An epicanthic fold is a skin fold of the upper eyelid that covers the inner corner medial canthus of the eye. Asian authors have found the location of the orbital septum fusion site with levator aponeurosis to be a main factor in eyelid crease formation. Pdf lowering of the high eyelid crease in revision upper. Some also have extra skin and fat, which creates a hooded look. Half of all asian teenagers show at least some lid fold, crease, or double eyelid characteristics. Comprehensively updated, this multimedia resource features the addition of eight new chapters covering todays most advanced concepts. Patients often choose this surgery to alter the appearance of asian singlelidded eyes so that they have a lid fold like the western. Techniques, principles and benchmarks in asian blepharoplasty. Nearly 50% of asians are born with eyes that have single eyelids, in which there is no crease that forms in the top lids when the eyes are open.
Many procedures for doubleeyelid plasty have been reported since the suture technique was described by mikamo 1 in 1896. Keywords asian blepharoplasty, asian oculoplastic surgery, epicanthoplasty, supratar. Asian eyelid surgery beverly hills double eyelid surgery. Asian eyelid crease surgery can be performed to create a double eyelid appearance in those with poorly defined creases or to even out asymmetric creases. Double eyelid surgery uk asian blepharoplasty mr david. However, the definition of a beautiful upper eyelid in orientals is still not defined. The upper eyelid crease is what determines if you have a single eyelid monolid or double eyelid. In white women, the crease is usually 811 mm above the lid margin. Some patients do not have a prominent upper eyelid crease, so blepharoplasty can complete a double eyelid surgery to create that crease. You have a very good symmetric result, however, if you are absolutely sure you want a higher crease, this is achievable. During an asian blepharoplasty, the skin around the eye is reshaped in order to alter the eyelid. Asian blepharoplasty and the eyelid crease, 2nd edition, is an update to the authors previous book, asian blepharoplasty, published in 1994. After double eyelid surgery, the resultant fold can be too low small or too high large. Upper eyelid crease asymmetry and hollowing of the superior sulcus were assessed before and after treatment.
I am 9 days post op after having asian eyelid surgery, and my eyelid crease size are at least 2 times bigger than what i wanted and what i think looks good on me. Asian blepharoplasty and the eyelid crease 2nd edition. The following section discusses aesthetic surgery including procedures such as brow lift, upper and lower blepharoplasty, midface lift, treatment of malar bags and. Patients may also complain about pretarsal fullness that has. Asian blepharoplasty and the eyelid crease 2nd edition pdf free. The author recognized that an updated version was necessary to describe the evolution of his personal experiences as well as to elaborate on the revision and correction of suboptimal results in more detail. Asians who are monolid typically have thicker eyelids because of. Asian eyelid morphologies are categorized into six types. Westerners commonly perceive the east asian upper eyelid as a single eyelid. Surgical creation of a superior palpebral fold, known as the doubleeyelid operation, is the most popular cosmetic surgery in asia and the third most frequently requested surgery including noncosmetic procedures among asian americans 1. The literature on this procedure has focused mainly on the evolving technical aspects. For all patients, hyaluronic acid fillers restylane, medicis, scottsdale, ariz. Zoumalan performs on people of different ethnicities but mainly those from asian descent.
The field of asian aesthetic oculoplastic surgery is a rapidly growing area with upper eyelid blepharoplasty ranking as the most commonly performed procedure in asian aesthetic surgery. Patients seeking revision surgery may present a myriad of findings. Main asian blepharoplasty and the eyelid crease 2nd edition. Double eye is commonly used among asians to denote an upper eyelid with a dominant crease in its lower aspect and some visible pretarsal or sublid crease skin, if only in the lateral eyelid portion.
Enhancing the asian eye with double fold eyelid procedure. Surgical creation of a superior palpebral fold, known as the double eyelid operation, is the most popular cosmetic surgery in asia and the third most frequently requested surgery including noncosmetic procedures among asian americans 1. However, variation occurs in the nature of this feature and the possession of partial epicanthic folds or slight epicanthic folds is noted in the relevant literature. Double eyelid surgery or asian blepharoplasty creates a natural. When the double eyelid touches the epicanthal fold, it is. Divided into 5 sections, the book begins by covering the fundamentals including periorbital and eyelid anatomy, eyelid function, innervation, biomechanics, and tissue grafts. The new crease is higher than it looks since your actual crease is hidden under a skin fold. Anthropometry analysis of beautiful upper eyelids in. All patients had eyelid crease asymmetry or undesirably elevated eyelid creases along with hollowing of the upper eyelids. Pdf the eyelid of asians has its own unique characteristics. Chens asian blepharoplasty and the eyelid crease was designed to help you master the latest techniques used in this highly popular surgery. There is no denying the beauty of asian eyes, but to some women and men of asian descent desire a more distinct fold.
Asian blepharoplasty and the eyelid crease 9780323355728. Asian blepharoplasty and the eyelid crease, 3rd edition. Asian skin can camouflage frontalis function or activation. Note the asymmetry between the upper eyelid creases, with a single fold in the right upper lid and double fold in the left upper lid. Asian blepharoplasty, also known as double eyelid surgery or eyelid crease fixation, is one of the most popular cosmetic procedures in asia. There are relatively few fibers or no attachment from the levator aponeurosis toward the skin along the superior tarsal border. Asian blepharoplasty and the eyelid crease, 3e original. Some of the parameters contributing to suboptimal results are outlined. Asian blepharoplasty and eyelid crease surgery photos. I had wanted more of a small to medium crease, about 46 mm in size, but my eyelid crease is very high, measuring at about 8 mm. B low eyelid crease lowseated, nasally tapered, including hidden fold. Double eyelid surgery, or asian blepharoplasty is a unique procedure used to create or enhance an upper eyelid fold in those who lack the fold from birth or who have weak or uneven folds.
Beautiful upper eyelids can make one feel more attractive and confident. Asian blepharoplasty and the eyelid crease, 2nd edition. Asian blepharoplasty can be followed by brow drop, especially in those with borderline brow position or reflex frontalis activation. Complications of asian upper blepharoplasty and their. Correction of the high crease by revision surgery is challenging and has not been wellreported. High placement of the lid crease is a common complication in upper eyelid surgery. In 2017 alone, 145,390 blepharoplasties were performed in the united states. Chen md ideal for plastic surgeons, ophthalmologists oculoplastic, facial plastic. Double eyelid surgery orientalasian blepharoplasty dr. Double eyelid surgery asian blepharoplasty dr chris. A medical approach to forming a complete eyelid crease. Electron microscopy has shown that, in asian individuals with a gradual double eyelid crease, bunched fibers of levator aponeurosis penetrate through orbicularis muscle to fuse with the skin in the palpebral sulcus. Ideal for plastic surgeons, ophthalmologists oculoplastic, facial plastic and cosmetic dermatologic surgeons, dr.
The creation of a crease or fold in the upper eyelid is a common surgery performed on individuals of asian descent. Asian blepharoplasty eyelid crease surgery in beverly hills. Upper eyelid blepharoplasty in asians often refers to doubleeyelid plasty and epicanthoplasty because about half of asians lack an upper eyelid crease, socalled single eyelids. Chens asian blepharoplasty and the eyelid crease was designed to help you master the latest techniques used in. Asian blepharoplasty and the eyelid crease ebook kindle. It is hoped that this will help illuminate some of the hazards that practitioners of this form of aesthetic eyelid surgery may encounter.
Asian blepharoplasty and the eyelid crease 2nd edition william p. Asian blepharoplasty, sometimes called double eyelid surgery is a specialized type of upper eyelid surgery. Your complete guide to double eyelid procedures is here. About half of the asian population has a natural eyelid crease, but in some instances, the crease is incomplete. Common in people with asian ethnicity, the absence of an eyelid fold is due to an anatomic difference in the eyelid structure when compared with those with a. Crease and pretarsal show tapers from lateral to medial.
Read book asian blepharoplasty and the eyelid crease, 3e. Sometimes there is a welldefined lid crease on one side with no visible crease on the other side. Caucasians may often have a supratarsal sulcus distinct from an eyelid crease. The main objective of this article is to provide simplification and reorganization to the surgical procedures of this topic, namely supratarsal crease surgery and epicanthoplasty techniques. The aim of this study was to define the most beautiful upper eyelids in orientals. Asian blepharoplasty, also known as doubleeyelid surgery, involves the surgical creation of a supratarsal crease. For years, it has been one of the most popular procedures performed in north american and east asia i.
Blepharoplasty is a common surgery of the eyelids that addresses eyelid skin redundancy or laxity and also fat prolapse. Asian blepharoplasty and the eyelid crease 3rd edition. However, east asian eyelids are divided into three types single, low, and double based on the presence or position of the lid crease. Participants, who met the inclusion criteria such as asian ethnic, ages between 18 and 25 years, and double eyelid fold, were conducted. This supratarsal crease is the fold in double eyelid surgery. Comprehensively updated, this multimedia resource features the addition of eight new chapters covering todays most advanced. Asian blepharoplasty, also known as double eyelid surgery, involves the surgical creation of a supratarsal crease. Read book asian blepharoplasty and the eyelid crease, 3e for free by william p. Their pretarsal and preseptal zones are thicker compared with caucasians or asians who have an eyelid crease fig.
In contrast, the asian eyelid has more fullness of the upper eyelid, a lower lid crease, and narrower palpebral fissures. The double eyelid operation, or surgical creation of a supratarsal crease, is the most commonly performed aesthetic procedure in asia. If you are asian, you may have one of several types of eyelid creases or you can have 2 different types, one for each eyelid. In many east asian cultures, a high eyelid crease is associated with an aggressive or antagonistic personality. Asian eyelid surgery is a type of cosmetic eyelid surgery, which dr. Asian blepharoplasty, or double eyelid surgery deals with several kinds of upper lid procedures, but the primary focus is the upper eyelid crease. Following a similar procedure to eye skin malposition, there are two main types of techniques for asian blepharoplasty or eye fold crease formation, namely incisional and nonincisional. Modifying the upper eyelid crease in asian patients with. Ideal for oculoplastic, facial plastic and cosmetic dermatologic surgeons, dr. The results from blepharoplasty include widened, more alert, youthful eyes. Following surgery to the right upper lid, a lid crease was formed creating more symmetric naturalappearing eyes. High double eyelid fold correction using wide dualplane.
B a, b a advhons, b a advhons, m b b s, b med sc, b sc, b. Is asian blepharoplasty revision possible for higher crease. A fold that is too low can be easily corrected by making a higher fold, but correcting a higher fold can be difficult, especially if the upper eyelid does not have excess skin. Asian blepharoplasty and the eyelid crease 3rd pdf.
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