Saturday, August 27, 2011

Asymmetry of skin creases are common amongst attractive faces.

One of the most common cause of dissatisfaction after double eyelid surgery (Asian blepharoplasty) is unequal height of the double eyelids (skin creases). However, even in the best of hands, the lines created are likely to be slightly unequal in height and provided the difference is slight most patients can be persuaded to accept the results. In fact, it is worth noting that amongst models and film stars who are perceived as attractive, asymmetry of skin creases are common (see pictures above).

In the next article, I will discuss the causes for unequal double eyelids after surgery and ways to restore the symmetry.

Tuesday, August 2, 2011

Unequal double eyelids may be mistaken for droopy eyelids.

An eyelid without double eyelid may appear smaller because of the overhanging eyelid. (see why double eyelid makes the eye bigger?) If one eye has double eyelid and the other absent double eyelid, the later may be mistaken for droopy eyelid. I have come across a few patients who were referred to me for droopy eyelid when in fact the problem is absent of double eyelid in the smaller eye and the treatment of choice is to create a double eyelid. There are several ways of doing these either with non-surgical method (glue or tape) or surgery (both suture technique or incision technique).
Right eye appears to have droopy eyelid due to poorly
formed double eyelid. Creation of double eyelid balances
both eyelids.

Right eye appears droopy due to absent double eyelid.
When the double eyelid is created with tape the two
eyes appear the same size.

Below is the article which I recently published in Malaysian Journal of Medicine highlighting this condition:

Monday, August 1, 2011

Result of eyelid lowering procedure.

The lady with the staring look and uncomfortable eyes returned to the clinic 7 days after the lid lowering procedure. Her eyes are now not staring and the eyes are comfortable.