ABSTRACT
The aim of Asian blepharoplasty is to create an upper eyelid crease which exists only in 50% of the Asian population. The anatomy of the eyelid is divided into anterior, middle and posterior lamellae. The skin and the orbicularis oculi form the anterior compartment; the tarsus, septum, arcus marginalis and orbital fat form the middle; and the palpebral conjunctiva and the lid retractors form the posterior compartment. Patients are advised to stop smoking at least 3-4 weeks prior to surgery. Any homeopathic medication such as vitamin supplements should be discontinued during the same period. Conservative eyelid skin removal is advisable to avoid the consequences of over correction. Surgery can be carried out under local or general anaesthetic. Careful pre-operative assessment and planning is mandatory prior to any surgical procedure along the lower lid. In both the skin flap and the skin muscle flap, once the fat management is carried out the skin is draped over the eyelashes.
