| • Other names: Double eyelid surgery
• Primary goal: Creation or modification of an upper eyelid crease
• Secondary goals: Removal of excess tissues as with conventional surgery
• Special anatomy: One major anatomical difference between Asian and Occidental eyelids is that the orbital septum (the barrier that holds back the fat) extends lower towards the eyelid margin before attaching, which allows eyelid fat to drift further into the lid and interfere with some fibers from the levator (opening) muscle and tendon that might otherwise reach to the "back" of the eyelid skin (and help pull in a "crease" when the eye is opened). Diagram
• Anesthesia: Ideally, sedation should be kept fairly light so the surgeon can check the position of the new crease during the operation by asking the patient to open the eyes.
• Operative technique: The preferred approach requires a skin incision. Skin, muscle, and possibly fat removal are undertaken in a manner similar (but by no means identical) to non-Asian, or Occidental, upper eyelid blepharoplasty. The incision is placed differently and amount of tissue removed is . . . |
