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Asian Upper Blepharoplasty with the Hinge Technique.

Chin-Ho Wong1, Michael Ku Hung Hsieh2, Fu-Chan Wei3

  • 1W Aesthetic Plastic Surgery, Mount Elizabeth Novena Specialist Center, 38 Irrawaddy Road, Singapore, 329563, Singapore. drwong@waesthetics.com.

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|March 31, 2022
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Summary
This summary is machine-generated.

This study details an open incision hinge technique for Asian upper blepharoplasty. It uses a vascularized orbital septum flap to create dynamic double eyelids, offering predictable and crisp results.

Keywords:
AsianCosmeticCreaseDouble eyelidIncisionOpenOrientalSurgeryUpper eyelid

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Area of Science:

  • Plastic Surgery
  • Ophthalmology
  • Aesthetic Surgery

Background:

  • Asian upper blepharoplasty is a frequent cosmetic procedure.
  • Both incisional and suture techniques exist, with incisional methods offering greater versatility.
  • Predictable and reproducible outcomes are crucial for diverse Asian patient anatomy and aesthetic goals.

Purpose of the Study:

  • To present a detailed open incision hinge upper blepharoplasty technique.
  • To demonstrate the creation of dynamic upper eyelid creases in Asian patients.
  • To highlight surgical refinements for precise and predictable outcomes.

Main Methods:

  • Detailed description of the open incision hinge upper blepharoplasty technique.
  • Utilizing surgical videos to illustrate technical nuances.
  • Employing a vascularized orbital septum flap to connect eyelid lamellae.

Main Results:

  • The technique creates a fibrous extension from the levator aponeurosis to the dermis.
  • A secure connection between posterior and anterior lamella is achieved.
  • Predictable creation of dynamic and crisp upper eyelid creases.

Conclusions:

  • The open incision hinge technique effectively recreates natural double eyelid anatomy.
  • This method provides a reliable approach for Asian upper blepharoplasty.
  • The use of a vascularized orbital septum flap ensures durable eyelid crease formation.