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Case Analysis

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Factors that determine the expression of the eyes(2)

About asian eyelids



Eyes that point downwards and hang down laterally

 

 

Asians usually have scary looking eyes compared to Caucasians partly because of the tail of the eyes’ inclination degree and Mongolian folds.

As you get older, your eyes can change into a softer and more comfortable appearance because aging causes the upper eyelid to hang down.

 

 

 

Example)Double eyelid surgery combined with Magic epicanthoplasty in the eyes that hang down laterally.

 

Fat tissue in the eyes

For Asians, orbicularis oculi muscle is relatively thicker and orbital fat is more abundant, and the fatty tissue usually comes down to the lower part near the tarsal plate. Because of these factors, eyelids look thick and swollen. Therefore, the position and quantity of orbital fat should be adjusted to create a natural double eyelid.

 

Example) The shape of eyelid that contains large amount of orbital fat

 

Example) A case showing an improvement in puffiness by removal of the excess skin and the orbital fat

 

The fat tissue on the upper part of your eyes may sink in due to aging and can portray an older and tired appearance. To obtain a younger looking image, surgery using fat in the orbital area or transplantation of fat may be needed.

 

 

 

Example) Fat injection over the sunken eyelids

 

Thickness of eyelid skin

Different images of eyes are created depending on the type of skin you have. This is an important key to consider when performing the double eyelid surgery.

 

 

Example) Thin eyelid skin

 

Example) Thick eyelid skin

 

Direction of eyelashes and epiblepharon of the eyelid

 

 

Example) A case showing an improvement of epiblpharon by an excisional double eyelid surgery

 

In a single eyelid, the eyelashes tend to point downward to the eyeball by being pressed down by the eyelid. As the forehead is raised for helping the eyes to open wider, the eyelashes will be inclined more to the eyeball side.

 

In severe cases, it can damage the cornea sometimes. And also the older you are, the more severe the eyelash inclination is. When a double eyelid is made, this problem of prickling lashes into your eyes disappears because the lashes point upward.

 

About asian eyelids

Depression or protrusion of eyeball

 

Depressed or protruded eyeballs can make a unique image of the eye, and it is an important factor to be considered in double eyelid surgery.

 

Example) Protrusion of the eyes

 

 

Example) Magic epicanthoplasty combined with non-incisional double eyelid surgery and autologous fat injection in the protruding type of eyeballs.

 

 

Example) Magic epicanthoplasty combined autologous fat injection in the depressed type of eyeballs.

 

About asian eyelids

Distance between the eyebrow and the eye

 

Example) When the distance between the eyebrow and the eye is short, it may give a puffy look.

 

 

Example) When the distance between the eyebrow and the eye is far enough, the eyes give a brighter image.



About asian eyelids

Eyes with a wide intercanthal distance (i.e. the distance between the two eyes)

 

1.Hypertelorism

 

 

 

When the distance between the orbital skeletal structure is far, then the pupillary distance also widens. In this case, it is impossible to make orbital skeletal structure narrower, but augmentation rhinoplasty can sometimes be helpful for changing the image of the face. The epicanthoplasty may be helpful according to the degree of epicanthus.




2.Telecanthus

 

 

This is a case where the distance between the inner parts of the eyes looks farther than the actual distance because of Mongolian folds. Magic epicanthoplasty can correct this specific condition.

 

 

3.Hypertelorism + Telecanthus

 

With the combination of the two above factors, the intercanthal distance looks far from each other. Both augmentation rhinoplasty and Magic epicanthoplasty can help this condition.

 

 

 

Example) Magic epicanthoplasty combined with a non-incisional double eyelid surgery and an augmentation rhinoplasty



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