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Facial Plast Surg 2020; 36(05): 575-583
DOI: 10.1055/s-0040-1717145
Original Article

The Causes and Management of Asymmetrical Double Eyelids

Chang Yeom Kim
1   Oculoplastic Center, Kim's Eye Hospital, Seoul, Korea
,
Jae Woo Jang
1   Oculoplastic Center, Kim's Eye Hospital, Seoul, Korea
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Abstract

Blepharoplasty is a commonly performed aesthetic surgery, especially in Asians. Nevertheless, as in all surgeries, postoperative complications still occur. Asymmetry is the most common complication after double eyelid surgery. Preexisting asymmetries in patient appearance and technical faults during surgery are associated with postoperative asymmetrical double eyelids. In this review, we discuss how to prevent unfavorable outcomes after this procedure and how to manage asymmetrical double eyelids when they do occur.

Keywords

asymmetry - blepharoplasty - complication - double eyelid - revision blepharoplasty


Publication History

Article published online:
24 December 2020

© 2020. Thieme. All rights reserved.

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  • References

  • 1 Han K, Yeo H, Choi TH, Son D, Kim JH. Intratarsal fixation at the same level as the skin incision to reduce asymmetric double eyelids: evaluation of symmetry using photogrammetry. Ann Plast Surg 2010; 64 (03) 265-269
    CrossrefPubMedGoogle Scholar
  • 2 Song IC, Hunter JG, Chung SC. Problems in the management of blepharoplasty in Orientals. Probl Plast Reconstr Surg 1991; 1: 542-551
    PubMedGoogle Scholar
  • 3 Weng CJ, Noordhoff MS. Complications of Oriental blepharoplasty. Plast Reconstr Surg 1989; 83 (04) 622-628
    CrossrefPubMedGoogle Scholar
  • 4 Cho IC. Revision upper blepharoplasty. Semin Plast Surg 2015; 29 (03) 201-208
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Jang JW. Double-eyelid surgery: incisional techniques. In: Jin HR. ed. Aesthetic Plastic Surgery of the East Asian Face. New York, NY: Thieme; 2016: 162-172
    Google Scholar
  • 6 Chen WPD. Revision parameters. In: Chen WPD. , ed. Asian Blepharoplasty and the Eyelid Crease, 3rd ed. Philadelphia, PA: Elsevier; 2016: 169-181
    Google Scholar
  • 7 Yi MY, Choi HS, Jang JW, Kim SJ, Jang SY. Asymmetry of preoperative incision design markings for upper blepharoplasty. J Craniofac Surg 2017; 28 (05) e419-e422
    CrossrefPubMedGoogle Scholar
  • 8 Chen WPD. Techniques, principles and benchmarks in Asian blepharoplasty. Plast Reconstr Surg Glob Open 2019; 7 (05) e2271
    CrossrefPubMedGoogle Scholar
  • 9 Young SM, Kim YD, Kim JH, Lang SS, Woo KI. Lowering of the high eyelid crease in revision upper eyelid surgery. Aesthetic Plast Surg 2019; 43 (01) 139-146
    CrossrefPubMedGoogle Scholar
  • 10 Liu HP, Shao Y, Li B, Sun MR, Yu XJ, Zhang D. Upper blepharoplasty revision technique: Correction of the high eyelid fold using the pretarsal orbicularis oculi flap. J Plast Reconstr Aesthet Surg 2019; 72 (01) 125-130
    CrossrefPubMedGoogle Scholar
  • 11 Choi HS, Whipple KM, Oh SR. et al. Modifying the upper eyelid crease in Asian patients with hyaluronic acid fillers. Plast Reconstr Surg 2011; 127 (02) 844-849
    CrossrefPubMedGoogle Scholar
  • 12 Kim KK, Kim WS, Oh SK, Kim HS. High double eyelid fold correction using wide dual-plane dissection. Ann Plast Surg 2017; 78 (04) 365-370
    CrossrefPubMedGoogle Scholar
  • 13 Chen WP. The concept of a glide zone as it relates to upper lid crease, lid fold, and application in upper blepharoplasty. Plast Reconstr Surg 2007; 119 (01) 379-386
    CrossrefPubMedGoogle Scholar