Asian upper blepharoplasty

Abstract

Asian eyelids have different anatomical structures compared to Western eyelids; accordingly, the standards for the "beauty of eyes" vary among races and countries and have also changed with time. With increasing interest in cosmetic surgery, Korean cosmetic techniques and beauty standards have become wide spread in China and other Southeast Asian countries due to the influence of the Korean wave. The recent trend of beauty is naturalism. Although cosmetic operations are being performed, the inconvenience caused by the operation should be minimal, and a natural look is preferred. That is, minimally invasive surgery is necessary. To minimize unnecessary complications and to improve cosmetic and functional satisfaction with minimal invasion and uncomplicated methods according to the individual patient's condition, we must thoroughly understand the characteristics of eyelid anatomy and function of Asian eyelids. Therefore, we describe the surgical procedure for successful upper eyelid surgery based on the characteristics of Asian eyelids. Level of Evidence: V

Intraoperative visible iris sign detected during ptosis surgery in seven Korean patients who wore eye masks when sleep

“…After preoperative marking, a local anesthetic solution (2 ml of 1% lidocaine with 1/100,000 epinephrine) was administered. The skin and orbicularis oculi were incised; then, the retromuscular middle connective tissue layer was dissected with scissors, and the orbital septum and aponeurosis can be visualized [5]. For correction of anatomical defects, the Müller muscle, aponeurosis, and orbital septum were sutured transversely and vertically using 6-0 polydioxanone monofilament.…”