6. An Optimized Approach To The Formation Of The Upper Eyelid Among Euroasians

Abstract

Background. Blepharoplasty of the Asian eyelid is a variant of operation in which a fold of the eyelid is created. The Asian upper eyelid is characterized by a low, absent, or variable skin fold, a fuller eyelid with a smaller orbit, and a medial epicanthal fold. The presence of this fold is explained by a different attachment of the muscle that raises the upper eyelid.

Material and methods. In the conditions of the NSCS named after Syzganov, between 2020–2024, we operated on 127 patients. In 101 cases, blepharoplasty was performed separately, in 26 cases in combination with other operations.

Results. In the postoperative period, no general surgical complications were observed in patients, in 2 cases there was an inconsistency of the formed fold.

Conclusions. Our method is a proven choice for the Europeanization of Asian eyelids, in which the postoperative scar does not extend beyond the cutout of the eyes. Low injury rate of the operation. Indirect epicanthoplasty is the method of choice for oriental blepharoplasty, since this method does not require additional incisions, therefore, the duration of rehabilitation, the number of possible complications, and the time of surgery are reduced. Only 2% of patients had an unsatisfactory result. The economic validity of this methodology: no need to stay in the hospital for a long time. This minimizes the costs of the medical facility and reduces the burden on medical staff.