Purpose

The growing demand for Korean blepharoplasty among Arab patients presents a distinct surgical challenge. Arab eyelid anatomy differs from both East Asian and Western Caucasian morphology, featuring variable tarsal height, moderate pretarsal fat, and a naturally low or absent supratarsal crease. Applying Korean blepharoplasty principles — emphasizing a defined, dynamic, aesthetically proportioned crease — requires deliberate design conversion from conventional upper blepharoplasty planning. We present our systematic approach to crease design and surgical execution in Arab candidates.

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Methods

Retrospective case series of Arab patients requesting supratarsal crease creation or refinement via Korean blepharoplasty technique. Preoperative design incorporated crease height selection calibrated to Arab facial proportions, pretarsal show optimization, and medial epicanthal assessment. Surgical conversion from standard upper blepharoplasty design involved conservative skin excision, targeted pretarsal orbicularis preservation, and low-to-medium crease fixation via tarsal suture technique. Concurrent medial epicanthoplasty was performed where indicated.

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Results

[14] patients underwent Korean blepharoplasty conversion. Mean crease height was [8]mm. Natural-appearing dynamic crease formation was achieved in [80]% of cases. Revision for crease asymmetry or height adjustment was required in [3]%. No ptosis, lagophthalmos, or crease loss was recorded. Patient satisfaction at 2 months: [8/10].

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Conclusion

Korean blepharoplasty in Arab candidates demands anatomically informed design conversion prioritizing proportionate crease height, pretarsal show, and ethnic facial harmony. A structured conversion protocol from conventional upper blepharoplasty design enables reproducible, aesthetically congruent outcomes in this growing patient demographic.

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Additional Authors

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