Cosmetic Blepharoplasty for the
Asian Eyelid

In our experience, the only effective method to address moderate to advanced eyelid hollowness is by grafting of structurally-intact fat into the orbit, or deeper space around the eye. While such treatment can help to restore depleted orbital fat, it cannot correct any other tissue deficiencies such as missing skin or muscle. Likewise, deformity caused by external or internal scar tissue from any prior surgery will not be helped.

Thus, the degree of correction of any postsurgical deformity will vary significantly from patient to patient, depending upon the specific nature and severity of tissue loss in each case. Patients with pure orbital fat deficiency on the basis of genetics rather than previous surgery generally do the best.

In patients with eyelid problems caused by multiple tissue deficiencies and scarring, any improvement after orbital fat grafting may be minimal or disappointing.

Mild depressions are best left alone. For more noticeable defects, a realistic goal is to achieve an improvement that looks more natural but not a complete or near-complete elimination of what is usually a multi-factorial problem. With even the most advanced revisional surgical techniques currently available, some complications may not respond in a predictable or satisfactory manner . . .