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Oriental eyelid type correction

Oriental eyelid type correction is a type of blepharoplasty which is popular among people of Asian and some northern nations, especially in case such people decide to change the place of residence and move to the European part of the world.

The operation of correcting the shape of Asian eyes was first described in 1896 by a Japanese surgeon Mikamo at a time when Japan opened its borders for trading with the West. Against this background, many people from Asia and, as a result, many surgeons first thought about changing the shape of eyes, in particular about correcting oriental eyelid type.

European upper eyelid differs from oriental one by a higher and more prominent fold over the upper eyelid, less massive eyelid in general and by the lack of folds at the inner corner of the eye (so-called epicanthus). A solid eyelid fold of the oriental eyelid can be explained by the way the muscles lifting the upper eyelid are attached. More prominent epicanthus closes the inner corner of the eye and the lacrimal tubercle, and visually makes the distance between the eyes. In this case, the pupil is visually closer to the inner corner of the eye and that is the reason why the so-called Asian slanting appears.

The main purpose of this blepharoplasty type is to form the fold of the upper eyelid by removing the epicantus and revealing the inner corner of the eye thus visually reducing the distance between the eyes.

The technique of this surgery resembles usual aesthetic blepharoplasty, but in a somewhat extended version. In this case, virtually all of the fat under the muscle that creates the "puffiness" is eliminated, and missing fold of the upper eyelid at a distance of 7-9 mm ciliary edge is formed. The skin is sutured up to the muscle that raises the eyelid. The biggest challenge is operating the epicantus. When operating it a surgeon has to move the plastic flaps of 2-3 mm in length. This is only possible to be performed by a professional. But the result is worth it.

The operation is performed under local anesthesia, and the rehabilitation period is minimal: in 5-7 days all swelling and bruising usually disappear. After 2 weeks, the sutures indurate and start shrinking. After 3-4 weeks the sutures usually soften and dissolve, in 3-4 months it is almost imperceptible.

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