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V-Plast Clinic’s “Producing big eyes” Program |
| 1. Operations for lengthening the height of the eye |
(1) Double eyelid surgery
Double eyelid surgery has been reported to be the most common aesthetic procedure in Asia. This procedure may seem simple, but it is actually one of the most complicated cosmetic surgeries out there, for there are a number of anatomic differences in the upper eyelids.
Several methods can be used to create double eyelids; including full-incision, partial incision, and non incisional methods. Each method has it’s advantages, but it does largely depend on the patient’s anatomy and aesthetic desires. |
Full incision
The full Incision technique is recommended for eyelids with an ample amount of fat, thick skin, and/or severely lowered eyelids. In comparison to the non-incisional technique, the full incision method causes prolonged swelling. However, this procedure is the best technique for the thinning and slimming of the eyelid skin. The full-incision method permits the greatest ability to contour and modify the eyelid, according to the shape which you desire. The results from this method, provides a permanent double eyelid in almost all cases.
Non incision
For the young patients with thin skinned eyelids, double eyelid surgery can be accomplished with no incisions or cutting. Sutures are passed inside the eyelid to create a new crease. This method is relatively simple, and is a worry-free procedure for creating double eyelids in Asian patients. It is also virtually scar free, since there are no incisions involved, and the swelling is very minimal compared to the other techniques. However, not all patients have the such favorable physiological adaptability for this procedure.
Partial incision
The partial incision technique is used to create double eyelids by removing adipose tissue (fat tissue) with a 2 to 3-mm incision. It is performed on those patients with an abundant amount of adipose tissue above their eyes. This procedure is for those who want double eyelids with a simple incision. The level of swelling is similar to that of the non-incisional blepharoplasty. |
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(2) Ptosis correction
Ptosis is the medical term used to describe droopy upper eyelids. This droopiness of the eyelid is caused by a defective levator muscle system. In this condition, the upper eyelid falls to a position that is lower than normal. This can give your eyes a "sleepy" or tired appearance.
Ptosis is described as either congenital (present from birth) or acquired.
Some patients seeking double eyelid blepharoplasty may be unaware of the simultaneous presence of ptosis, and surprised by the necessity for additional and more specialized treatment. However, cosmetic Asian eyelid surgery performed alone will not correct ptosis. It is highly important to recognize and discuss this disorder before surgery.
(3) Mongolian slant downward modification
This procedure is to lower the outer corner of the eyelids downwards. By doing so, the excessive elevated lateral slant is descended, and the eyes become larger in appearance. This procedure is performed through the conjunctiva, so there are no external scars. You will not be required to come back to the clinic for stitches removal because the sutures are dissolvable, and located underneath the skin. This procedure is usually performed in conjunction with lateral canthoplasty. |
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| 2. Operations for lengthening the eye width. |
(1)Epicanthoplasty
A unique feature of the Asian eyelid is the epicanthal fold, this fold is located in the inner most portion of the upper eyelid. There are several different variations of this fold. An epicanthoplasty is a surgical procedure performed to change the shape of the epicanthal fold. This procedure is usually performed in conjunction with the Asian double eyelid surgery.
This procedure increases the overall length of the eye, and creates the appearance of a more open eye.
(2)Lateral canthoplasty
Lateral canthoplasty is a procedure in which the outer part of the eye (the opposite side of the epicanthus) is slightly lengthened by a 1 to 2 mm incision, to create the appearance of a wider eye.
For optimal aesthetic results, this procedure is usually combined with epicanthoplasty and/or "double-eyelid" procedures. |
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Revisional & Reconstructive Program |
• Revisional double eyelids surgery
Common concerns patients who undergo revision Asian eyelid surgery include:
- Asymmetry (eyelid mismatch)
- "Sausage" deformity
- Too high of a crease
- Shallow crease
- Severe scar
- Inability to fully close the eyes when asleep
Technically, revision surgery is more challenging for surgeons, since new scar tissue has formed, and the normal anatomy was changed with the prior surgery.
• Epicanthic fold reconstruction
This is a reconstructive procedure for the reconstruction of the epicanthic fold.
The reasons for epicanthic fold reconstruction are;
- unnatural shape of epicanthic fold after the prior epicanthoplasty
- scar is too obvious
- shape of epicanthic fold is too sharp
This procedure is not an easy one, especially for those who lack the proper anatomical experience.
• Lateral canthus reconstruction
If you are not satisfied with the prior lateral canthoplasty, it can be easily returned to the original state by reconstructive surgery.
The reasons for lateral canthus reconstruction are;
- change of one’s taste(This is the majority)
- unnatural result of lateral canthoplasty
- welling up of tears
- eversion of the eyelid
- lashes pointed downward into the field of vision
• Dark circles
Generally, dark circles underneath the eyes is a shadow affect caused by protruding fat located in and around the eyeball socket. There is also an increase in pigmentation to the lower eyelids that accentuates the tired appearance. There are a number of factors that predispose baggy eyelids; including persistent allergies, genetic predisposition, sinusitis, and recurrent swelling to the lower eyelids. In and around the eyes themselves, is a layer and coating of fatty tissues, called adipose tissue. This fatty layer is kept in place by a membrane. As time passes the fatty tissue bulges forward through the support membrane, causing protrusion of fat which is due to the laxity of the lower eyelid septum.
• Eyelid wrinkle surgery
The eyes are generally the first area of the face to exhibit signs of aging. It can be easily corrected through cosmetic surgery. |
Upper blepharoplasty
Upper blepharoplasty, involves the removal of excess skin and fat around the eyes. This surgery is designed to rejuvenate the eye area and eliminate the tired appearance of aging eyes. The procedure can also address functional problems posed by extremely droopy eyelids, such as impaired vision.
Lower blepharoplasty
As a person ages, he or she starts loosing tissue elasticity in and around the eyes, as a result, sagging formulates and creates an unpleasant tired appearance. Lower eyelid blepharoplasty helps tighten the regions under the eyes. It also creates a more youthful look by removing the excessive fat and skin around the eyes.
This surgery is usually combined with upper blepharoplasty, which provides much more satisfying results. |
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• Alloderm graft
Alloderm is inserted under the surface of the skin to enhance soft tissues. Alloderm grafting is performed to make the area beneath the lower eyelashes bulge, and is recommended for patients who want a younger and brighter look. It is popular among many entertainers. Alloderm is grafted through an incision line of 2-3 mm, followed by a suture removal after 3 days. Fortunately, there is a short swelling period, and it can go unnoticed if you wear glasses. This procedure seldom affects daily lives.
When transplanted to a patient, the alloderm gradually becomes a natural part of the patient's own tissue, and performs like normal, healthy tissue thereafter. |
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