Asian blepharoplasty and the eyelid crease by W. Chen

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By W. Chen

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One end of a suture needle is passed from one stab incision on the skin through the tarsal plate superficially and exits through the second stab incision (Step 1). The second needle enters through the same stab incision used by the first, this time tracking intradermally and exiting through the second stab wound, as did the first needle (Step 2). The sutures are tied and buried in the subcutaneous plane (Step 3). The previous steps are repeated over each third of the superior tarsal border. According to Song, it is important to make sure that the sutures track intradermally rather than subcutaneously, because when subcutaneous sutures are used the crease tends to disappear soon after the operation.

Double eyelid operation in the Oriental in Hawaii. Plast Reconstruct Surg 1960;25:257–264. 14. Uchida J. A surgical procedure for blepharoptosis vera and for pseudoblepharoptosis orientalis. Br J Plast Surg 1962;15:271–276. 15. Boo-Chai K. Plastic construction of the superior palpebral fold. Plast Reconstruct Surg 1963;31:74–78. 16. Boo-Chai K. Further experience with cosmetic surgery of the upper eyelid. In: Broadbent TR, ed. Transactions of the Third International Congress of Plastic Surgery.

Miyake I, Tange I, Hirage Y. MRI findings of the upper eyelid and their relationship with single and double-eyelid formation. Aesth Plast Surg 1994;88:183–187. 17. Yoo HB. The double eyelid operation without supratarsal fixation. Plast Reconstruct Surg 1991;88:12–17. 18. Johnson CC. Epicanthus. Am J Ophthalmol 1968;66:939–946. 19. Boo-Chai K. The Mongolian fold (plica Mongolia). Singapore Med J 1962;3:132–136. 20. Lessa S, Sebastia R. Z-epicanthoplasty. Aesth Plast Surg 1984;8:159–163. 21. del Campo AF.

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