Asian blepharoplasty. Update on anatomy and techniques

Area of Science:

• Oculoplastic surgery
• Facial anatomy
• Cosmetic surgery

Background:

• Understanding eyelid anatomy variations in Caucasian and Asian populations is crucial for effective surgical outcomes.
• Existing lid crease operation techniques have limitations in predictability and longevity.

Observation:

• The study reviews current knowledge of eyelid anatomy specific to Caucasian and Asian ethnicities.
• Various established surgical methods for creating eyelid creases are examined.

Findings:

• A modified surgical technique is presented, involving the excision of skin, orbicularis muscle, orbital septum, and preaponeurotic fat.
• This technique incorporates supratarsal fixation, attaching the skin to the levator aponeurosis.

Implications:

• The modified technique aims to provide more predictable and enduring postoperative results in blepharoplasty.
• This approach may enhance patient satisfaction and reduce the need for revision surgeries.