Principle and Mechanism of Double Eyelid Formation

Some of Asian eyelids have double fold and some do not. Many people tend to prefer double eyelid in aesthetic and functional reasons. Since the mechanism of double eyelid is bonding the eyelid skin to the eye-opening tissue, the principle of double eyelid surgery is also connecting the eyelid skin t...

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Main Author: Inchang Cho
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2023-03-01
Series:Archives of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1751100
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author Inchang Cho
author_facet Inchang Cho
author_sort Inchang Cho
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description Some of Asian eyelids have double fold and some do not. Many people tend to prefer double eyelid in aesthetic and functional reasons. Since the mechanism of double eyelid is bonding the eyelid skin to the eye-opening tissue, the principle of double eyelid surgery is also connecting the eyelid skin to levator component. Double eyelids are differentiated by their shape according to the height and curvature. The double eyelid surgery procedure is divided into incision method and nonincision method. And the incision method is subdivided into double fold line design, skin and oculi muscle incision or excision, pretarsal or preaponeurotic soft tissue excision, fixation of posterior lamella to anterior lamella, and skin suture. The nonincision method is to connect the posterior lamella and the anterior lamella as a thread only without an incision. A successful double eyelid surgery creates a fold well-balanced in height, curvature, and depth of the fold based on patient's preference. In this article, the author's own methods of performing surgery are described, with a step-by-step guide and surgical tips.
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spelling doaj.art-db2d95c4e7ce46dabe4159e2a2dbd1be2023-03-28T22:41:38ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712023-03-01500214214710.1055/s-0042-1751100Principle and Mechanism of Double Eyelid FormationInchang Cho0BIO Plastic Surgery Clinic, Seoul, KoreaSome of Asian eyelids have double fold and some do not. Many people tend to prefer double eyelid in aesthetic and functional reasons. Since the mechanism of double eyelid is bonding the eyelid skin to the eye-opening tissue, the principle of double eyelid surgery is also connecting the eyelid skin to levator component. Double eyelids are differentiated by their shape according to the height and curvature. The double eyelid surgery procedure is divided into incision method and nonincision method. And the incision method is subdivided into double fold line design, skin and oculi muscle incision or excision, pretarsal or preaponeurotic soft tissue excision, fixation of posterior lamella to anterior lamella, and skin suture. The nonincision method is to connect the posterior lamella and the anterior lamella as a thread only without an incision. A successful double eyelid surgery creates a fold well-balanced in height, curvature, and depth of the fold based on patient's preference. In this article, the author's own methods of performing surgery are described, with a step-by-step guide and surgical tips.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1751100double eyelidcurvaturefixation
spellingShingle Inchang Cho
Principle and Mechanism of Double Eyelid Formation
Archives of Plastic Surgery
double eyelid
curvature
fixation
title Principle and Mechanism of Double Eyelid Formation
title_full Principle and Mechanism of Double Eyelid Formation
title_fullStr Principle and Mechanism of Double Eyelid Formation
title_full_unstemmed Principle and Mechanism of Double Eyelid Formation
title_short Principle and Mechanism of Double Eyelid Formation
title_sort principle and mechanism of double eyelid formation
topic double eyelid
curvature
fixation
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1751100
work_keys_str_mv AT inchangcho principleandmechanismofdoubleeyelidformation