Is muscle excision necessary during Asian eyelid surgery?

Question

Is muscle excision necessary during Asian double eyelid surgery? What is the advantage/disadvantage of the muscle excision? Can you still have defined long lasting results with just skin excision?

Goretti Ho Taghva, MD, FACS · Answer

In Asian double eyelid surgery, the necessity of muscle excision depends on the specific muscle and surgical technique. For the orbicularis oculi muscle, a small slip is usually excised in the incisional method to create a more defined crease, but it's not removed in the suture technique. Regarding the levator muscle, crucial for ptosis surgery, it's typically not excised. Instead, the levator's aponeurosis is adjusted to enhance eyelid elevation while preserving the muscle fibers. The decision between muscle excision and other techniques should be made with an experienced board certified surgeon, balancing the goals of achieving a desired aesthetic result with maintaining eyelid functionality.

Hyeong Jun Kim, MD · Answer

Muscle excision is called ptosis correction and it is not always necessary.If you tend to open your eyes using forhead or if your pupils aren't showing eneough,then we can think about ptosis correction.

Is muscle excision necessary during Asian eyelid surgery?

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