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J Craniofac Surg 2021 Apr 29. Epub 2021 Apr 29.

Department of Chemical and Materials Engineering, College of Engineering, Chang Gung University Craniofacial Research Centre, Department of Medical Research, Department of Plastic and Reconstructive Surgery and Department of Craniofacial Orthodontics, Chang Gung Memorial Hospital, Taoyuan, Taiwan Department of Plastic and Reconstructive Surgery, Skin Check Malaysia, Selangor, Malaysia Department of Plastic and Reconstructive Surgery, Xiamen Chang Gung Memorial Hospital, China.

Background: The main objective of contemporary orthognathic surgery is to correct dentofacial deformities. Nonetheless, many adjunct procedures to enhance the esthetic outcome in orthognathic surgical cases have been successfully incorporated to improve patient satisfaction. The authors report our preliminary experience of performing simultaneous orthognathic surgery with Asian double eyelid suture method blepharoplasty in the same surgical setting. Read More

J Craniofac Surg 2021 Mar 24. Epub 2021 Mar 24.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Abstract: Double-eyelid blepharoplasty, the procedure to create supratarsal crease, has been one of the most popular cosmetic operations in Asia for many years. This study aimed to assess the effectiveness and safety of a surgical procedure using a composite tissue flap for double-eyelid blepharoplasty. A surgical technique was introduced and patients having blepharoplasty with this technique from January 2017 to August 2019 were retrospectively studied. Read More

Aesthet Surg J 2021 Mar 16. Epub 2021 Mar 16.

John A. Burns School of Medicine, University of Hawaii, Honolulu, HI, USA.

Aesthetic Plast Surg 2021 Mar 15. Epub 2021 Mar 15.

16th department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, #33 Badachu Road, Shijingshan District, 100144, Beijing, China.

Background: The awareness and treatment of lacrimal gland prolapse (LGP) have been primarily improved with a further understanding of lateral eyelid bulging over the decades. However, for Asian single-eyelid females with LGP, a tailor-made procedure applicable to their comparatively young puffy eyes is needed.

Methods: This is a retrospective study. Read More

Ann Plast Surg 2021 03;86(3S Suppl 2):S235-S238

From the Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China.

Purpose: To introduce the experience of comprehensive 3-dimensional epicanthoplsty with upper blepharoplasty in Asian patients.

Methods: The patients who underwent comprehensive 3-dimensional epicanthoplsty with upper blepharoplasty at the Shanghai Ninth People's hospital from January 2018 to January 2019 were included in our study. The interepicanthal distance was evaluated preoperatively and 6 months after the surgery, scar visibility and patient's satisfaction were documented 6 months after the surgery. Read More

Plast Reconstr Surg 2021 Mar;147(3):604-607

From the Division of Ophthalmology Paediatric and Oculoplastic Surgery, Department of Ophthalmology, University Hospital of Bordeaux Pellegrin; and Jamison Street Specialist Center.

Summary: Subbrow blepharoplasty is widely used in Asian patient populations to preserve the natural upper lid crease while addressing dermatochalasis with lateral hooding. The authors describe the first use of this technique in Caucasians with dermatochalasis and lateral hooding. This is a retrospective case series of Caucasian patients who underwent subbrow blepharoplasty for moderate to severe dermatochalasis with lateral hooding. Read More

Aesthet Surg J 2021 04;41(5):NP196-NP197

Weill-Cornell Medical College, New York, NY, USA.

Aesthet Surg J 2021 Feb 9. Epub 2021 Feb 9.

Plastic Surgery, Division of Plastic Surgery, University of California Davis Medical Center, Sacramento, CA.

Background: Asian upper blepharoplasty is the most popular cosmetic procedure for Asian women. However, there is lack of standardized approach to this procedure and less than optimal results are still common.

Objectives: In this article, we introduce our comprehensive approach to Asian upper blepharoplasty in women and report our clinical outcomes with this approach. Read More

J Plast Reconstr Aesthet Surg 2020 Dec 14. Epub 2020 Dec 14.

Department of Plastic and Reconstructive Surgery, Xijing Hospital, The Fourth Military Medical University, Xi'an 710032, China. Electronic address:

Background: In Asian women, upper eyelid skin laxity, lateral hooding, and upper eyelid and brow asymmetry in the aging upper eyelid are prominently and frequently seen. It is difficult to completely resolve these problems with the classical single-incision method. In this study, we investigate the utility of a double-incision approach to address aging-related changes of the upper eyelid. Read More

Facial Plast Surg 2020 Oct 24;36(5):592-601. Epub 2020 Dec 24.

Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Double eyelid surgery remains one of the most popular aesthetic surgeries, especially among East Asian populations. Complications related to double eyelid surgery can be divided into various categories: (1) patient dissatisfaction, (2) problems with the eyelid crease, (3) problems with the eyelid height, (4) suture-related complications, and (5) complications related to eyelid surgery in general. As with all eyelid surgeries, it is important to understand and appreciate the normal and abnormal function and anatomy of the Asian eyelid to reduce the risk of complications. Read More

Facial Plast Surg 2020 Oct 24;36(5):575-583. Epub 2020 Dec 24.

Oculoplastic Center, Kim's Eye Hospital, Seoul, Korea.

Blepharoplasty is a commonly performed aesthetic surgery, especially in Asians. Nevertheless, as in all surgeries, postoperative complications still occur. Asymmetry is the most common complication after double eyelid surgery. Read More

Facial Plast Surg 2020 Oct 24;36(5):563-574. Epub 2020 Dec 24.

Plastic Cosmetic Surgery, Myoung Eye Plastic Surgery, Gangnam Gu, Seoul, Republic of Korea.

Differences between Oriental and Caucasian eyelids have been explained in great detail in several reports in the past. The purpose of this article is to discuss the functional aspects of Asian double fold upper blepharoplasty and to present techniques that help to improve both the functional and cosmetic outcomes and satisfaction after surgery. The eyes of Asians are relatively small with thick skin in the eyelids and periorbital area. Read More

Ophthalmic Plast Reconstr Surg 2020 Dec 7. Epub 2020 Dec 7.

Eyesthetica, Oculofacial Plastic Surgery Associates.

Purpose: This perspective explores the term "Asian blepharoplasty" and its socioemotional meaning to some patients.

Methods: N/A.

Results: Words have power. Read More

Plast Reconstr Surg 2020 12;146(6):1268-1273

From W Aesthetic Plastic Surgery; the Department of Plastic Reconstructive and Aesthetic Surgery, Singapore General Hospital; and The Centre for Facial Plastic Surgery.

Upper eyelid ptosis correction is a complex procedure. The ethnic differences in the Asian upper eyelid anatomy are compounded by the technical challenges of primary and revision ptosis correction. The authors present a technique of upper eyelid ptosis correction that estimates the exact location of suture fixation that uses the musculoaponeurotic junction of the levator as the reference point. Read More

J Cosmet Dermatol 2020 Nov 20. Epub 2020 Nov 20.

Department of Plastic Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China.

Background: Blepharoplasty is the most common type of plastic surgery, used to improve most of the eyelid skin sag caused by aging. In the past, local infiltration anesthesia was widely used in blepharoplasty. Tumescent local analgesia (TLA) is safe and reliable method for anesthesia, even children can use this method. Read More

Plast Reconstr Surg Glob Open 2020 May 29;8(5):e2802. Epub 2020 May 29.

Jules Stein Eye Institute, Department of Ophthalmology, UCLA School of Medicine, Harbor-UCLA Medical Center, Torrance, Calif.

This study reports on a series of challenging revisional Asian blepharoplasty cases with various suboptimal factors, including high or low crease height, shallow or deep crease indentation (depth), and suboptimal crease shape. The study also presents a simple scoring scale that combines these challenges into a composite score, which has helped in the management of these cases.

Methods: Data on 64 revisional cases were collected between January 1, 2006, and June 30, 2019, with 126 upper eyelids. Read More

Facial Plast Surg 2020 Oct 16;36(5):584-591. Epub 2020 Sep 16.

Department of Oculoplasty, Kim's Eye Hospital, Seoul, Republic of Korea.

Blepharoplasty is the most frequently performed cosmetic surgical procedure in Asia. The epicanthal fold, which is common in Asians, is characterized by a curved skin fold that partially hides the caruncle and lacrimal lake. The epicanthal fold may cause weakening of the esthetic appearance after blepharoplasty. Read More

J Cosmet Dermatol 2021 Apr 16;20(4):1208-1213. Epub 2020 Sep 16.

Department of Plastic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.

Background: No reports of the potential areas of surgeons' aesthetics in blepharoplasty.

Aims: To explore the association between the surgeons' own double eyelid morphology and their aesthetics and surgical outcome.

Methods: An investigation of 1605 patients was carried collecting the data of double eyelid shape, based on which to propose a preliminary double eyelid classification for analyzing the aesthetics of surgeons. Read More

Aesthetic Plast Surg 2021 02 11;45(1):191-192. Epub 2020 Sep 11.

Cleveland Clinic Foundation, Cole Eye Institute, Cleveland, OH, 44195, USA.

Aesthetic Plast Surg 2020 12 4;44(6):2117-2118. Epub 2020 Sep 4.

Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, USA.

J Cosmet Dermatol 2021 Mar 20;20(3):911-916. Epub 2020 Aug 20.

Department of plastic and burn surgery, the first affiliated hospital of Chongqing medical university, Chongqing, China.

Background: Double-eyelid surgery remains a popular esthetic surgery in East Asian people. The partial-incision method provides the benefits of full-incision and nonincision techniques. It can create a predictable and durable double-eyelid crease. Read More

Aesthetic Plast Surg 2021 02 6;45(1):181-190. Epub 2020 Aug 6.

Eye and Skull Base Research Centers, The Five Senses Institute, Rassoul Akram Hospital, Iran University of Medical Science, Sattarkhan Niayesh St, 1455364, Tehran, Iran.

Background: To assess the epicanthal fold (EF), eyelid, eyebrow, scar, and patients' satisfaction after anchor epicanthoplasty and upper blepharoplasty and histopathologically compare Asian epicanthal fold skin with non-Asian counterpart.

Methods: Asian Iranians with grade 2 and 3 EF were included. Photographs were taken before and at least 12 months after the surgery. Read More

Aesthetic Plast Surg 2020 10 29;44(5):1560-1574. Epub 2020 Jul 29.

Department of Plastic and Cosmetic Surgery, Wuxi Aist Plastic and Aesthetic Hospital, Aist Aesthetic Medical Group, 813 East Jiefang Road, Wuxi, 214000, Jiangsu, China.

Background: The double-eyelid operation is the most requested cosmetic surgery in Asians. The incision is usually located at the pretarsal skin 6 mm to 8 mm above palpebral margin. The purpose of this paper is to report a novel approach of double-eyelid operation through a supraciliary incision (SCI). Read More

Aesthetic Plast Surg 2020 10 24;44(5):1575-1576. Epub 2020 Jul 24.

PERK Plastic Surgery, 416 N Bedford Drive Ste 400, Beverly Hills, CA, 90210, USA.

Aesthetic Plast Surg 2020 12 21;44(6):2109-2116. Epub 2020 Jul 21.

Department of Ophthalmology, Shanghai 9th Peoples Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.

Background: Dry eye symptoms as a complication of double-eyelid blepharoplasty are controversial. This article evaluates tear film dynamics and changes in dry eye symptoms after cosmetic double-eyelid blepharoplasty in young Asian female.

Methods: One hundred and twenty patients underwent full-incisional double-eyelid blepharoplasty. Read More

Aesthet Surg J 2020 11;40(12):NP648-NP654

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.

Background: Double eyelid blepharoplasty is the most popular cosmetic surgery among Asian populations. Although various surgical procedures have been reported, certain complications still arise, including asymmetry or the disappearance of the double eyelid crease, an unnatural double eyelid crease curve, and distinct scars.

Objectives: The aim of this study was to describe a new blepharoplasty technique intended to reduce the various complications and create dynamic, natural-looking double eyelids. Read More

Plast Reconstr Surg 2020 10;146(4):756-765

From the Department of Plastic and Reconstructive Surgery, Shanghai Eighth People's Hospital, Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine; and the Department of Dermatology, West China Hospital.

Background: Double-eyelid blepharoplasty is the most frequently performed aesthetic surgery in the Asian population. However, the epicanthal fold has been a conundrum limiting the outcomes of Asian blepharoplasty. Furthermore, with the blending of Western and Asian cultures, patients have individual standards of beauty for the upper eyelids. Read More

J Plast Reconstr Aesthet Surg 2020 08 10;73(8):1565-1572. Epub 2019 Oct 10.

Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China. Electronic address:

Background: Upper eyelid aging is common among middle-aged Asians. Apart from skin aging, there has been an increasing recognition for the role of sunken eyelid playing in upper eyelid aging. Various methods have been developed to deal with the upper eyelid volume deflation. Read More

J Plast Reconstr Aesthet Surg 2020 Sep 16;73(9):1732-1737. Epub 2020 Mar 16.

Eye Hospital of Wenzhou Medical University, Wenzhou, 325027, PR China. Electronic address:

Background: Attempting traditional cosmetic blepharoplasty in a sunken eyelid may cause complications such as multiple folds, irregular or high placement of fold. Additional surgical procedures, such as orbital fat repositioning or free fat grafting, are introduced to correct the sunken appearance. The study sought to introduce a novel orbicularis oculi muscle flap (OOMF) rotation procedure for the correction of the sunken eyelid during blepharoplasty. Read More

Ophthalmic Plast Reconstr Surg 2020 Nov/Dec;36(6):617-620

Department of Ophthalmology, Chengdu First People's Hospital, Chengdu, Sichuan Province.

Purpose: An anatomical and histological study of the conjoint fascial sheath of the levator and superior rectus (CFS) was carried out by using the cadavers for teaching.

Methods: Three adult Asian cadaver heads fixed in formalin were used. The CFS was exposed by the same surgeon in each case. Read More