Asian blepharoplasty is
the most common cosmetic surgery performed to the eyelids in East Asia. The
purpose of the operation is to create an upper eyelid skin crease which
makes the eye appears bigger and more animated. Two operations are commonly
used: the suture method and the incision method. The suture method is easier
to perform and allows a faster recovery. However, recurrence is more common.
In Malaysia, the suture method is often performed by non-medically trained
beauticians with varying degrees of success and complications.
The young girl below
underwent suture method of Asian blepharoplasty a year ago by a beautician.
Post-operatively, she developed unsightly lumpy lesions in the upper
eyelids. In addition, she was unhappy with the appearance of the skin
creases as they are not showing well. The lumpy lesions appeared to arise
from the sutures used in the procedure. An incision method was performed to
re-shape the skin creases. During the operation, prolene sutures that are
responsible for the unsightly lesions were removed.
Patient presented with hidden upper
eyelid skin creases.
Unsightly upper eyelid lesions
along the skin creases created using the suture method.
Tissue excised during reshaping of the
skin creases. The arrows show the non-absorbable sutures (prolene)
to create the skin creases and were
responsible for the lumpy lesions.
The appearance of the eyelid one
week post incision method. There is a slight skin crease asymmetry