Asian eye surgery
dr hayot’s technique
« Aesthetic surgery on the Asian eye shape allows the surgeon to create a palpebral fold or to reposition the existing fold in order to create a double eyelid. As a general rule, the fold is positioned 5 to 8 mm above the eyelash line for the most natural results.
“We should never seek to “westernize” an expression or attempt to transform the Asian eye into a Caucasian one, on the contrary, we should aim to expand the eye contour whilst preserving the ethnic origins. »
I perform 3 different Asian blepharoplasty techniques:
- Anaesthetic : potentiated local (neuroleptanalgesy)
- Length of the procedure : around one hour
- Hospitalization : ambulatory
- Downtime : three weeks to one month (due to the presence of oedema).
With incision by laser
Once the exact position of the palpebral fold has been decided prior to the operation, I make a horizontal incision with the laser scalpel, then I create adhesion between the skin and the eyelid levator muscle using very deep stitches.
This technique can be used on all Asian eye shapes to help with the signs of ageing. It can also be combined with other eyelid surgeries like eye bag removal.
Without skin incision
In some cases, Asian eyelid surgery can be performed without the excessive skin incision to avoid scarring.
In this case, I make 5 or 6 incisions with a needle on the eyelid and stitch the eyelid between the tarsus and the new palpebral fold line. The stitches are removed 6 days after the procedure.
This technique is particularly suitable for young patients who wish to reposition or deepen an already-existing palpebral fold.
The epicantus refers to the skin fold at the innermost corner of the eye at the lacrimal punctum. Epicanthoplasty is performed to modify the shape and the size of the inner contour of the eye. In keeping with the teachings of my Korean counterparts, I make an incision in the epicantus and stitch the inner corner of the eye at lower eyelid level in order to open up the eye shape.
This technique is suitable for patients who appear to have very laxe eyelids or if their eyes seem to be set very far apart. I generally combine this with a “double eyelid” surgery.