Asian Eyelid Surgery Resource
Cosmetic Blepharoplasty for the
Asian Eyelid
Caution: Actual Surgery Photos
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Photographed from Start to Finish
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This patient was unhappy with both upper hollowness and asymmetry following incisional double eyelid surgery performed elsewhere as well as ptosis (or eyelid droopiness). The left crease is too high and semilunar in shape as it approaches the nose (top arrow) and does not match the desired crease on the right side. Such an outcome is typically associated with excessive fat removal.
Lowering a crease is difficult and requires undoing the results of the original surgery, buffering the internal scar with fat to prevent reformation and restore volume, and recreating a new crease.
In this case, donor fat was obtained from the slight excess present in the patient's left lower orbit (lower arrow). The incision was made on the inside of the lid to avoid creation of an external scar.
Note that smaller imbalances following double eyelid surgery are the norm rather than the exception. Crease revision is an invasive and challenging operation and should not be undertaken unless the asymmetry is a substantial bother to the patient.
The principles illustrated below are applicable to both Asian and non-Asian patients.
1. Skin incision is placed just below the existing scar in the nasal two-thirds of the eyelid No skin is removed.
2. Dissection reveals retained internal sutures (small black dots)
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MISSING3. Higher dissection reveals deficiency of normal fat
4. An incision placed on the inside of the lower eyelid exposes the site from which donor fat will be obtained
5. Fat graft from lower eyelid is shown in the recipient bed. It is later splayed apart to create a thin but wide zone of buffering and sewn into proper position to erase the previous surgical crease. 6. Crease shape assessed prior to suturing of the wound
7. Entry wound closed. After healing, the skin just above the scar will drape to cover the incision.
Result
(patient also underwent bilateral ptosis repair)
Before
After
More Examples of Complex Asian Eyelid Revision
Caution: Actual Surgery Photos
Crease undefined and multiplied Crease high, hollowed, and asymmetric Crease rounded and eyelid ptosis No crease after two operations Excessive scarring and mulitple folds
• View before and after photos of another patient having this operation
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Double Eyelid Surgery Options Surgical Options for Upper Eyelid Crease Formation Incisional Method | Suture Method Pros and Cons of Incisional Double Eyelid Surgery (Premium Edition only) Pros and Cons of the Suture Method (Premium Edition only) Patient Options Preoperative Preferences | Age Restrictions Best Height and Shape for the Asian Crease (Premium Edition only) |
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Double Eyelid Surgery Photos
Primary Surgery Photographed Step-by-Step Asian Double Eyelid Surgery | EpicanthoplastyVideos New Ideas Regarding Natural and Surgical Crease Formation (Premium Edition only) Video Morphs and Slideshows |
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Healing After Double Eyelid Surgery Experiencing Asian Eyelid Surgery | Care After Surgery Recovery | The Upper Eyelid Scar
Videos Healing After Double Eyelid Surgery (Premium Edition only) The First Eight Weeks After Surgery |
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Risks, Complications, Revision Risks | How Precise Are the Results Revision After Unsatisfactory Double Eyelid Surgery Consequences of Excessive Fat Removal Revisional Surgery Photographed Revision to Treat Multiple Folds Revision to Lower and Reshape the Crease Revision for Hollowness and Ptosis After Multiple Surgeries Healing After Double Asian Eyelid Revision Surgery Restoration of Deflated Eyelid Using Fat |
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Fat Loss and Multiple Folds in the Asian Upper Lid Basics Premature Hollowing in the Asian Upper Eyelid Surgical Fat Loss After Double Eyelid Surgery Treatment Options for Asian Upper Hollowness Hollowness in the Non-Asian Upper Eyelid Photos Before-and-After Photos of Asian Upper Fat Grafting Video Fat Preservation in Asian Double Eyelid Surgery (Premium Edition only) |
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Other Challenges in Asian Eyelid Surgery Drooping Upper Eyelid Ptosis Correction - Basics | Ptosis Correction - Advanced Lower Eyelid Fullness Asian Lower Blepharoplasty |
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Asian Plastic Surgery Information on all types of Asian cosmetic surgery |
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Premium Edition Upgrade The ultimate consumer eyelid surgery reference |
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Upper Blepharoplasty Cosmetic surgery for the upper eyelids |
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Lower Blepharoplasty Cosmetic surgery for the lower eyelids |
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Healing and Recovery Before and after upper and lower blepharoplasty |
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Blepharoplasty Photos Before-and-after patient photos |
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Insider's Guide to Blepharoplasty Advanced online book |
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Eyelid QuickNotes Compare and contrast procedure pros and cons |
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Blepharoplasty Introduction to cosmetic eye surgery with FAQs |
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Eyelid Surgery Videos View an analysis of actual patients and their results |
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Eyelid Owner's Manual Articles on eyelid care and maintenance |
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Operations Step-by-Step Cosmetic eyelid surgery shown start to finish |
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Atlas of Eyelid Anatomy Pictures and diagrams of lid and facial anatomy |
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Revision Blepharoplasty Unsatisfactory results after cosmetic eye surgery |
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Asian Eyelid Surgery On Asian blepharoplasty and double eyelid surgery |
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The Hollowed Eyelid Restoring fullness to hollowed & sunken eyes |
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