Asian Eyelid (westernization)

Asian age correction (eastern blepharoplasty) is a procedure aimed at creating a supratarsal fold, which is present in most people of the European race, but is absent in about 50% of Asians. The essence of surgery is the rearrangement of the orbital septum and the elevation of aponeurosis (lifting muscles of the eyelid). Like any surgery, the procedure has its own risks and limitations, so it is important to prepare well and follow the recommendations of the doctor.

Double-eyelid blepharoplasty is a voluntary procedure that is indicated to any patient in the absence of a supraplural fold. Surgery is performed by those who wish to have a rounded eye view. This is primarily an aesthetic procedure.

The procedure is shown for the following disadvantages:

• absence or weak severity of the upper eyelid tab;
• lowered external corners or narrow incision of eyes;
• "swollen" eyelids due to a large amount of fatty fiber;
• presence of epicanthus (skin folds in the upper eyelid area).

Earlier Asian-age correction techniques focused on creating a high fold, removing fat, and excising excess skin. Modern Asian surgery is aimed at creating a natural and harmonious double age suitable for the Asian face - the fold is made clear and delineated. This approach allows you to create natural features, without obvious signs of surgery.

There are two methods for treating Asian eye shape:

• Open incision - a small incision is made on the eyelid to remove excess skin, muscles and fat.
• Suturing - involves creating a fold on the eyelid with an internal fixation to secure the skin to the muscle.

The choice of method depends on the individual needs of the patient and the preferences of the surgeon.

Correction of upper and lower eyelids is also distinguished. In the first case, epicanthus plastic is carried out. In the second, excess dermis and fatty fiber are excised. If necessary, mixed plastic is carried out, which allows you to significantly change your appearance towards the European type.

A well-performed surgery makes your eyes more open. The distance between the eyes is visually reduced.

Eyelid westernization is performed in following stages:

1. Marking is an important step that is error-free.
2. Incision - cutting the skin with a scalpel, conducting internal manipulations using a radiopod or laser.
3. Removal of excess fat and skin - the depth of the fold depends on the amount of tissue removed.
4. Excision of part of the orbicularis oculi muscle - removal of overextended areas characteristic of the Asian eyelids.

The next step is to form a fold. The skin is fixed by nodal sutures to muscular aponeurosis, which lifts the upper eyelid. In some patients with ptosis, correction of depression is required, otherwise the upper eyelid would remain overhanging after surgery, which would lead to a non-optimal result.

The recovery period after surgery on the eyelids is usually 7-14 days. After the surgery, a bandage is usually applied to the eyes for several hours. Postoperative care is necessary to reduce swelling, hematomas, and discomfort. Patients are advised to follow the doctor's instructions, avoid smoking and drinking alcohol.