PictureFreebies.com

Surgical modification of the upper eyelid (commonly called the double eye operation) has become increasingly popular since 1950. Currently it is by far the most common cosmetic procedure performed in Asia, and is extremely popular in American cities with large Asian populations.

In the past, such surgery was considered a "westernization" procedure and as a result, many surgically modified eyelids did not match the patient's face. I have developed techniques that allow individualization of the size and shape of the eyelid, thus achieving an appearance that accentuates and flatters the natural characteristics of the Asian face. By virtue of my experience, lectures and publications on this subject, I am recognized as an expert in surgery of the Asian eyelid, and offer the following illustrations and discussion as a demonstration of the flexibility that I can achieve with double eyelid surgery.

A patient who desires double eyelid surgery must make three decisions regarding the eyelid appearance:

The size of the lid (small, medium or large)
The shape of the lid (oval or round)
The disposition of the epicanthal fold - a web like segment of skin that varies in size and may blunt the inner corner of the eye.

At the present time, small and medium double eyelids are requested, more frequently than large lids as patients feel that they better match the Asian face. The following actual pre and postoperative photographs illustrate the variations and surgical flexibility of double eyelid surgery.

B E F O R E	A F T E R

This patient underwent double lid surgery elsewhere and the right fold "fell" out. Note that the left double lid exhibits a "inside fold", i.e. the fold terminates inside of the epicanthus. I operated on the right eyelid, duplicating the size (medium) and shape (oval) of the left upper lid, but created a "outside fold", i.e. the fold terminates outside of the epicanthus in effect minimizing the epicanthus and producing a larger more open configuration. I present these photographs as an illustration of the difference between an inside and outside fold, a point of confusion for many perspective patients. At a later date the left upper lid was operated on to produce a matching outside fold.

B E F O R E	A F T E R

Surgery produced a small round double eyelid with an inside fold.

B E F O R E	A F T E R

Another example of a small, round double eyelid with an inside fold.

B E F O R E	A F T E R

Creation of a conservative small, round double lid with an inside fold.

B E F O R E	A F T E R

Construction of a small, oval double lid with outside fold.

B E F O R E	A F T E R

Construction of a medium, oval double lid with an outside fold.

B E F O R E	A F T E R

Creation of a medium, round double lid with an outside fold.

B E F O R E	A F T E R

Creation of a medium, oval double eyelid with an outside fold. Also note tightening of lower eyelid skin and removal of bulging fat in the lower lid.

B E F O R E	A F T E R

Creation of a large, oval lid with an outside fold. This procedure "westernizes" the upper eyelid and is requested less commonly than before, most contemporary patients desiring to retain natural characteristics of the Asian eye with a small or medium double eyelid.

B E F O R E	A F T E R

Example of double eyelid surgery for men; conservatism is generally best.

B E F O R E	A F T E R

Another example of a conservative double eyelid operation in a man.