Réal Plastic Surgery Clinic, Asia Building, 580 Shinsa-dong, Kangnam-gu, Seoul, 135-892, Korea,
Aesthetic Plast Surg. 2013 Oct;37(5):863-8. doi: 10.1007/s00266-012-9994-y. Epub 2013 Aug 24.
Oriental blepharoplasty is the most frequently performed aesthetic surgery among far east Asians (i.e., Korean, Chinese, Japanese, and Taiwanese). Numerous studies on oriental blepharoplasty have been published, but only a few, if any, have reported on the measurable effects of such surgeries on the upper face. To scientifically evaluate the changes in the upper face of young Korean adults after oriental blepharoplasty, a periocular morphometry study was conducted.
A retrospective image analysis was used to identify the changes in the upper face after oriental blepharoplasty. Preoperative and postoperative digital facial images of 612 patients (598 women and 14 men) who underwent oriental blepharoplasty were examined. The height of the palpebral fissure (HPF), the distance between the highest point of the palpebral fissure of the upper eyelid and the eyebrow (DEE), and the distance between the eyebrow and the hairline (DEH) were measured to analyze the effects of oriental blepharoplasty in the upper face.
After oriental blepharoplasty, the HPF and DEH increased in length by 11.8 and 4.9 %, respectively, and the DEE decreased in length by 14.0 %. Patients who originally did not possess double eyelids showed greater changes than those who originally did possess such eyelids. Such changes were characterized by a significant inverse correlation between the DEE and DEH. In addition, when postoperative changes were measured before and after 6 months, the palpebral fissure and forehead showed an even greater increase.
Oriental blepharoplasty can induce substantial changes in the proportions of the upper face. It can not only increase the size of the eyes, but also induce changes in eyebrow position resulting in a more refreshed appearance.
东方重睑术是东亚人（即韩国人、中国人、日本人、台湾人）最常做的美容手术。已经发表了许多关于东方重睑术的研究，但只有少数（如果有的话）报道了这种手术对上脸的可衡量效果。为了科学评估东方重睑术对年轻韩国成年人上脸的影响，进行了一项眶周形态计量学研究。
采用回顾性图像分析来确定东方重睑术后上脸的变化。对 612 名（598 名女性和 14 名男性）接受东方重睑术的患者的术前和术后数字面部图像进行了检查。测量了睑裂高度（HPF）、上睑睑裂最高点与眉毛的距离（DEE）和眉毛与发际线的距离（DEH），以分析东方重睑术对上脸的影响。
东方重睑术后，HPF 和 DEH 分别增加了 11.8%和 4.9%，而 DEE 则减少了 14.0%。原本没有双眼皮的患者比原本有双眼皮的患者变化更大。这些变化的特征是 DEE 与 DEH 呈显著负相关。此外，当在术后 6 个月前后测量术后变化时，眼睑和额头的变化更大。
东方重睑术可以对上脸的比例产生显著的变化。它不仅可以增大眼睛的大小，还可以改变眉毛的位置，使外观更加清新。
