Asian upper blepharoplasty and dual-plane epicanthoplasty: An integrated four-step technique

Area of Science:

• Plastic Surgery
• Ophthalmic Plastic Surgery
• Aesthetic Surgery

Background:

• Asian blepharoplasty and epicanthoplasty are often combined for aesthetic eye enhancement.
• The epicanthal area is susceptible to scarring after these procedures.
• An integrated four-step technique is introduced to minimize scarring risk.

Purpose of the Study:

• To evaluate the efficacy of an integrated four-step technique for Asian upper blepharoplasty and dual-plane epicanthoplasty.
• To assess patient satisfaction and complication rates, particularly scarring.
• To analyze changes in palpebral fissure distance, inner canthal distance, and vertical height of the palpebral fissure.

Main Methods:

• Retrospective review of 135 patients undergoing the integrated technique.
• Pre- and postoperative photographic measurements of palpebral fissure distance (PFD), inner canthal distance (ICD), and vertical height of the palpebral fissure (VHPF) relative to iris diameter (D).
• Collection of patient-reported outcome measures (PROMs) for satisfaction and complications.

Main Results:

• Significant increases in PFD/D (8.1%) and VHPF/D (10.6%), and a decrease in ICD/D (3.5%) were observed (p < 0.05).
• High patient satisfaction (89.8%) was reported at 6 months postoperatively.
• Minimal scarring was reported by over 85% of patients, with only 3.1% dissatisfied with medial canthal scarring.

Conclusions:

• The integrated four-step blepharoplasty and dual-plane epicanthoplasty technique is effective and reliable.
• The method yields high patient satisfaction and a low risk of visible scarring.
• This technique offers a reproducible approach for aesthetic eye surgery in Asian patients.