The Asian eyes are exotic, youthful looking and beautiful. Modern fashion photography often features the Asian customized 3d invisible band lashes in many advertisements that want to create an image of beauty and youth.
Thmne As we age, the skin of our face ages and becomes lax often creating a hood which falls over the customized 3d invisible band lashes crease and creates a tired aged appearance. In addition normal fat pockets beneath the eyes bulge and push forward to create a puffy unhealthy look.
Traditionally, in America, plastic surgeons have done a procedure called the Double Eyelid blepharoplasty to remove excess skin and fat to make the customized 3d invisible band lashes look younger. However, the procedure was often performed in the same way as the Caucasian Blepharoplasty which created a round eyed or exaggerated Western look which lost the beautiful ethnic look of the eye. In the past many doctors assumed that Eastern patients wanted to look Western with an open look that showed the double eyelid fold. This was a mistake in most instances.
Today, the approach to surgery and eyelid rejuvenation in Asian patients has changed dramatically, and proper modern Double Fold Blepharoplasty creates a discrete properly positioned double crease but also preserves the beautiful natural shape of the eye. This technique is a sophisticated one and requires the expertise and skill of an experienced plastic surgeon to create a natural refreshed look.
What Is Different About the Asian Eye?
The main difference from Occidental upper lid is the attachment of a small muscle called the Levator Palpebrae Superioris. This muscle lifts the lid upward to open the eye. In the Occidental this muscle is attached to the skin about 8 to 12 millimeters above the customized 3d invisible band lashes so that when the muscle pulls on the skin to open the eye, a crease or line is created. This line is called the Supratarsal (above the tarsus or lower edge of the lid) Fold. This crease is visible about 10 millimeters above the eyelashes when the eye is open in most women, and is called the double eyelid fold or double eyelid crease.
In the non double lid this muscle attaches very weakly or not at all to the skin but does attach to the tarsus which allows the eye to be pulled up and opened. Because the muscle is not attached to the skin when the muscle pulls up, the Supratarsal Crease does not appear. In many people a small crease is present, but it is very low, only 3-5 millimeters from the customized 3d invisible band lashes . Thus the Supratarsal Fold or double crease is low, about 3-5 millimeters above the lashes or not present at all if there is no muscle attachment to the skin.
The fat distribution is also different in that the fat is present across the entire upper lid and not limited to two deep pockets as it is in the Occidental. This makes the eye look fuller.
What is the Double Eyelid Blepharoplasty Technique?
The blepharoplasty operation starts with an incision placed in the skin along the exact position of the desired post operative Supra tarsal Crease or upper lid crease. In Occidentals this line is placed from 10-12 millimeters above the customized 3d invisible band lashes. This results in a normal visible fold 10-12 millimeters above the eyelashes when the eye is open. Loose skin is removed. Also any protruding or bulging fat that is causing eye bags or puffy eyes is also removed during the Caucasian or Occidental blepharoplasty.
In the Asian blepharoplasty this incision is placed lower on the lid usually about 3 millimeters above the customized 3d invisible band lashes-this creates a more natural look to the crease after surgery. The incision is made much shorter than in the Occidental to avoid scarring the fold near the nose.
In addition, the Levator Palpebrae Superioris muscle is attached to the tarsus and customized 3d invisible band lashes to create the normal attachment which is missing. This assures that the normal crease will appear after surgery. This is a very important and technically refined component of the blepharoplasty.