Modified Double-Eyelid Blepharoplasty

Whilst the eyes themselves are expressionless, the eyelids are very important indicators of our emotions. If you feel that the natural ageing process is making you look tired, you can enjoy a younger, more energized and confident appearance with eyelid surgery. After your eyelid surgery, you can expect some swelling and bruising for one to two weeks. You’ll be prescribed medication to help manage discomfort and swelling, as well as eye drops to keep your eyes from becoming dry or itchy. If you normally wear contact lenses, we recommend wearing eyeglasses instead during the first week.
It is not intended to be a substitute for professional medical advice. One often sees fading of crease, and poorly concealed incision scar in a low, pretarsal exposed position. Figure 7 Asian eyelid with a 整形医生 “nasally tapered crease,” or a fold that converges with the lid margin medially. Figure 6 Asian eyelid with a “parallel crease,” or a fold that remains parallel to the lid margin along its entire length.

Stitches can be removed after five or seven days and the eye area is significantly healed within 10 days, during which time most patients return to work. Dr Pham ensures that all scarring is less visible, and easily camouflaged by the natural folds of the skin. View before and after photos of double eyelid surgery patients who have been treated by leading US plastic surgeons. Also known as asian blepharoplasty or double eyelid surgery, the cosmetic surgery procedure of asian eyelid surgery is pretty much the most popular surgery undertaken by asians throughout the world. Leabert Fernandez, also a plastic surgeon trained by James Barrett Brown, developed the technique of suturing pretarsal skin to the levator aponeurosis expansion.
Dr Turner and his highly trained staff will do everything to ensure that you are fully informed, while providing exceptional, world-class cosmetic plastic surgery, in a personal and caring environment. Most people require one to two weeks of downtime after a blepharoplasty procedure. When you start to see signs of aging around your eyes, it may be the perfect time for blepharoplasty - a rejuvenation procedure that will bring back youthful vibrancy and beauty in no time.
Avoid encircling the orbicularis oculi, levator and Mueller’s within any permanent buried suture loops. Each of these 3 layers serves a different function and needs their own space; bonding them together creates an undesirable union. To position the crease higher than ideal position will risk high anchoring with resulting lagophthalmos, high crease and asymmetry.

It is interesting to see how the defining characteristics of an attractive Asian eye have changed over the years. When double eyelid surgery first began, it was initially believed that closely matching a Western eyelid fold was key. If you look back at photos from this era, the results appear unnatural - with many eyelid folds being far too high. The procedure involves making five small puncture holes, through which a permanent sutures in introduced that pulls your outer skin down on to your tarsal plate .
Lower eyelid surgery is typically performed to remove bags under the eyes and to smooth out wrinkles and fine lines. Blepharoplasty, also known as eyelid surgery, is a cosmetic procedure that aims to improve the appearance of the upper and/or lower eyelids. The procedure involves removing excess skin, fat, and muscle from the eyelids to create a more youthful and rejuvenated appearance.

The second bite passed through the orbicularis oculi muscle of the lower flap, and the third bite passed through the distal part of the septal flap . The suture usually started from the mid-pupillary point, followed by the lateral and medial points. During the operation, it is important to ensure that the suture does not pass through the full thickness of the tarsus to prevent corneal injury. The average cost of cosmetic eyelid surgery is $4,120, according to the most recent statistics from the American Society of Plastic Surgeons. This average cost is only part of the total price – it does not include anesthesia, operating room facilities or other related expenses.
To discuss the cost for blepharoplasty details and pricing, book in a consultation with Dr Reddy and explore this further. However, slight swelling and bruising may still affect the appearance of your final results at this time. Generally, most of the bruising will have subsided by 2 weeks after your operation. Your final results should become evident 4-6 weeks post operation. If you’re considering an eyelid procedure, the very first step will be to meet with Dr Turner for a personal one on one consultation at one of his Sydney or Newcastle clinics.
However, there are variations to the eyelid crease patterns among Asians. From May 2018 to April 2020, 385 patients received double-eyelid surgery with SNVP method. Eyelid edema resolved quickly within a week and generally disappeared in 4 weeks. In total, 259 (67.27%) patients scored very satisfied, and 109 (28.31%) patients scored satisfied on six-month follow-up. Mangano A., Marciano L. A double blind randomized prospective study comparing prilocaine versus ropivacaine in upper eyelid blepharoplasty. Eyelid surgery doesn’t change the true shape of your eyes, but it can make your eyes appear bigger as it gets rid of excess skin and encroaching tissue from the corners.

Creation of a full skin incision to remove the sutures is less desirable than the buried-suture method, which leaves no visible scarring. However, the full skin incision method combined with secondary double-eyelid blepharoplasty is a more precise and permanent technique. Double eyelid surgery is typically done on people who don't have a prominent upper eyelid crease, such as Asians. Some people prefer a  more "occidental" appearance and have surgery to form a lid crease. Double eyelid surgery is technically a form of blepharoplasty, which is a word that can be applied to many plastic surgical procedures of the eyelids. A traditional blepharoplasty involves removing excess skin and fat from the upper and lower eyelids to restore a more youthful appearance.
Any surgery will produce scarring, although your surgeon will place incisions in natural skin creases and folds which will make any scarring as inconspicuous as possible. The second type of blepharoplasty procedure may benefit patients with protruding fat under the eye and not too much extra skin. This surgery is performed by entering just inside the lining of the lower eyelids. We recommend to have a face to face consultations with Dr. Xu in order to thoroughly assess and further discuss with you about upper eyelid surgery.

Visualized and palpated scar is released aggressively in the postblepharoplasty retraction circumstance, so the lid is freed from attachments to the inferior orbital rim. A posterior lamellar graft is then placed between the cut lower edge of tarsal plate and the recessed cut conjunctival edge. Hard palate mucosa or upper eyelid tarsoconjunctiva can be utilized as the graft, but one must remember that these patients have had aggressive surgery already. It is, therefore, often wise to avoid further manipulation of the upper lid by taking a donor graft from it.