce drooping and sagging skin, and give yourself a more youthful appearance, an upper blepharoplasty may be the answer. In this procedure, the doctor will make careful incisions and remove excess fat and skin from the upper eyelid. In this way, your upper eyelids can be revitalized, leaving you with a more awake, refreshed look. These careful steps will lead to the best aesthetic and functional result.
She is experienced in approaching various specific eyelid characteristics for different ethnicities, especially Asian cultures. In people with mild ptosis, the plication of the levator muscle can open the eyes more. The supratarsal and epicanthal fold should be crisp, but not too deep. Surgery, in this case, may result in an unnatural appearance. The local findings of the upper eyelid are shown in Table ​ Table2.
Avoid encircling the orbicularis oculi, levator and Mueller’s within any permanent buried suture loops. Each of these 3 layers serves a different function and needs their own space; bonding them together creates an undesirable union. To position the crease higher than ideal position will risk high anchoring with resulting lagophthalmos, high crease and asymmetry.

Eyelid surgery is performed under general anesthesia as an outpatient procedure and generally takes up to 2 hours for both the upper and lower eyelids to be addressed. Double eyelid surgery is typically shorter and can be completed in approximately an hour and only require local anesthesia. Blepharoplasty is a cosmetic plastic surgery to rejuvenate the upper and/or lower eyelids and dramatically improves the appearance of tired, droopy eyes. Aging & sun exposure contributes to the appearance of wrinkles, bagginess under the eyes and sagging of the eyelids, thus make you look older, appear tired/fatigue or sad looking. In some patients, eyelid ptosis was still evident even with the release of the attachment of the high fold to the levator aponeurosis. In cases of residual eyelid ptosis, the levator apeonuerosis was separated from the Müller muscle.
It is important that your surgeon carefully understands these differences to achieve the best and most natural looking results. Dr. Lee has written textbook chapters and lectured on Asian eyelid surgery. He has trained and learned from oculoplastic surgeons who are world experts in Asian eyelid surgery in Southern California, Korea, China, Japan, and Brazil. This 16-year-old Asian/Latina patient was bothered by her squinty eyes, heavy upper eyelids, and lower lids with lashes that curled inwards and rubbed on her corneas. Understanding the differences in anatomy in the occidental and oriental eyelid is essential when performing blepharoplasty surgery in this population.

The sutures or surgical tape used to close the incisions will be removed within a week or two. Dr Hong specializes in aesthetic and plastic surgery of the face, including blepharoplasty or double eyelid surgery. He is in private practice but is still actively involved in the Public health sector as a lecturer and a visiting consultant at various hospitals. The recovery period for double eyelid surgery usually takes 2 to 4 weeks. Suture surgery patients heal faster compared to those who had incisional surgery. The pretarsal skin height is the distance between the upper eyelid margin and the upper eyelid crease, observed at the midpupillary line with the eyes in primary gaze (Fig.1a).
The result for eyebrow height of the Malays from current study did not differ much from that reportedly by Dharap & Reddy10. The mean eyebrow height for Malay male and Malay female in this study were 11.42 mm and 10.84 mm respectively. In comparison, the mean eyebrow height was 11.7 mm for male and 11.0 mm for female in Dharap & Reddys’ study10. One possible explanation for the similarities in result can be because of the further distance of eyebrow from upper eyelid lashes as compared to PTSH on primary gaze. Hence, there would be less eyebrow and eyelid movement during manual anthropometry measurement, resulting in more consistent measurements. All 3 methods of creating the double eyelid can provide the desired aesthetic outcome and a high degree of patient satisfaction.
A typical Asian eyelid surgery is performed as an outpatient procedure under local anesthesia. It can also be completed in combination with other facial rejuvenation procedures. When upper eyelid surgery is performed to tighten the drooping skin that obscures a patient’s vision, it is considered a functional procedure and may be covered by medical insurance. When upper blepharoplasty is executed specifically to create a younger appearance for the eyes, it is considered a cosmetic procedure. In general, many of these conditions are caused by changes in the skin around your eyes due to ageing.

You should consult your practitioner whether they have experience doing male bleparoplasty, this is important so you don’t end up with feminine eyelid result. What the major difference between male and female blepharoplasty? Basically female upper eyelid crease is higher than male upper eyelid crease and eyebrow is more level. What is more important than the “cheapness” of the surgery is expertise of the practitioner.
The black arrow shows the stitch position for the TOS fixation. The upper and lower black triangles show the orbicularis oculi muscle of the upper flap and lower flap, respectively. The whitish tissue underlying the middle black dotted line is the untapped orbital septum. The tissue held by the forceps is the downward-turned distal septal flap, the edge of which is shown by the black dotted line. The surgery takes place underlocal anesthesia, with or without oral sedatives. The skin stitches will be removed 4-6 days after the surgery at our office.

Late-onset suture extrusion accompanied by chronic inflammation of the tarsal plate was also seen (Fig. ​ (Fig.3). Skin suture extrusion and a superficially located suture knot were other cutaneous findings (Fig. ​ (Fig.5B). These patients had no uncomfortable ocular symptoms, and they requested the surgical procedure for cosmetic purposes. These sutures were easily removed using the small skin incision method.