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Technical Strategies – Z-Plasty Medial Epicanthoplasty

The shape of the eyes is affected by many anatomic structures. While much focus is on the larger eyelids, the inner corner of the eyes has a significant impact on eye appearance. While they may the small the inner and outer corner of the eyes affects eye width as well as the angulation of the Read More…

Aesthetic Vertical Orbital Dystopia Correction Strategies

  Vertical orbital dystopia is a frequent feature of many facial asymmetry patients. When facial asymmetry affects the midface region most of the time some form of globe dystopia will be present. It is perceived most easily by the difference in the horizontal level of the pupils. Orbital dystopia is always most clearly seen in Read More…

Plastic Surgery Case Study – Asian Double Eyelid Surgery

Background:  The double eyelid surgery is a well known blepharoplasty technique that creates an upper eyelid crease in the typical Asian monolid. While the supratarsal fold is present in many ethnic groups around the world, it is missing in many Asian patients. The operation per we does not really create two upper eyelids or removes Read More…

Lower Blepharoplasty Approach for Injected Fat Removal

Treatment of tear trough and under eye hollows has been revolutionized by the use of injection materials. Using either resorbable injectable fillers or fat taken from the patient, injection under the eyes can fill out sunken areas creating a rejuvenated appearance. Although there are advocates for either synthetic fillers and fat, both materials can have Read More…

Double Eyelid Surgery with Epicanthoplasty

  In Asian blepharoplasty, more commonly known as double eyelid surgery, the influence of the fold at the inner eye (epicanthus) can affect the aesthetic outcome. As a result many double eyelid surgeries are combined with a medial epicanthoplasty for an improved aesthetic appearance. While the epicanthus is a small structure, there is a large Read More…

Recovery from Double Eyelid Surgery

Double eyelid surgery is one of the most common facial surgeries in Asian patients. Changing a monolid to one that has two distinct eye areas by making a distinct crease creates a more appealing eyelid shape. It is not done with the attempt to make a Western eye appearance but to give the Eastern eyelid Read More…

Plastic Surgery Case Study – Lower Eyelid Ectropion Repair

Background: The lower eyelid is uniquely different from that of the upper eyelid. Besides being on the lower half of the eyeball, it has much less movement than that of the upper eyelid. The lower eyelid is largely static and is best thought of as a ‘clothesline’ running across the lower half of the eye. Read More…

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