Meronk Eyelid Plastic Surgery





Asian Eyelid Surgery Resource




Cosmetic Blepharoplasty for the
Asian Eyelid



 



Caution: Actual Surgery Photos

 
 

Upper Eyelid Crease Revision
Photographed from Start to Finish

(Surgery by Dr. Frank Meronk)

To bypass surgery photos, click

Before


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 eyelid (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)


3. 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


6. The donor fat has been splayed apart to create a thinner, wider zone of buffering


7. Crease shape assessed prior to suturing of the wound


8. 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 rounded and eyelid ptosis

 
 




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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