Asian Blepharoplasty: Anatomy and Surgical Techniques



There is a keen interest in aesthetic eyelid surgery within the Asian population. Upper eyelid blepharoplasty is the most commonly performed aesthetic procedure among affluent Asians [1–3]. The vast majority of patients desire the formation of an upper lid crease, or a “double eyelid.” This procedure has been given various names such as “double eyelid procedure,” “Oriental blepharoplasty,” “lid crease procedure,” and “Asian blepharoplasty.” The term “Asian blepharoplasty” is preferable because this includes the various ethnic groups inhabiting the eastern hemisphere.


Asian Patient Suture Technique Orbital Septum Superior Sulcus Tarsal Plate 
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  1. 1.
    Amrith S. Oriental eyelids—anatomical and surgical considerations. Singapore Med J. 1991;32:316.PubMedGoogle Scholar
  2. 2.
    Chashi K. The double eyelid operation using electrocautery. Jpn Rev Clin Ophthalmol. 1951;46:723.Google Scholar
  3. 3.
    AAFPRS Membership Study. 2009. Accessed 19 July 2010.
  4. 4.
    Chen WPD. Upper blepharoplasty in the Asian patient. In: Fagien S, editor. Putterman’s cosmetic oculoplastic surgery. 3rd ed. Philadelphia: WB Saunders; 2008.Google Scholar
  5. 5.
    Chen WPD. Asian blepharoplasty and the eyelid crease. Philadelphia: Butterworth-Heinemann; 2006.Google Scholar
  6. 6.
    Doxonas MT, Anderson RL. Oriental eyelids: anatomic studies. Arch Ophthalmol. 1984;102:1232.CrossRefGoogle Scholar
  7. 7.
    Jeong S, Lemke BN, Dortzbach RK, Park YG, Kang HK. The Asian upper eyelid: an anatomical study with comparison to the Caucasian eyelid. Arch Ophthalmol. 1999;117(7):907–12 (ISSN: 0003–9950).PubMedCrossRefGoogle Scholar
  8. 8.
    Haramoto U, Kubo T, Tamatani M, Hosokawa MK. Anatomic study of the insertions of the levator aponeurosis and Müller’s muscle in oriental eyelids. Ann Plast Surg. 2001;47(5):528–33 (ISSN: 0148–7043).PubMedCrossRefGoogle Scholar
  9. 9.
    Siegel R. Surgical anatomy of the upper eyelid fascia. Ann Plast Surg. 1984;13(4):263–73 (ISSN: 0148–7043).PubMedCrossRefGoogle Scholar
  10. 10.
    Carter SR, Seiff SR, Grant PE, Vigneron DB. The Asian lower eyelid: a comparative anatomic study using high-resolution magnetic resonance imaging. Ophthal Plast Reconstr Surg. 1998;14(4):227–34 (ISSN: 0740–9303).PubMedCrossRefGoogle Scholar
  11. 11.
    Park J, Toriumi D. Asian facial cosmetic surgery. Philadelphia: WB Saunders; 2008.Google Scholar
  12. 12.
    Jelks GW, Jelks EB. Preoperative evaluation of the blepharoplasty patient. Bypassing the pitfalls. Clin Plast Surg. 1993;20(2):213.PubMedGoogle Scholar
  13. 13.
    Stasior OG, Ballitch HA. Ptosis repair in aesthetic blepharoplasty. Clin Plast Surg. 1993;20(2):247.Google Scholar
  14. 14.
    Mikamo K. A technique in the double eyelid operation. J Chugaishinpo. 1896.Google Scholar
  15. 15.
    Pang HG. Surgical formation of upper lid fold. Arch Ophthalmol. 1961;65:783.PubMedCrossRefGoogle Scholar
  16. 16.
    Uchida K. The Uchida method for the double-eyelid operation in 1,523 cases. Jpn J Ophthalmol. 1926;30:593.Google Scholar
  17. 17.
    Sayoc BT. Plastic construction of the superior palpebral fold. Am J Ophthalmol. 1954;38:556.PubMedGoogle Scholar
  18. 18.
    Khoo BC. Some aspects of plastic (cosmetic) surgery in orientals. Br J Plast Surg. 1969;22:60.CrossRefGoogle Scholar
  19. 19.
    Harahap M. Blepharoplasty for orientals. J Dermatol Surg Oncol. 1981;7(4):334–9 (ISSN: 0148–0812).PubMedCrossRefGoogle Scholar
  20. 20.
    Fernandez LR. Double eyelid operation in the oriental in Hawaii. Plast Reconstr Surg. 1960;25:257.CrossRefGoogle Scholar
  21. 21.
    Fernandez LR. The East Asian eyelid—open technique. Clin Plast Surg. 1993;20(2):247.PubMedGoogle Scholar
  22. 22.
    Weingarten CZ. Blepharoplasty in the oriental eye. Trans Am Acad Ophthalmol Otol. 1976;82:442.Google Scholar
  23. 23.
    Yang PY. Double eyelid operation by the twisted needle and compressive suturing technique. Chin J Plast Surg Burn. 1987;3:191.Google Scholar
  24. 24.
    Maruo M. Plastic construction of a double-eyelid. Jpn Rev Clin Ophthalmol. 1929;24:393.Google Scholar
  25. 25.
    Kim DW, Bhatki AM. Upper blepharoplasty in the Asian eyelid. Facial Plast Surg Clin North Am. 2007;15(3):327–35. vi (ISSN: 1064–7406).PubMedCrossRefGoogle Scholar
  26. 26.
    Ichinose A, Tahara S. Extended preseptal fat resection in Asian blepharoplasty. Ann Plast Surg. 2008;60(2):121–6 (ISSN: 0148–7043).PubMedCrossRefGoogle Scholar
  27. 27.
    Putterman AM, Urist MJ. Reconstruction of the upper eyelid crease and fold. Arch Ophthalmol. 1976;94:1941.PubMedCrossRefGoogle Scholar
  28. 28.
    Sheen JH. Supratarsal fixation in upper blepharoplasty. Plast Reconstr Surg. 1974;54:424.PubMedCrossRefGoogle Scholar
  29. 29.
    Sheen JH. A change in the technique of supratarsal fixation in upper blepharoplasty. Plast Reconstr Surg. 1977;59:831.PubMedCrossRefGoogle Scholar
  30. 30.
    Dortzbach RK, editor. Ophthalmic plastic surgery: prevention and management of complications. New York: Raven Press; 1994.Google Scholar
  31. 31.
    Lowry JC, Bartley GB. Complications of blepharoplasty. Surv Ophthalmol. 1994;38(4):327.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Oculoplastic Consultants of Arizona, P.C.GlendaleUSA

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