Archive for the ‘Asian Double Eyelid Surgery / Asian Eyelid Surgery’ Category

Asian Blepharoplasty Double eyelid Crease formation – a personal story in Plastic Surgery

Sunday, September 4th, 2016

Asian Blepharoplasty & Creating the Double Eyelid Crease in Plastic Surgery: A Personal Account of someones’ Story

I had an Asian Patient from Idaho come to me and our Plastic Surgery Clinic for an asian blepharoplasty double eyelid procedure. She had 4 procedure prior Asian Blepharoplasties / Double Eyelid Crease Forming Procedures prior to coming to see me to create a crease in her eyelid. She went to a surgeon that she was referred to by a close family friend.  Her first surgery created asymmetric eyelid creases so that one person’s higher than the other . So she went in and did it again and this time it was better but she came out with quite a bit of scarring. The surgeon then did another surgery to correct the scarring. I saw her and she wanted me to correct the double eyelid crease. She felt like she wanted to remove skin. She also said that that she had loose skin in the crease and that it was not particularly tight. Her thought was that she could just remove skin to improve the wrinkling.

She went on to tell me that she felt that being in America, especially in a part of America that’s not as diverse, she felt more “Asian” than typical. She felt that she stood out a little bit more among the rest of the people. So she wanted to change her most distinguishing asian features which were her “Chinese Eyes”. Comments like “Chinese, Japanese, dirty knees, look at these” were strange and hurtful. She even brought up a period where Abercrombie and Fitch sold shirts that said:”Wong Brothers Laundry Service — Two Wongs Can Make It White”, “Rick Shaw’s Hoagies and Grinders…Order by the foot. Good meat. Quick feet.” Read more here: Racist t shirts by Abercrombie and Fitch.

I know how she felt. Back in the day that I grew up even in Seattle, being asian was definitely different. Comments from teachers and students racially flavored has an effect on how you feel about yourself. When you are white in a white dominated population, the way you look doesn’t come into the discussion as much.  If you have some physical element that stands out that can be something that you could be made fun of and it might or might not be as divisive as race, for example in the situation where someone has bigger ears or bigger nose. But I guess we all have some challenges to overcome and being different racially just might be a minority’s challenge. But it seems like most people agree that it shouldn’t be.

After a long discussion we decided that she needed to have her crease recreated and actually no skin taken out. So our plan was to recreate the crease. We spend about and hour to figure out exactly where her points were in her eyelid that she wanted to have the crease set. In the surgery, the crease and the layers in the eyelid were highly scarred. It took me quite a long time to identify the anatomy. With the eyelid open and the patient somewhat awake I was able to see the movement of the muscle that pulls up the eyelid crease in the tarsal plate that is in front of the eye. Through careful identification of the levator I was able to carry out the double crease formation. Here’s a video showing the double eyelid crease formation just to get an idea of how this procedure is done.

Thanks,
Dr Philip Young and our Team at Aesthetic Facial Body Plastic Surgery

Asian Plastic Surgery Testimonials | Reviews for Dr. Philip Young & Aesthetic Facial Plastic Surgery

Tuesday, March 26th, 2013

Asian Plastic Surgery Testimonials | Reviews for Dr. Philip Young & Aesthetic Facial Plastic Surgery. Click here to read more: Bellevue Dr Philip Young Testimonials | Reviews Asian Plastic Surgery.

Asian Plastic | Cosmetic Surgery is the art of science of Plastic Surgery that concentrates on the Asian Population. Perhaps the areas most unique to this category of plastic surgery is the double eyelid surgery and asian rhinoplasty. The double eyelid surgery is unique in that it requires more complex approaches than traditional straight forward blepharoplasty | eyelift that is done for the aging eye. Essentially, the double eyelid surgery entails attaching the skin and the components of the skin, to the levator muscle or the muscle that elevated the eyelid. We have a nice diagram and discussion of this procedure here: Asian Double Eyelid Crease Formation Surgery.

You can read more about our Asian Plastic Surgery by following this link.

Thanks for reading and visiting our blog

Dr. Young from Aesthetic Facial Plastic Surgery.

Asian Eyelid Surgery – The Orbicularis Fixation Technique by Dr. Philip Young of Bellevue | Seattle:

Wednesday, September 5th, 2012

Asian Eyelid Surgery – The Orbicularis Fixation Technique by Dr. Philip Young of Bellevue | Seattle: This is important to bring up for many reasons. This technique is quite different from the way 90% of surgeons do this procedure. We use this technique to create the crease and essentially permanent sutures are left in there to help keep your crease much longer lasting. Also the fold works more in a natural way. The technique is called the Orbicularis Fixation Technique for Asian Double Eyelids. The below anatomy will show you what we are talking about. Most surgeons perform the dermal fixation technique where the crease forming sutures are used to grasp the upper eyelid skin incisional edge then the levator muscle and then the lower eyelid incisional edge. These sutures are then taken out 6-7 days later. The crease is then dependent on scar formation to keep the crease. Sometimes this can be good enough, sometimes this can lead to asymmetric results and relaxation and multiple folds. The orbicularis fixation technique is based on the fact that the orbicularis muscle is tightly adherent to the skin of the eyelids. So attachment of this muscle to the levator is just like attaching the skin to the levator. Also with this attachment, the fold acts more natural. Meaning there is not a scar crease for the fold but it is created by the muscle attaching to where the fold should be. You can click here to learn more about Asian Eyelid Surgery.

Healing your body and mind by Dr. Young of Aesthetic Facial Plastic Surgery

Friday, December 9th, 2011

Healing your body and mind by Dr. Philip Young of Aesthetic Facial Plastic Surgery: Once you have the procedure you waited a long time for, it is time to be patient and wait, again, for your body to heal.  Unfortunately, a surgeon’s scalpel is not a magic wand and healing will occur at different rates for different people.  You must allow yourself to heal and be aware it is natural to be impatient for the results and a little anxious because you often look worse before you look better.  Being aware this can happen will help you understand these normal feelings.

Sharing your experience with friends and family can help give you a support system during your recovery, but realize they may unintentionally make you question your decision with concerns during your recovery.  While you may think that you are looking pretty rough around the edges, we may tell you that you are healing beautifully.  Trust us.  We will share with you if there is a concern, so if we tell you that everything is healing normally, it is.

Your healing will depend on many things such as your general health, your willingness to follow instructions, and your mental attitude toward recovery.  While I can perform the surgery, I cannot “heal” you.  It is up to you to be an active participant in your recovery process to help your body heal the best that it can.  Following all of our instruction is very important, as is working with us to address any complications that may arise.  Even surgeries that are done exactly right can have complications during recovery.  It has to do with the human factor.  We are not machines and every person can react differently and heal differently even when the surgery is done exactly the same.  Every surgeon has unexpected results from time to time.

It is important you approach your surgery and especially your recovery with the mindset that we are a team, and you are an integral part of that team.  We must trust each other to be working for a common goal, your successful result.  As the surgeon, I enjoy my work and strive to achieve an ideal result during every surgery for every patient.  I have rigorous standards that my staff must meet in order to be involved in your care.  I am looking forward to working with you to achieve a great result and do not anticipate any post-operative problems.  I will do everything I can to make sure that you are happy with your result.

Dr. Philip Young, MD

 

I’m european and have low eyebrows and puffy eyelids. Would a brow lift be something for me?

Thursday, June 9th, 2011

I’m european and have low eyebrows and puffy eyelids. Would a brow lift be something for me by of Dr. Philip Young Bellevue | Seattle: I see that you may have some fullness in the upper eyelid area. This is actually something that gives you youth and that is something to think about.  Your eyebrows may be a little low but not worth the extent of a browlift.  A browlift could feminize you and create more of a surprised look for you. I think if you were to consider something, I would suggest taking some skin from your upper eyelid or actually creating a crease as in Asian eyelid surgery. This could define your upper eyelids more. Your situation is something that Asian people inquire about all the time.  A crease could decrease the puffiness you have to a controlled degree without lifting your eyebrows to a surprised and more feminine appearance.

upper eyelid lift blepharoplasty

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Come visit our main website for Dr. Young and Aesthetic Facial Plastic Surgery at www.drphilipyoung.com

My fold is too low after Asian Eyelid Surgery and would like it higher? Can this be done? My previous surgeon said that there is not enough skin to do that.

Tuesday, June 7th, 2011

My fold is too low after Asian Eyelid Surgery and would like it higher? CAn this be done? My previous surgeon said that there is not enough skin to do that a discussion by Dr. Philip Young: Yes you can increase the height of the crease after Asian Eyelid Crease Surgery. It will entail setting the crease higher with a higher incision. The drawback in this situation is that you may have two incisions that could be exposed if you don’t have enough skin. It is likely that your crease is high enough and that all you need is more skin taken out. This is much simpler to do.  The options are there for you. I think non incision techniques that the others are advocating is harder to achieve symmetry and long lasting results and you may need to get more surgery in the future to correct that approach. Below is a picture from our Asian Double Eyelid Procedure Webpage that discusses more details on this procedure.

asian double eyelid anatomy

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Come visit our main website at www.drphilipyoung.com

Crusting 4 months after asian eyelid crease surgery. This is my 4th revision the first couple dropped?

Tuesday, June 7th, 2011

Crusting 4 months after asian eyelid crease surgery. This is my 4th revision the first couple dropped?  A discussion presented by Dr. Philip Young: Crusting after Asian Double Eyelid Surgery should not last more than 1-2 weeks. If the crusting lasts more than that, you may get scarring and difficult healing. I would have your facial plastic surgeon look at this situation as soon as possible. Otherwise, you might have a bad appearance from the scarring that could occur here.  The dropping of the eyelid can occur more commonly with non-incision techniques.  Also the skin to levator approach is dependent on scar tissue that can last and maintain the crease in a variable way. Meaning, the crease could last and persist differently in the eyes or asymmetrically in the eyes.  This is due to the fact that these crease forming procedures are based on scarring to hold the crease.  I carry out the Asian Eyelid Procedure in a unique way that lasts a long time. My procedure that I do is difficult, but once mastered makes a huge difference in terms of longevity. The procedure is uniquely called the orbicularis levator fixation technique. Below is the anatomy of the upper eyelid and will help you understand this technique once you follow the links to get to that page. This technique would be great for you because if you have a tendency to drop this technique actually leaves sutures inside your eyelid to hold your crease. These sutures stay in there permanently and this assures that the crease stays put and holds for the long run.

asian double eyelid anatomy

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

My eyelid crease is too high 3 days after Asian Double Eyelid Crease Surgery? What can I do?

Tuesday, June 7th, 2011

My eyelid crease is too high 3 days after Asian Double Eyelid Crease Surgery? What can I do? A Case Presentation by Dr. Philip Young: Asian Eyelid Surgery: Early on the crease is much higher than will be the final result. The eyelid crease always looks much higher early on after Asian Double Eyelid Crease Formation. The swelling tends to take up the space of the skin that would normally fold over the crease. You don’t want to do anything at this early point in time. Your doctor will know best.  The earliest that any Asian Eyelid Surgeon Specialist would do something would be at 2 weeks’ time. Don’t worry this will settle.  You always have the option of making the crease lower if you desired or higher if you desired. There are many options.

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Asymmetric eyelid folds options for treatment by Dr. Philip Young of Seattle

Saturday, June 4th, 2011

Asymmetric eyelid folds options for treatment by of Seattle:  Asymmetry is found in all of our faces.  Around the eyes and periorbital region, differences are much more apparent.  This is some of the reason why Revision Asian Blepharoplasty Double eyelid surgery is so difficult.   There are ways to make the eyes look more symmetric.  You can excise more skin. You can reset the crease at a higher or more inferior position. You can set the crease more laterally and medially to make things more symmetric. You can fat graft one or both of the eyelids or remove fat to make them more symmetric.   The options and the process on how you do it can be endless and infinite.

revision asian double eyelid surgery

Thanks for reading, Dr Young

Dr. Philip Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Asian Double Eye Lid Surgery and Swollen Crease one year later? presented by Dr. Philip Young of Bellevue | Seattle:

Saturday, June 4th, 2011

Asian Double Eye Lid Surgery and Swollen Crease one year later? presented by Dr. Philip Young of Bellevue | Seattle: One year is a little lengthy after Asian Double Eyelid Crease Surgery. Ultimately, I would need to visualize your images or in person. It is possible that this swelling / induration / thickening could be from scar tissue, it could be due to the crease being set too high / too inferior,  it could be due to the crease  not being set deep enough and some thicker tissue that was incorporated into the crease. Sometimes the swelling  is related to the thicker brow tissue being pulled over the crease. All reasons necessitate different methods of correction. You are welcome to email me pictures and I can do a phone or video consult. I have people from all over the world carry out consults with me remotely! I look forward to hearing from you. You can also read more at our Asian Cosmetic Surgery WebPage.

asian double eyelid medial canthoplasty surgery before after

Thanks for reading, Dr Young

Dr. Philip Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington