Asian Blepharoplasty Partial Incisional Suture technique
The partial incisional/suture technique for an Asian blepharoplasty is a minimally invasive method used to create natural looking double eyelids. This method achieves the natural appearance of the open incisional approach without creating a cut along the upper eyelid while using sutures instead to hold the tissues together.
The SkinnyAsian Blepharoplasty Partial Incisional Suture technique
- avg. recovery
About the Procedure
For patients seeking a minimally invasive surgery to create an eyelid crease, an Asian blepharoplasty performed using the partial incisional/suture technique could be the ideal solution. Unlike the open approach to the Asian blepharoplasty, this approach does not require eyelid skin or muscle to be removed which can greatly reduce recovery time. Since there may be no incisions made, there is no visible scarring on the eyelid. Before the surgery begins, the patient's eye and eyelid will be anesthetized. Pre-operative markings will then be made to guide the surgeon during the procedure. The optional incisional portion involves making a 1cm incision along the outer corner of the upper lid marking. At this point, a very minimal amount of eye muscle and excess fat may be removed. For a completely incision-less procedure these steps would be skipped. For a suture only procedure, a nylon stitch will be placed next to the lash line of the upper lid for retraction. The upper lid will be flipped to expose the inner surface of the eyelid and a 5mm bite of tissue using double-armed 5-0 nylon will be taken at the mid pupil along the upper border of the tarsal plate, a thick portion of dense connective tissue in the eyelid. The eyelid will be reentered through the same needle hole so that a full-thickness buried suture exits on the skin surface of the upper lid along the preoperative lid markings. A knot will be secured and retracted into the deep recesses of the eye muscle. Four sutures will be placed an equal distant apart. The candidate will open and close their eye to verify that the crease extends sufficiently across the eye, then the incision will be closed.
The goal of an Asian blepharoplasty surgery using a partial incisional/suture technique is to create a permanent upper eyelid crease.
What to Expect
An Asian blepharoplasty with a partial incisional/suture technique creates the appearance of double eyelids without continuous cut across the eyelid. Here is a quick guide for what to expect before, during, and after an Asian blepharoplasty with a partial incisional suture technique.
- Stop taking blood thinning medications
- Stop smoking 4 weeks before and after surgery
- Do not eat or drink for 6 hours prior
- Eyelid tissues is compressed and indented to form a crease
- Sutures are tied and buried underneath the skin
- Creates a static crease
After a double eyelid surgery it is important to relax for the remainder of the day in an elevated position to reduce any swelling. Use cool compresses and OTC medications to further relieve any pain or eye swelling. Apply prescribed ointments as directed. You will be advised to not read or watch TV for at least 24 hours after surgery. Mild physical activity may begin at 10 days, progressing to full physical activity at 4 weeks. Avoid unprotected sun exposure for 6 weeks.
The ideal candidate for Asian blepharoplasty with a partial incisional/suture technique is a younger candidate with little forehead ptosis and no prior crease surgery. The upper eyelid skin should be relatively thin, with thin pretarsal orbicularis muscle. This provides a potentially reversible look with no external scars on the upper eyelid.
Not Recommended For
Asian blepharoplasty is not recommended for patients with significant brow ptosis, prominent or bulging eyes, systemic conditions such as excessive bleeding or healing difficulty, and symptoms of “dry eyes”.
Side effects from an Asian blepharoplasty partial incisional/suture approach may include difficulty in closing the eye when sleeping, blurred vision, swelling and bruising, scarring, bleeding, and changes in sensation.