This chapter deals with the author’s concept of the natural biodynamic of the eyelid layers, the importance of fat within the eyelid’s preaponeurotic space, its facilitation and hindrance of the…
This very advanced chapter deals with the author’s current views regarding the practice of applying buried sutures to create or magnify an eyelid crease. An in-depth analysis of its adverse…
The Circle of Suboptimal Parameters, Etiology and Interrelatedness Of all the parameters that influence the outcome of surgery, perhaps the single most important factor will be the height of the…
The revision of suboptimal results is a necessary part of any surgeon’s skills. Known factors that lead to suboptimal results include inaccurate placement of the crease incision, the use of…
The Upper Lid and Crease Studies have shown that about 50% of Asians do not have an upper eyelid crease; the other 50% have at least some form of crease….
In common usage, the eyelid crease is often meant to describe a natural inward creasing of the skin seen in the upper eyelid, typically dividing it into a lower segment…
Continuing to describe the Asian blepharoplasty technique used by the author, this chapter looks at the handling of the middle layer structures of the eyelid once the preaponeurotic (middle) space…
This chapter provides an overview of buried suture ligation methods (also known inaccurately in Asian languages as ‘non-incisional’ or ‘no-cut’ methods). Historical perspective and variances in technique are covered. Evolution…
Japanese Kanji (Chinese-based characters) and Hiragana writing denoting ‘double-eyelid crease technique’. (Courtesy of, and in remembrance of, Kazuko Chin.) It is my belief that a modified external incision technique allows…
Optimal Crease Design It is my experience that the nasally tapered crease is slightly easier to achieve surgically than the parallel crease. Most Asians who are not born with a…
