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Related Experiment Video

Updated: Mar 2, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
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Orbicularis-levator fixation in double-eyelid operation.

J I Park

    Archives of Facial Plastic Surgery
    |August 11, 2000
    PubMed
    Summary

    East Asian eyelids often lack a supratarsal fold, resulting in a smaller palpebral fissure. Double-eyelid surgery aims to create this fold by attaching eyelid skin to the levator aponeurosis, preventing relapse.

    Area of Science:

    • Oculoplastic surgery
    • Asian blepharoplasty
    • Facial aesthetics

    Background:

    • East Asian eyelids characteristically lack a supratarsal fold.
    • This absence leads to relaxed upper eyelid skin covering the tarsal margin, creating a 'slit-eye' appearance.
    • The levator palpebrae muscle/aponeurosis does not typically attach to the pretarsal skin in these individuals.

    Purpose of the Study:

    • To create a supratarsal fold in East Asian eyelids through surgical intervention.
    • To enhance the aesthetic appearance by increasing the visible eyelid crease.
    • To achieve a stable and natural-looking double eyelid that resists relapse.

    Main Methods:

    • Surgical procedures designed to create adherence between the levator aponeurosis and the eyelid skin.

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  • Techniques focus on establishing a reliable connection to form a permanent supratarsal crease.
  • Various methods aim to secure the levator aponeurosis to the pretarsal skin.

    • Main Results:

    • Successful creation of a supratarsal fold in East Asian eyelids.
    • Achieved a smooth, tight skin appearance below the new crease.
    • Established firm fixation to prevent the eyelid from reverting to a single fold.

    Conclusions:

    • Double-eyelid surgery effectively creates a supratarsal fold in East Asian patients.
    • The key to successful surgery is robust fixation between the levator aponeurosis and eyelid skin.
    • Preventing relapse requires strong adherence, moving beyond methods relying solely on loose cicatrization.