The Bright-eye Surgery using External Incision.
- Author:
Yeop CHOI
1
Author Information
1. Choiyeop Plastic Surgery Clininc, Seoul, Korea. choiyeop@naver.com
- Publication Type:Original Article
- Keywords:
Blepharoplasty;
Asian;
Eyelids;
Flaps
- MeSH:
Asian Continental Ancestry Group;
Blepharoplasty;
Blepharoptosis;
Eye;
Eyelids;
Humans;
Patient Satisfaction
- From:Archives of Aesthetic Plastic Surgery
2012;18(1):7-14
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The concept and surgical technique of "Bright-eye surgery" in Asian is introduced in this paper. From Jan 2006 to Oct 2012, external levator/Muller surgeries were performed in 1,075 patients (1952 eyes) who did not have functional complaint of eyelid ptosis, in an attempt to make their eyes more bright-looking. The mean patient age was 31.6 (range from 16 to 64). During the first year of beginning the procedure, revision surgeries were required in 48 patients (23.4%). Afterwards, revision rates decreased to 7.1% with experience and technical refinement. The cause for the revision varied: more precise correction of asymmetry, overcorrection or under-correction of the palpebral opening, with the demand for getting more attractive exposure of iris-pupil complex. Overall, 98.4% of the patients were satisfied with their outcomes of "Bright-eye surgery", even though some of them underwent second or third operations. Unlike practices and ideas of Caucasian upper eyelid surgery (mainly for levator/Muller surgery), their Asian application needs different aesthetic concept and surgical approach for patient satisfaction. Achieving favorable amount of iris-pupil exposure (i.e. 85~92% in young lady) through posterior lamella surgery in Asians is the key to achieve this goal.
