Asian Blepharoplasty- how to overcome challenges.
Author: Vanessa Naseem Mansurali
Base Hospital / Institution: Island Hospital
ePoster presentation
Abstract ID: 24-431
Purpose
More than Half of East Asians have a monolid, hence double eyelid surgery, also known as lid crease formation or Asian blepharoplasty is the commonest cosmetic surgery performed amongst East Asians. Lid crease formation is desirable as it is perceived to make the eyes appear bigger and brighter. East Asians undergoing this procedure demand perfection and symmetry. The paper describes causes of dissatisfaction needing revision and describes the techniques of revision, with videos.
Methods
Retrospective analysis of patients who presented to an Oculoplastic Surgeon needing revision surgery after Asian Blepharoplasty/ lidcrease formation surgery elsewhere over the past 2 years. Management and common surgical techniques employed for revision are described with videos.
Results
8 Patients underwent revision after Asian Blepharoplasty in other centres. 4 had asymmetrical high lid crease with hollow sulcus due to underlying mild ptosis. They responded well with posterior approach ptosis correction with simultaneous lid crease formation. 2 patients had suture granuloma and needed suture removal with granuloma excision and lid crease reformation. One patient with suture granuloma needed additional triamcinolone injections. One patient had asymmetry with lumpy fat grafting with ptosis and needed ptosis correction with fat graft removal. One Patient had asymmetry due to poorly formed lid crease on one side and needed lid crease reformation with sutures. Each technique is described with videos.
Conclusion
East Asian Eyelid anatomy and their Aesthetic preferences are unique. Double eyelid revision surgery can be challenging and needs a case by case approach. Underlying mild ptosis causing asymmetrical lid crease and sunken sulcus was one of the most common problems needing revision. Posterior whiteline approach ptosis correction with simultaneous lid crease formation was my favoured procedure in such patients. Before embarking on revision surgery, one must objectively assess the patient to rule out any form of body dysmorphic syndrome.
Additional Authors
There are no additional authors to display.
