Facial Plast Surg 2010; 26(3): 201-208
DOI: 10.1055/s-0030-1254330
© Thieme Medical Publishers

Management of the Aging Upper Eyelid in the Asian Patient

Amir M. Karam1 , Samuel M. Lam2
  • 1Department of Surgery, Division of Otolaryngology/Head and Neck Surgery and Facial Plastic and Reconstructive Surgery, University of California San Diego, San Diego, California; and Carmel Valley Facial Plastic Surgery, San Diego, California
  • 2Willow Bend Wellness Center, Lam Facial Plastic Surgery Center and Hair Restoration Institute, Plano, Texas
Further Information

Publication History

Publication Date:
03 June 2010 (online)


Successful management of the aging upper eyelid region in the Asian patient requires a unique skill set and clinical experience. The surgeon must exhibit a thorough understanding of the unique anatomy of the Asian eyelid and its variations and of the cultural expectations of the patient and must possess a unique set of surgical skills such as de novo creation of the supratarsal crease as well as complementary procedures such as fat transfer used for volume augmentation of the periorbital region. The modern approach outlined here summarizes the key elements necessary to restore the youthful appearance of the upper eyelid region in a natural and ethnically consistent fashion.


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Amir M KaramM.D. 

Carmel Valley Plastic Surgery

4765 Carmel Mountain Road, Suite 201, San Diego, CA 92130

Email: Md@drkaram.com