Managing the Asian Eyelid.

Facial Plast Surg Clin North Am

Department of Otorhinolaryngology/Head and Neck Surgery, Texas Center for Facial Plastic Surgery, McGovern Medical School at the University of Texas Health Science Center in Houston, 6431 Fannin Street, MSB 5.036, Houston, TX 77030, USA. Electronic address:

Published: November 2022

AI Article Synopsis

  • The Asian eyelid has unique anatomical characteristics that set it apart from the Caucasian eyelid, influencing surgical techniques and patient outcomes.
  • In younger patients, Asian blepharoplasty aims to enhance ethnic features, particularly by creating a supratarsal fold, commonly known as the "double eyelid."
  • For aging patients, it is important to consider issues like excess skin, drooping eyelids, and brow sagging, with specific techniques like infrabrow excision providing both functional and aesthetic improvements.

Article Abstract

The Asian eyelid has distinct anatomic features that distinguish it from the Caucasian eyelid. These anatomic features are responsible for the ethnic identity of the Asian eyelid and guide operative technique and intervention. In the younger patient, the goal of Asian blepharoplasty often centers on the enhancement of the ethnic eye features and the creation of the supratarsal fold often referred to as the "double eyelid." In the aging Asian eyelid, considerations should be made to evaluate and address dermatochalasis, blepharoptosis, and brow ptosis. In patients with significant lateral brow ptosis and lateral hooding, the infrabrow excision blepharoplasty technique may provide an additional functional and esthetic benefit.

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Source
http://dx.doi.org/10.1016/j.fsc.2022.07.009DOI Listing

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