Asian blepharoplasty in the creation of a double eyelid

Abstract

In general, two broad categories of double-eyelid sur-gery exist: incision and non-incision technique. But both are strictly dependent on skin-to-levator aponeu-rosis fixation for creation of double eyelids. In a con-ventional full-incision method, the lower skin flap is debulked by removing some of the tissue that lies be-tween eyelid skin and the levator aponeurosis, includ-ing the orbicularis oculi muscle, and the skin-to-levator aponeurosis fixation can be made more securely than in the buried-suture method. But it has the disadvantages of a postoperative adhesive scar and prolonged edema. In contrast, in a conventional buried-suture method, the skin-to levator aponeurosis fixation cannot be ensured because the normal tissues (including der-mocutaneous tissue, orbicularis oculi muscle, levator aponeurosis, tarsus) are captured in the trap of a suture knot, even though it has the advantages of technical simplicity, immediate ambulation, and short recovery time. Therefore, a partial-incision technique is another alternative. © Springer-Verlag 2008.