Sunday, May 12, 2019

Tumour Excision and Reconstruction

This 70-year-old woman had an expanding lower lid lesion for the past three years. Initially, she ignored it until it started to bleed and causing irritation. Biopsy confirmed cell carcinoma. The lesion was excised in total and reconstructed using nasojugal flap. The bottom picture was taken about two months later.

Lower Lid Reconstruction after Tumour Excision

This renal dialysis patient had a rapidly growing left lower lid lesion that destroyed the lower eyelashes. Biopsy by dermatologist showed it to be a squamous cell carcinoma. Complete excision was performed followed by Tenzel’s flap reconstruction.

Reconstruction of Lower Lid from Windscreen Injury

This patient had right cicatricial ectropion from car windscreen injury. The pictures below was taken immediately post-reconstruction.

Thursday, February 28, 2019

Combined Double Eyelids and Epicanthoplasty

This young woman wanted her eyes to look bigger and less tired. The middle photo shows the height that the patient desired. The bottom photo was taken three weeks after Asian blepharoplasty (double eyelid surgery) and epocanthoplasty (using skin redrawing technique).#asianblepharoplasty #doubleeyelid#doubleeyelidsurgery #epicanthoplasty #双眼皮手术 #双眼皮 #开眼角 #drchuachungnen#eyelidsurgery #蔡鐘能眼科医生 #optimaxpenang#ttdioptimax #kleyelid #sibuisec #kichingoptimax#miricolumbiaasia

Multiple Eouble Eyelids Corrected by Lifting the Eyelids

This middle-aged woman was bothered by her multiple skin creases in the upper eyelids and asked for Asian blepharoplasty (double eyelid surgery). However, examination revealed the underlying cause was droopy eyelids (ptosis) and Asian blepharoplasty will only create unnaturally high skin creases (double eyelids) and sleepy look. Instead bilateral posterior approach ptosis correction was performed. At two weeks follow-up (bottom picture) the multiple skin creases not only disappeared by the eyes also appeared more alert.

Wednesday, November 28, 2018

Epicanthoplasty to make the eyes bigger

Just done 6 eyelid operations for the day. In addition to removing the epicanthus (the excess skin that cover the nasal side of the eye), epicanthoplasty also lengthens the eyes and make the eyes appear bigger. There are several ways to perform epicanthoplasty and some methods create more scars than others, the one I prefer is skin redraping procedure which leave inconspicuous scars along the lid margins. This young woman under such technique, the first picture was taken before the procedure, the middle one immediately after the operation and the bottom 10 days later. #epicanthoplasty #双眼皮 #开眼角 #蔡鐘能眼科医生 #眼角 #epicanthus #blepharoplasty #eyelengthening #skinredraping #doubleeyelidsurgery #drchuachungnen #isecsibu #kuchingoptimax #ttdiopyimax #kliptimax #penangoptimax #miricolumbiaasia #sarawakeye #malaysiaeyelids #malaysiaeyelidsurgery #kuchingeyespecialist #sibueyespecialist #mirieyespecialist #oculoplastic #eyespecialist

Thursday, August 30, 2018

Double Eyelids for a 5-year-old Boy

Not all double eyelid surgery (Asian blepharoplasty) are done for aesthetic purposes. This 5-year-old boy had a long history of eye irritation and blurred vision. Examination showed ingrowing eyelashes exacerbated by his puffy eyelids and lack of skin creases (double eyelids). I created low skin creases (for boys double eyelids should be made low and girls higher) and everted the eyelashes. The creation of skin creases (double eyelids) not only made the eyes appear bigger but also prevent the upper eyelid skin from coming over the eyes and push the eyelashes inwards. The operation was done under general anaesthesia and the lower pictures were taken 6 months later.