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Updated: Jan 6, 2026

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Surgical Decision Making in Incisional Blepharoplasty in Asians.

Shengyang Jin1, Fubin Zhong2, Alexa Rivera Rio Del Hernandez3

  • 1Scar and Wound Treatment Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 33 Badachu Road, Shijingshan District, Beijing, 100144, China.

Aesthetic Plastic Surgery
|November 6, 2025
PubMed
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Incisional blepharoplasty techniques for creating double-eyelid folds in Asians are reviewed. The study analyzes methods to balance fold stability and dynamism, considering anatomical variations for optimal surgical outcomes.

Area of Science:

  • Oculoplastic Surgery
  • Asian Blepharoplasty
  • Double Eyelid Creation

Background:

  • Congenital single eyelids are prevalent among Asian populations, necessitating effective double-eyelid fold creation methods.
  • Incisional blepharoplasty is a primary surgical technique, though classical approaches may yield less dynamic results.
  • Procedural variations exist due to anatomical differences, impacting surgical outcomes in Asian blepharoplasty.

Purpose of the Study:

  • To systematically review current incisional blepharoplasty techniques for double-eyelid fold creation in Asian patients.
  • To analyze methods aimed at balancing fold stability and dynamism.
  • To explore the impact of anatomical variations on surgical outcomes.

Main Methods:

  • A systematic literature search was conducted using PubMed and EMBASE databases.
Keywords:
AsiansDynamismIncisional blepharoplastyStabilitySurgical decision

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  • Analysis focused on surgical procedures and their effects on fold formation based on anatomical features in Asians.

    • Main Results:

    • Essential blepharoplasty steps include debulking eyelid tissue, preparing the dynamic system (aponeurosis), and connecting anterior and posterior lamellae.
    • Different surgical procedures influence fold formation, with ongoing debate regarding the optimal approach for stability-dynamism balance.
    • Anatomical features significantly affect the outcomes of double-eyelid fold creation.

    Conclusions:

    • There is increasing research interest in optimizing incisional blepharoplasty methodologies.
    • Further studies are needed to develop surgical strategies tailored to individual patient anatomical characteristics.
    • Achieving an ideal balance between stability and dynamism in double-eyelid folds remains a key challenge.