The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.



Asian blepharoplasty

Photo by Professor Chua Chung Nen

Asian blepharoplasty, also commonly known as double eyelid surgery amongst the Chinese, is the most popular cosmetic surgery in Malaysia and Singapore. In Malaysia, many patients consult medically unqualified beauticians to achieve the extra skin creases. These practitioners usually perform the suture technique to achieve the desired effect. Unfortunately, these techniques are not permanent and worse still some patients develop infection or asymmetrical creases.

This patient had suture techniques 4 years ago but was unhappy with the result. The skin creases being too low and hidden by the upper eyelid skin. Revision was performed using the incisonal techniques. The septum was open and the pre-aponeurotic fat was cauterised to accentuate the creases. The sutures were removed at 5 days.


Pre-operative appearance.


5 days post surgery.

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