Friday, April 28, 2017

Facial aesthetic surgery: Variations on eye sculpting and challenges of the Asian eye

One of my favourite areas of facial sculpting is in designing the Asian eyelid.
Asian double eyelid surgery can be a very challenging surgery even for experienced facial aesthetic plastic surgeons because of the different presentations.


Some of the complicated questions one has to deal with are:

1. How much fat sculpting is needed in creating that well defined upper neo sulcus ,so that the new eye does not look hollow after a few years?

2. How does one maintain that non Caucasian look in a neo eyelid?


One important observation I have made over the years,  is the common, large amounts of pre septal fat in Asians.
To create a reasonable acceptable sulcus, I  usually trim off excess fat and also reduce the fat pads after opening the septum and adjusting the tarsal plate to levator fixation sutures.
This leads to a pleasant appearance post operatively for all the patients.
Note the excess pre septal fat deposits in most Asian eyelids.

The hands on demos are done at our demo clinics only.

smilemakernyc.com

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