Asian Upper Blepharoplasty DoubleFold Procedure

Authors: Takayanagi Susumu

Publish Date: 2007/11/01

Volume: 27, Issue: 6, Pages: 656-663

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Abstract

The author describes how to create a double eyelid in Asians by use of three different techniques noting advantages and disadvantages related to postoperative swelling and recovery time wrinkle removal scarring and longevity of results Technique selection is based on patient preference and careful evaluation of patient skin and upper eyelid fat tissueThe “double eyelid operation” is the most commonly requested aesthetic surgery among Asians Creation of a double eyelid may make the eye appear larger younger and more attractive In older patients double eyelid surgery performed with the incision technique may be useful in treating “sunken eye deformity” removing wrinkles or improving sagging of the eyelid skin There are also patients who request enlargement of the double eyelid widthThe incision method is a reliable technique that has the additional benefit of removing wrinkles between the new double eyelid line and eyelashes This technique is also useful in those who desire a wider or narrower double eyelid or in those who have slight sunken eye deformity6 If patients wish to change the direction of the eyelashes to angle them slightly upward the incision technique should be the method of choiceAsian patients with a history of atopic dermatitis or asthma even if only during childhood must be advised that the scar will be noticeable in 70 to 80 of cases Also if a patient has prominent scars in other areas it is important to evaluate the quality of those scars because the eyelid may scar in a similar mannerIn patients with very white red or oily skin scars will not be visible In patients with dry or dark skin or in patients who demonstrate pigmentation in the same spot in which previous acne vulgaris lesions have occurred in most cases scars will be very visible

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