![]() ![]() The lower height of the sling in Asians allows the fat to sit lower in the eyelid, leading to a smaller fold. Presumably, Asians have a lower insertion point than in the Caucasian eyelid, leading to smaller or absent folds. The fold represents the insertion of profound tissue fibre expansions from the levator aponeurosis into the dermis (deep skin layer) 1. FrequencyĪpproximately 50% of people of Pacific Asian descent (e.g., Korean, Japanese, Chinese) have an eyelid crease - either one or on both sides ( Figure 1). The hallmark of the modern double eyelid operation and probably the most common technique of incisional double eyelid surgery was described in 1960 6. In English literature, the first surgical case was described in the early 1950s 4,5. The surgeon created a fold in the second eye of a female patient born with a fold in only one eyelid. The earliest reference to upper lid fold creation appears in Japanese literature in the late 1800s 3. The Asian eyelid has more fullness of the upper eyelid, no crease (‘monolid’) or lower‑lid crease on one or both sides, and narrow palpebral fissures (‘smaller eyes’) 2. The eyelid crease and fold are important aesthetic landmarks and are a vital feature of the upper eyelid appearance. In the eyelids of the caucasian, the eyelid crease is determined by the insertion of tissue extensions from the deeper connective tissue of the levator aponeurosis to the skin 1. Asian patients may also seek to westernise their appearance, although this is controversial. Patients also seek to remove the puffy and tired look associated with a fatty upper lid and may wish to have a crease similar in appearance to Asian friends who were born with such a crease. Patients typically desire to look more bright-eyed and want to make applying eye makeup easier. (Store Kongensgade 36, 4., 1264 Copenhagen K, Denmark,Īsian blepharoplasty, commonly termed double-eyelid surgery, refers to surgery designed to place a crease in Asian eyes that do not have a supratarsal fold in the skin. (and an Aesthetic Medical Physician at Clinic Aesthetica Kongens Nytorv Is an Oculoplastic Surgeon at Hovedstadens Eye Clinic ![]()
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