Baek Ji Sun, Choi Young Joo, Jang Jae Woo
Department of Oculoplasty, Kim's Eye Hospital, Seoul, Republic of Korea.
Department of ophthalmology, Choi's Eye Clinic, Seoul, Republic of Korea.
Facial Plast Surg. 2020 Oct;36(5):584-591. doi: 10.1055/s-0040-1715617. Epub 2020 Sep 16.
Blepharoplasty is the most frequently performed cosmetic surgical procedure in Asia. The epicanthal fold, which is common in Asians, is characterized by a curved skin fold that partially hides the caruncle and lacrimal lake. The epicanthal fold may cause weakening of the esthetic appearance after blepharoplasty. It makes the palpebral fissure height narrower and the length shorter horizontally. Blepharoplasty with epicanthoplasty can enhance the esthetic appearance, but no gold standard surgical technique has been established for epicanthoplasty. Surgeons can choose the surgical technique according to their preference and the patient's characteristics. A carefully designed and fine surgical technique, especially with the use of loupes and tension-free skin closure with the thinnest needle, is required to avoid scarring.
眼睑成形术是亚洲最常施行的美容外科手术。内眦赘皮在亚洲人中很常见，其特征是一条弯曲的皮肤皱襞，部分遮盖了泪阜和泪湖。内眦赘皮可能会导致眼睑成形术后美观度下降。它会使睑裂高度变窄，水平长度缩短。联合内眦成形术的眼睑成形术可以提高美观度，但内眦成形术尚未确立金标准手术技术。外科医生可根据个人偏好和患者特点选择手术技术。需要精心设计且精细的手术技术，尤其是使用放大镜以及用最细的针进行无张力皮肤缝合，以避免形成瘢痕。
