Our Summary

This paper discusses a popular cosmetic surgery procedure among Asian patients known as Asian upper blepharoplasty, or a “double eyelid” surgery. There are different methods to perform this surgery, but the most preferred one by surgeons is the incision method. This is because it offers predictable results and can cater to different individual needs and physical features. The paper offers a detailed explanation of a specific incision technique, which involves creating a flap from a layer of tissue in the eyelid. This flap is then used to create a crease in the upper eyelid, giving the appearance of a double eyelid. This technique is said to recreate the natural anatomy of a double eyelid, found attractive by many Asian patients. The paper includes surgical videos for a better understanding of the technique. The authors also provide an assigned level of evidence, which refers to how reliable the research findings are.

FAQs

  1. What is Asian upper blepharoplasty?
  2. What is the most preferred method of performing Asian upper blepharoplasty and why?
  3. What does the assigned level of evidence in the paper refer to?

Doctor’s Tip

One helpful tip a doctor might tell a patient about blepharoplasty is to follow all pre-operative and post-operative instructions carefully to ensure the best results and minimize risks of complications. This may include avoiding certain medications, quitting smoking, and taking proper care of the surgical incision site during the healing process. It is also important to have realistic expectations about the outcome of the surgery and to communicate openly with your surgeon about your goals and concerns.

Suitable For

Patients who are typically recommended blepharoplasty include those who have excess skin or fat in the upper eyelids, leading to a tired or aged appearance. Additionally, individuals with drooping eyelids that obstruct their vision may also benefit from blepharoplasty. Patients who have a desire to improve the appearance of their eyes, such as creating a double eyelid in the case of Asian patients, may also be good candidates for blepharoplasty. It is important for patients to have realistic expectations and be in good overall health before undergoing this cosmetic surgery procedure.

Timeline

Before the blepharoplasty procedure:

  1. Patient consults with a plastic surgeon to discuss their desired outcome and assess their eligibility for surgery.
  2. Pre-operative tests and evaluations are conducted to ensure the patient’s overall health and suitability for the procedure.
  3. The surgeon explains the procedure, potential risks, and expected outcomes to the patient.
  4. The patient prepares for the surgery by following pre-operative instructions, such as avoiding certain medications and fasting before the procedure.

After the blepharoplasty procedure:

  1. The patient is closely monitored in the recovery room immediately after the surgery.
  2. The surgeon provides post-operative care instructions, including how to care for the incision site and manage any discomfort.
  3. Swelling and bruising around the eyes are common in the days following the surgery.
  4. Follow-up appointments are scheduled to monitor the healing process and remove any sutures.
  5. Over time, the swelling and bruising subside, and the final results of the surgery become more visible.
  6. The patient enjoys the aesthetic benefits of their newly enhanced eyelids, such as a refreshed and youthful appearance.

What to Ask Your Doctor

Some questions a patient should ask their doctor about blepharoplasty include:

  1. What are the potential risks and complications associated with blepharoplasty?
  2. What is the recovery process like after blepharoplasty surgery?
  3. How long will it take to see the final results of the surgery?
  4. What type of anesthesia will be used during the procedure?
  5. Can you show me before and after photos of previous blepharoplasty patients?
  6. How many blepharoplasty procedures have you performed, and what is your success rate?
  7. Will there be any scarring after the surgery, and if so, how noticeable will it be?
  8. Will I need to follow any specific post-operative care instructions?
  9. How long do the results of blepharoplasty typically last?
  10. Are there any non-surgical alternatives to achieve similar results?

Reference

Authors: Wong CH, Hsieh MKH, Wei FC. Journal: Aesthetic Plast Surg. 2022 Jun;46(3):1423-1431. doi: 10.1007/s00266-021-02703-8. Epub 2022 Mar 30. PMID: 35355108