Estimation of skin removal in aging Asian blepharoplasty

The Laryngoscope
Amy K Hsu, Albert Jen

Abstract

To describe a novel method for estimating the amount of skin to resect in upper blepharoplasty in the aging Asian eyelid and to report our experience with this technique. Retrospective review of patients in a single private practice. Resection of skin in upper blepharoplasty in an Asian eyelid can often be less forgiving than in other ethnicities due to the unique anatomy of the supratarsal fold. Excising a maximal amount of excess skin will result in an unfavorable appearance of the upper eyelid in an Asian patient. We applied a technique of pinching the skin while the patient is awake until the patient is satisfied with the appearance. The skin is then measured and the precise amount resected during blepharoplasty. The supratarsal crease is always recreated even in patients who have a preexisting crease. We conducted a retrospective review of 99 consecutive patients who underwent upper blepharoplasty using this technique. All patients were Asian and aged 40 years or older. The study group included 99 patients with a mean age of 55.7 years (range, 42-78 years). The mean follow-up time was 24 months (range, 12-30 months). The amount of desired skin overhang superior to the supratarsal crease varied considerably among patients. ...Continue Reading

References

Aug 14, 1998·Plastic and Reconstructive Surgery·K C Yoon, S Park
Nov 1, 2002·Aesthetic Surgery Journal·Robert S Flowers
May 1, 2006·Aesthetic Surgery Journal·Apirag Chuangsuwanich
Nov 1, 2007·Aesthetic Surgery Journal·Susumu Takayanagi
Sep 1, 2009·Aesthetic Surgery Journal·Arthi Kruavit
Sep 1, 2009·Aesthetic Surgery Journal·Daniel Lee, Victor Law
Jun 5, 2010·Facial Plastic Surgery : FPS·Amir M Karam, Samuel M Lam

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Citations

Oct 3, 2013·Archives of Plastic Surgery·Inchang Cho
Jul 21, 2017·Indian Journal of Ophthalmology·Kasturi BhattacharjeeNilutparna Deori
Aug 25, 2018·Aesthetic Plastic Surgery·Tae-Yul LeeDong-Il Choi
Jan 7, 2021·Aesthetic Plastic Surgery·Peng XuYuanyuan Du

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