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KMID : 1037220120180010007
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Archives of Aesthetic Plastic Surgery
2012 Volume.18 No. 1 p.7 ~ p.14
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The Bright-eye Surgery using External Incision
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Choi Yeop
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Abstract
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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.
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KEYWORD
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Blepharoplasty, Asian, Eyelids, Flaps
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