professor of plastic surgery, Department of Plastic and Aesthetic Surgery, Institute of Dermatology, Southern Medical University, Guangzhou, China.
Department of Plastic and Aesthetic Surgery, Dongguan Kanghua Hospital, Dongguan, Guangdong, China.
Aesthet Surg J. 2021 Nov 12;41(12):1346-1355. doi: 10.1093/asj/sjab021.
Asian upper blepharoplasty is the most popular cosmetic procedure for Asian women. However, there is no standardized approach to this procedure and suboptimal results are still common.
The aim of this article was to describe a comprehensive approach to Asian upper blepharoplasty in women and report the clinical outcomes obtained with this approach.
The comprehensive approach described here for Asian upper blepharoplasty in women includes: (1) determining the height and length of the upper eyelid skin crease; (2) creating a more optimal anatomy of the upper eyelid by removing excess eyelid skin, a portion of the orbicularis oculi muscle, and septal fat; (3) reconstructing the desired anatomic structures of the upper eyelid skin crease through plication of the levator aponeurosis, if necessary, and closure of the upper eyelid skin incision through the septum and the mobile portion of the levator aponeurosis; (4) adding a medial epicanthoplasty if needed to enhance final cosmetic results.
Over a 5-year period, 332 Asian women underwent upper blepharoplasty for creation of double eyelids, or conversion from less visible to more ideal double eyelids, with the above comprehensive approach. There were no surgical complications postoperatively and 326 patients (98.2%) rated their outcome satisfactory over a 5-year follow-up. Only 6 patients (1.8%) required surgical revision for asymmetry or suboptimal shape of the upper eyelid.
The comprehensive approach to Asian upper blepharoplasty described here can be used for Asian women and produces a natural and aesthetically pleasing outcome and low revision rates.
亚洲人上睑成形术是亚洲女性最受欢迎的美容手术。然而，对于这种手术还没有标准化的方法，手术效果仍不理想。
本文旨在描述一种女性亚洲人上睑成形术的综合方法，并报告采用该方法获得的临床效果。
本文所描述的女性亚洲人上睑成形术的综合方法包括：（1）确定上睑皮肤褶皱的高度和长度；（2）通过去除多余的睑板前皮肤、部分眼轮匝肌和隔脂肪，创造更理想的上睑解剖结构；（3）必要时通过提上睑肌腱膜折叠来重建上睑皮肤褶皱的所需解剖结构，并通过隔和提上睑肌腱膜的活动部分闭合上睑皮肤切口；（4）如果需要，添加内侧内眦成形术以增强最终美容效果。
在 5 年期间，332 名亚洲女性接受了上睑成形术，以创建双眼皮，或从不太明显的双眼皮转变为更理想的双眼皮，采用上述综合方法。术后无手术并发症，326 名患者（98.2%）在 5 年随访中对结果表示满意。只有 6 名患者（1.8%）因上睑不对称或形状不理想需要手术修复。
本文描述的女性亚洲人上睑成形术的综合方法可用于亚洲女性，可获得自然美观的效果和较低的修复率。
