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The Type of Scar from Upper Blepharoplasty?

asked 1 year ago by 155151anon in Los Angeles, CA
Latest answer by Brian Maloney, MD
Question viewed 363 times
Tags: upper eyelids, crease, scar

I know that some surgeons attach the levator muscle to tarsal plate(static), and some attach levator to skin(dynamic). some asian patients complain that in static crease, that the scar is indented when the eyes are closed (doesn't fade, always there), giving unfavorable cosmetic result. In dynamic, scar shows when eyes are closed but is invisible in half a year Is it possible that the patient can ask the surgeon what kind of crease (static/dynamic) that he/she wants and are they interchangeable?

4 answers to The Type of Scar from Upper Blepharoplasty?

+1

Asian Upper Eyelid

The Asian upper eyelid Blepharoplasty is a very fascinating procedure. In some Asian patients the muscle that opens the upper eyelid(like a garage door opener) does not insert into the skin, creating a fold. On top of this some may have excess fat in the area. I have never heard static versus dynamic. I would propose it is simpler than that. Once the amount of crease is agreed upon, the excess skin is excised. Then muscle, and fat may be trimmed. Most people will simple close the... more
Brian Maloney, MD

Atlanta Facial Plastic Surgeon
+1

Upper Eyelid Blepharoplasty Scar: Different scar for different races

Upper eyelid blepharoplasty is a straight forward operation when skin only is removed. Typically this is combined with a browlift in the female patient and the scar is designed to be invisible. In the asian patient, the purpose of an upper eyelid blepharoplasty is to define an upper eyelid crease and this can be preformed in numerous ways, but in general involves attaching the upper eyelid skin to the levator aponeurosis. This is designed to create a crease on eyelid repose... more
Andrew P. Trussler, MD

Dallas Plastic Surgeon
+1

Eyelid crease

I usually attach the ski to the levator muscle and not the tarsal plate for the reasons you mention. It should give a natural result.
Edward J. Domanskis, MD

Orange County Plastic Surgeon
+1

Your understanding of upper eyelid surgery is not correct.

A properly executed Asian or Western upper eyelid surgery benefits from a precisely structured upper eyelid platform and upper eyelid crease.  This is done by a technique called anchor blepharoplasty.  The crease is created by making a scar adhesion between the levator aponeurosis and the upper eyelid crease.  This support the upper eyelid platform skin and the upper eyelid eyelashes.  The levator itself does insert over the tarsus.  However, in many individual... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

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