The Causes and Management of Asymmetrical Double Eyelids

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

Publikationsverlauf

Artikel online veröffentlicht:
24. Dezember 2020

• 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
• 2 Song IC, Hunter JG, Chung SC. Problems in the management of blepharoplasty in Orientals. Probl Plast Reconstr Surg 1991; 1: 542-551
• 3 Weng CJ, Noordhoff MS. Complications of Oriental blepharoplasty. Plast Reconstr Surg 1989; 83 (04) 622-628
• 4 Cho IC. Revision upper blepharoplasty. Semin Plast Surg 2015; 29 (03) 201-208
• 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
• 6 Chen WPD. Revision parameters. In: Chen WPD. , ed. Asian Blepharoplasty and the Eyelid Crease, 3rd ed. Philadelphia, PA: Elsevier; 2016: 169-181
• 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
• 8 Chen WPD. Techniques, principles and benchmarks in Asian blepharoplasty. Plast Reconstr Surg Glob Open 2019; 7 (05) e2271
• 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
• 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
• 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
• 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
• 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