Dr. Amit Gupta is one of the renowned and well established Cosmetic Plastic Surgeon in the South East Asia region. With his comprehensive knowledge of the human body, he has been working as a Cosmetic and Hair Transplant expert for the last 17+ years.
Abstract
Introduction
Asian blepharoplasty on eyelid surgery is a procedure performed in people of Oriental descent. In these people who come in from the North East part of India China Korea Japan, they do not have the eyelid fold and the eyes appear a little small as compared to other people. Essentially there is nothing wrong in their eyes and it is a developmental error that has now become genetic.
Cause
The lack of the fold is very simple to understand. There is a muscle inside the upper eyelid skin which is known as the levator palpebrae superioris. In people who have a fold there are some muscles slips which pass from the muscle to the skin. So whenever there is a contraction of the upper eyelid which is the prime action of this muscle this lips also contract and pull the skin in words with every eye opening. Opening the eye is the prime action of this muscle. In people of Oriental Descent this slip of muscle is absent and often there is more fat accumulated in the layers of the skin than compared to other people. This appears to give a slightly Puffy appearance to the upper eyelid.
Assessment
we need to access for any existing ptosis. Since the eyes may be a little smaller in these patients it is a relatively difficult task to assess for ptosis.
Assess any extra fat
Treatment
The only option for creating an upper eyelid fold is either a surgical Asian blepharoplasty procedure or a non surgical suture based blepharoplasty procedure. We do not believe in the suture procedure since there is a higher rate of recurrence and the results are not permanent. Asian blepharoplasty or double eyelid surgery has performed by us is a very reliable procedure with hundred percent results and satisfaction.