Asian blepharoplasty

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Asian blepharoplasty, also known as "double eyelid surgery" and less frequently known as an Oriental blepharoplasty, is a type of cosmetic surgery where the skin around the eye is reshaped. The purpose of the procedure is to create an upper eyelid with a crease (i.e. "double eyelid") from an eyelid without a crease (i.e. "single eyelid").[1] Anatomically, there are a number of differences in the upper eyelids of East Asians compared with Caucasians.[2]

Despite the obvious differences between a single and double lid, there is a large variation in the crease position (double eyelid size) of the Asian upper eyelid. The upper lid fold can range from 1 mm above the eyelash line to about 10 mm. Several methods can be used to create the double eyelid--including the full-incisional, partial incision and no incision methods (e.g. the DST method). Each has it advantages depending on the patient's anatomy and desires.

Asian blepharoplasties have been reported to be the most common aesthetic procedure in Taiwan[3] and Asia.[4] This procedure has been reported to have some risk of complications, but is generally quite safe if done by an expert plastic surgeon.[5] Practitioners of Asian double eyelid surgery include plastic surgeons, otolaryngologists, and Oral and maxillofacial surgeon (facial cosmetic surgeons), and opthalmologists (oculoplastic surgeons). A procedure to remove the epicanthal fold (i.e. an epicanthoplasty) is often performed in conjunction with an Asian blepharoplasty.[6]

See also


  1. Chen WP (1996). "Concept of triangular, trapezoidal, and rectangular debulking of eyelid tissues: application in Asian blepharoplasty". Plast. Reconstr. Surg. 97 (1): 212–8. PMID 8532781.
  2. Jeong S, Lemke BN, Dortzbach RK, Park YG, Kang HK (1999). "The Asian upper eyelid: an anatomical study with comparison to the Caucasian eyelid". Arch. Ophthalmol. 117 (7): 907–12. PMID 10408455.
  3. Liao WC, Tung TC, Tsai TR, Wang CY, Lin CH. "Celebrity arcade suture blepharoplasty for double eyelid." Aesthetic Plast Surg. 2005 Nov-Dec;29(6):540-5. PMID 16237581.
  4. Kim JW, Lee JO. "Asian blepharoplasty with a short-pulsed contact Nd-Yag laser: limited-incision resectable laser double fold with internal medial and lateral functional epicanthoplasty." Aesthetic Plast Surg. 1998 Nov-Dec;22(6):433-8. PMID 9852177.
  5. Chen SH, Mardini S, Chen HC; et al. (2004). "Strategies for a successful corrective Asian blepharoplasty after previously failed revisions". Plast. Reconstr. Surg. 114 (5): 1270–7, discussion 1278–9. PMID 15457048.
  6. Yen MT, Jordan DR, Anderson RL (2002). "No-scar Asian epicanthoplasty: a subcutaneous approach". Ophthal Plast Reconstr Surg. 18 (1): 40–4. PMID 11910323.