Asian Eyelid Surgery Resource

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Repair of Advanced Orbital and Eyelid Deflation
Following Double Eyelid Surgery

(Revision surgery by Dr. Frank Meronk)

This young patient had incisional double eyelid surgery performed elsewhere nearly three years earlier. When seen in our office, each upper lid demonstrated:

• multiple skin folds rising high up the lid
• no main crease
• loss of normal youthful volume (hollowness)
• mild ptosis (lid droopiness)

Without adequate volume extending forward from the deeper socket, the eyelid skin crumples into multiple uneven folds, much like a deflated balloon.

Some surgeons recommend excising more skin to create one dominant fold, an inappropriate maneuver that may leave the lid too tight and short of outer covering to close fully and may all but preclude the possibility of future reinflation.

In downgaze, lids are already tight with no extra skin

Upon surgical exploration, the area beneath the skin and closing muscle was found to be essentially devoid of remaining fat.

Missing volume was replaced by moving a large but smooth flap of orbital fat out of the socket and across the barren expanse of lid (internal orbital fat relocation).

The deeper orbital fat was then replenished by grafting pearl-sized pieces of fat obtained from the lower abdomen into the anterior socket (orbital fat grafting).

A crease was created using deep fixation over the newly-inflated lid. The mild ptosis present preoperatively self-corrected with volume restoration.

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 multiple folds

• More on revision after double eyelid surgery

Basics Overview: Why Do It? | "Asian" and "Occidental" Defined Why Asian and Occidental Eyelid Surgery Are So Different Eyelid Features | Anatomy | The Eyelid Crease | Epicanthal Fold Premature Hollowing | Eleven FAQs | Related Topics Stabilization of the Variable Eyelid Crease Surgery for Natural Crease Asymmetry Blepharoplasty in Patients of Mixed Descent Upper Surgery Without Crease Formation Double Eyelid Surgery in Men | Epicanthoplasty

Double Eyelid Surgery Options Surgical Options for Upper Eyelid Crease Formation Incisional Method | Suture Method Pros & Cons of Incisional Double Eyelid Surgery (Premium only; no preview) Pros & Cons of the Suture Method (Premium only; no preview) Patient Options Preoperative Preferences | Age Restrictions Best Height and Shape for the Asian Crease (Premium only; no preview)

Double Eyelid Surgery Photos Before-and-After Photos Closeup Views 12 Two Eye Views 12 Primary Surgery Photographed Step-by-Step Asian Double Eyelid Surgery | Epicanthoplasty Videos New Ideas Regarding Crease Formation (Premium Edition only; no preview) Video Morphs and Slideshows

Healing After Double Eyelid Surgery Experiencing Asian Eyelid Surgery | Care After Surgery Recovery | The Upper Eyelid Scar Photos During Recovery Healing in Stages 1234 Scar Maturation Videos Healing After Double Eyelid Surgery (Premium Edition only; no preview) The First Eight Weeks After Surgery

Risks, Complications, Revision Risks| How Precise Are the Results Revision After Unsatisfactory Double Eyelid Surgery Consequences of Excessive Fat Removal Revision 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

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 Photos Before-and-After Photos of Asian Upper Fat Grafting Video Fat Preservation in Double Eyelid Surgery (Premium Edition only; no preview)

Other Challenges in Asian Eyelid Surgery Drooping Upper Eyelid Ptosis Correction - Basics | Ptosis Correction - Advanced Lower Eyelid Fullness Asian Lower Blepharoplasty

	Asian Plastic Surgery Information on all types of Asian cosmetic surgery		Premium Edition Upgrade The ultimate consumer eyelid surgery reference
	Upper Blepharoplasty Cosmetic surgery for the upper eyelids		Lower Blepharoplasty Cosmetic surgery for the lower eyelids
	Healing and Recovery Before and after upper and lower blepharoplasty		Blepharoplasty Photos Before-and-after patient photos
	Insider's Guide to Blepharoplasty Advanced online book		Eyelid QuickNotes Compare and contrast procedure pros and cons
	Blepharoplasty Introduction to cosmetic eye surgery with FAQs		Eyelid Surgery Videos View an analysis of actual patients and their results
	Eyelid Owner's Manual Articles on eyelid care and maintenance		Operations Step-by-Step Cosmetic eyelid surgery shown start to finish
	Atlas of Eyelid Anatomy Pictures and diagrams of lid and facial anatomy		Revision Blepharoplasty Unsatisfactory results after cosmetic eye surgery
	Asian Eyelid Surgery On Asian blepharoplasty and double eyelid surgery		The Hollowed Eyelid Restoring fullness to hollowed & sunken eyes

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