Invited Discussion on: Orbicularis–White Line Fixation in Asian Blepharoplasty—Kiss Technique (original) (raw)
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Short incisional double-eyelid blepharoplasty for Asian patients
Aesthetic Surgery Journal, 2006
Background: The author found that nonexcisional techniques commonly used to create a double eyelid in Asian patients did not create a natural-looking fold, while most transcutaneous double-lid procedures involved unnecessary excision of eyelid skin and orbicularis muscle, which could increase tension on the scar and make it more noticeable. Objective: The author describes a technique for creation of a double eyelid, based in part on new anatomic findings, that uses a short incision to minimize the scar. Methods: The thick orbital septum was opened, the supratarsal tendon was divided, the central fat compartment was removed, and the dermis was fixed to the tarsal plate. Results: Between January 2000 and December 2004, 652 patients were operated using this technique. The mean age of the patients was 24 years. There were no serious complications. Four hundred twenty patients (64.4%) were followed up to 2 months, and 162 patients (24.8%) had 1-year follow-up. All had satisfactory results, except for 8 patients who underwent a second procedure to correct unequal folds 2 months postoperatively. Ten patients lost their supratarsal folds within 1 year postoperatively; all had satisfactory results after reoperation. Conclusions: The short incisional technique for creation of a double eyelid described here provides excellent results with no visible scar and no serious complications.
Archives of Aesthetic Plastic Surgery, 2014
Background Asian Aesthetic Oculoplastic Surgery is a fast-growing field, both within the United States and abroad. With growing interest, there have also been multiple terminologies used for the same concepts. This has created redundant and confusing language-prone to errors in patient-physician communication. In addition, there has been an upsurge of various techniques or variations to existing techniques that has created unnecessary confusion among plastic surgeons. The objective of this article is to provide organization and simplification to the terminology and to the techniques used in what some broadly refer to as "Asian Blepharoplasty" or perhaps more correctly termed Asian Aesthetic Oculoplastic Surgery. Methods Unified terminology, aesthetic goal and detailed operative technique of commonly conducted Asian blepharoplasty were suggested by experienced oculoplastic surgeons. Results The main procedures of Asian Aesthetic Oculoplastic Surgery including supratarsal crease surgery and medial epicanthoplasty were presented with figure and video in this paper. We also have provided author's preferred selection of the major techniques with evaluation of its advantages and disadvantages. Conclusions The most important element in patient satisfaction is clear communication of surgical expectations. Then, proper selection of the most suitable pre-operative design, type of surgery performed, and specific crease configuration based on the individual's anatomic and physiological characteristics can be achieved.
The Utilitarian Upper Eyelid Operation
Facial Plastic Surgery, 2010
Techniques in oculofacial surgery continue to develop as our understanding of anatomy and pathophysiology continue to evolve. While the centerpiece of the quest to rejuvenate the upper eyelid and brow has for years been the upper blepharoplasty, several modifications to traditional techniques have been developed that allow for enhanced outcomes utilizing less invasive approaches. Techniques discussed include removal of lower lid lateral fat via the upper blepharoplasty, a minimally invasive resuspension lateral canthoplasty performed via the upper eyelid exposure, brassiere lateral brow contouring closure, and correction of lower lid retraction by an ''en-glove'' technique.
Refinement in Asian blepharoplasty for the aging
Journal of Surgical Dermatology
Signs of an aging face beginning at the periorbital region are easily noticeable and may require surgical correction. The hanging of upper eyelids, tired look, and sunken upper eyelids are common symptoms and signs. Most of the described techniques of blepharoplasty for the aging emphasize on the excision of the hanging eyelid skin which will leave patients with long scar. However, eyebrow and eyelid ptosis are common among aging people. Therefore, undertaking only an upper blepharoplasty does not necessarily yield good aesthetic results. This paper describes a modified blepharoplasty technique with limited incision. The operation also includes eyebrow reposition and/or correction of eyelid ptosis that further improve results. An asymmetry of the frontalis muscle could cause asymmetry in the eyelid folds post-operatively. However, botulinum toxin injection may correct this problem.
Asian Blepharoplasty: The Indian Perspective
2021
The upper eyelid crease is an indentation at the level where fibers from the levator aponeurosis insert into the skin. Typically, Asian eyes are described as creaseless and puffy and the aim of blepharoplasty is to achieve an eyelid crease, without losing the ethnicity of the individual. We aim to describe the most commonly performed technique as well as the peculiar points to be kept in mind from the Indian perspective.