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Surgical Correction for Pediatric Epiblepharon and Trichiasis
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Published on: July 8, 2025

Asian blepharoplasty.

Marilyn Q Nguyen1, Patrick W Hsu, Tue A Dinh

  • 1Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.

Seminars in Plastic Surgery
|August 3, 2010
PubMed
Summary
This summary is machine-generated.

This article explains the double eyelid surgery, a common cosmetic procedure for Asians lacking an upper eyelid crease. It details surgical techniques, eyelid anatomy, and appearance differences for those seeking a supratarsal crease.

Keywords:
Asianblepharoplastydouble eyelidsupratarsal crease

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Area of Science:

  • Plastic Surgery
  • Ophthalmology
  • Facial Anatomy

Background:

  • The upper eyelid crease distinguishes individuals of Asian and Western descent.
  • About 50% of Asians lack a natural upper eyelid crease.
  • Double eyelid surgery is a highly requested cosmetic procedure in Asia and among Asian Americans.

Purpose of the Study:

  • To provide a comprehensive overview of creating an eyelid crease for individuals without one.
  • To explore the history and evolution of Asian blepharoplasty.
  • To explain the anatomical differences in Asian eyelids compared to Caucasian eyelids.

Main Methods:

  • Review of the history of Asian blepharoplasty.
  • Explanation of Asian eyelid anatomy and its divergence from Caucasian eyelid anatomy.
  • Discussion of two primary surgical techniques for crease creation.

Main Results:

  • Detailed exploration of the surgical art and techniques for creating supratarsal creases.
  • Identification of anatomical factors influencing eyelid appearance.
  • Presentation of pearls, pitfalls, and personal observations regarding the procedures.

Conclusions:

  • Understanding Asian eyelid anatomy is crucial for successful double eyelid surgery.
  • The article offers insights into historical development and current surgical approaches.
  • It serves as a guide for creating defined upper eyelid creases in individuals with indistinct or absent creases.