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Managing the Asian Eyelid.

W Katherine Kao1, Tang Ho1

  • 1Department of Otorhinolaryngology/Head and Neck Surgery, Texas Center for Facial Plastic Surgery, McGovern Medical School at the University of Texas Health Science Center in Houston, 6431 Fannin Street, MSB 5.036, Houston, TX 77030, USA.

Facial Plastic Surgery Clinics of North America
|November 4, 2024
PubMed
Summary

Asian blepharoplasty enhances ethnic eyelid features, creating a supratarsal fold (double eyelid). Aging Asian eyelids require addressing dermatochalasis, blepharoptosis, and brow ptosis for functional and aesthetic improvement.

Keywords:
Asian blepharoplastyAsian eyelidBlepharoptosisBrow ptosisDouble eyelidEthnic

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Area of Science:

  • Oculoplastics
  • Facial Plastic Surgery
  • Anatomy

Background:

  • The Asian eyelid possesses unique anatomical characteristics differentiating it from Caucasian eyelids.
  • These features are crucial for ethnic identity and influence surgical approaches.
  • Understanding these nuances is vital for successful blepharoplasty.

Purpose of the Study:

  • To outline the distinct anatomical features of the Asian eyelid.
  • To guide surgical techniques in Asian blepharoplasty for both younger and aging patients.
  • To discuss management of common age-related changes like dermatochalasis and ptosis.

Main Methods:

  • Review of anatomical differences between Asian and Caucasian eyelids.
  • Discussion of surgical goals for younger Asian patients (supratarsal fold creation).
  • Evaluation of considerations for aging Asian eyelids (dermatochalasis, blepharoptosis, brow ptosis).

Main Results:

  • Asian eyelid anatomy dictates specific surgical considerations.
  • Younger patients often seek supratarsal fold creation for enhanced ethnic features.
  • Aging Asian eyelids may benefit from addressing skin laxity and ptosis, with infrabrow excision offering advantages in specific cases.

Conclusions:

  • Asian blepharoplasty requires tailored techniques respecting ethnic anatomical variations.
  • Addressing both aesthetic enhancement and age-related changes is key.
  • The infrabrow excision technique can provide functional and aesthetic benefits for lateral brow ptosis and hooding.