East Asian blepharoplasty
|East Asian blepharoplasty|
A Korean woman, before (left) and after (right) undergoing East Asian blepharoplasty
East Asian blepharoplasty, also known as "double eyelid surgery", is a type of cosmetic surgery where the skin around the eye is reshaped (blepharoplasty). The purpose of the procedure is to create an upper eyelid with a crease (i.e. "double eyelid") from an eyelid that is naturally without a crease (a.k.a. "single eyelid").
Anatomically, there are a number of subtle differences in the upper eyelids of many East Asians, compared with the differences in the eyelids of Caucasians. While some East Asians have a double eyelid and some do not, there is also a large variation in the crease position (double eyelid size) of the East Asian upper eyelid. The upper lid fold can range from 1 mm (0.039 in) above the eyelash line to about 10 mm (0.39 in). Several methods can be used to create the double eyelid — including the full-incisional, partial incision and no incision methods (e.g. the DST method). Each has its advantages depending on the patient's anatomy and desires.
East Asian blepharoplasties have been reported to be the most common aesthetic procedure in  South Korea and other parts of East Asia. The procedure has been reported to have some risk of complications, but is generally quite safe if done by an expert plastic surgeon. Practitioners of Asian double eyelid surgery include plastic surgeons (facial plastic and reconstructive surgeons), otolaryngologists, oral and maxillofacial surgeons, and ophthalmologists (oculoplastic surgeons). A procedure to remove the epicanthal fold (i.e. an epicanthoplasty) is often performed in conjunction with an Asian blepharoplasty.
The procedure to alter the natural East Asian "single eyelid" appearance has been a subject of controversy. For example, opponents of the procedure, such as author David Mura, described it as being "indoctrinated by white standards of beauty", although New York-based cosmetic surgeon Dr. Edward Kwak states that many patients who get the procedure done are "not trying to look white", but look like the many Asians who naturally have an eyelid fold. There is also a belief that double eyelids provide a more energetic appearance, and the procedure is popular among a number of high school graduates in China with the view that it will improve their job prospects.
- Chen WP (1996). "Concept of triangular, trapezoidal, and rectangular debulking of eyelid tissues: application in Asian blepharoplasty". Plast. Reconstr. Surg. 97 (1): 212–8. doi:10.1097/00006534-199601000-00035. PMID 8532781.
- Jeong S, Lemke BN, Dortzbach RK, Park YG, Kang HK (1999). "The East Asian upper eyelid: an anatomical study with comparison to the Whites eyelids". Arch. Ophthalmol. 117 (7): 907–12. PMID 10408455.
- Liao WC, Tung TC, Tsai TR, Wang CY, Lin CH (2005). "Celebrity arcade suture blepharoplasty for double eyelid". Aesthetic Plast Surg 29 (6): 540–5. doi:10.1007/s00266-005-0012-5. PMID 16237581.
- Kim JW, Lee JO (1998). "Asian blepharoplasty with a short-pulsed contact Nd-Yag laser: limited-incision resectable laser double fold with internal medial and lateral functional epicanthoplasty". Aesthetic Plast Surg 22 (6): 433–8. doi:10.1007/s002669900230. PMID 9852177.
- Chen SH, Mardini S, Chen HC, et al. (2004). "Strategies for a successful corrective Asian blepharoplasty after previously failed revisions". Plast. Reconstr. Surg. 114 (5): 1270–7; discussion 1278–9. doi:10.1097/01.PRS.0000135951.55118.59. PMID 15457048.
- Yen MT, Jordan DR, Anderson RL (2002). "No-scar Asian epicanthoplasty: a subcutaneous approach". Ophthal Plast Reconstr Surg 18 (1): 40–4. PMID 11910323.
- Waldmeir, Patti (July 23, 2013). "When one pair of eyelids isn’t enough". Financial Times. Retrieved July 23, 2013.