Asian eyelid surgery is a procedure that creates a fold in the upper eyelids. In our clinical practice, we come across request for eye fold creation surgery from the northeast region of India, Leh and Ladakh region, Kumaon and Garhwal region and Nepal. Medical tourism in India has also promoted this segment of oculoplastic surgery and we do asian eyelid surgery from other Asian countries as well.
The common complaint the girl has is the absence or very low upper eye fold. It is also sometimes referred as double eyelid as it presents as two folds in the upper eyelid. At times, the lack of a proper eye fold mimics a puffy eyelid as well. The common concerns are- Application of eyeliner becomes a problem for the girls as the overhanging skin fold hides it. Absence of good crease, gives a feel of a smaller eye. Most of the time, the girl with absent eye fold would try to create a temporary eye fold using a cellophane tape. The creation of a temporary or a permanent eye fold makes the eyes look bigger and bright. Sometimes, an older patient presents with hanging upper eye fold with absent eye fold.
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To make it simple to understand , the oculoplastic surgeon has to hitch the inner layer of the skin to the tarsal plaste or levator expansion at the desired height.
The double sutures and twisting (DST) method is a non-incisional eye fold creation procedure which involves use of stitches from outside to anchor the skin to the tarsus.
In non-Asians, the eye fold is the lower limit of the prelevator fat. This lowest limit is also the point at which the levator aponeurosis attaches to the under surface of the skin, creating an upper lid crease. In the Asian eyelid, this dermal attachment is much lower or there is no attachment at all resulting in an absent eye folds or lower eyefold.
At Orange tree aesthetic centre, our best cosmetic surgeon does the initial marking which includes the proposed height of the eye fold and the incision line on the eyelid. Generally the height of the eye fold is set between 8-10mm.The tarsal plat height can be easily verified by turning out the upper eyelid. Because the tarsus shape varies in its configuration, the point of maximum height is used. Excess skin laxity is assessed and it is included in the incision line. Adequate amount of pre tarsal fat is excised. The dermis at the incision line is anchored to the tarsal plate and the right location of the anchoring can be easily seen by asking the girl to open her eyes. We use delayed absorbable or non absorbable sutures to fix the skin to the plate.
Double eyelid surgery creates the illusion that the eyes are wider and big. This cosmetic surgery for the eyes improves sleepy looking eyes to a bright and attentive one. Following asian eyelid surgery, makeup in the form of application of eye liner becomes easier and it improves the appearance of the eyes for Asian women to a great extent.
The procedure is done as a day care office cosmetic surgery procedure. You will walk out of the clinic after an hour. Cool pack application helps in reducing the swelling and bruising. Analgesics will take care of the post operative pain. The suture is taken out after 1 week. The swelling and bruising will settle by the end 2nd week.