#Caucasian eyelid tape skin

Lower eyelid surgery is different for Caucasians because there is rarely excess skin and tone abnormalities in Asians. Thus, when the eye is opened, the scar will be pulled by the levator muscle and a well defined fold will be formed.Īn epicanthoplasty procedure can be performed during the same operation.

It consists of excising the excess fat, exposing the levator fascia muscle (which has the main role of opening the eyelid) and suturing the lower part of the scar to the levator muscle of the eyelid. Regarding upper eyelid surgery, it is a more complex surgery than in Caucasians, with a very different technique and anatomy. This is due to 3 factors specific to the anatomy of the Asian eyelid: there is less connection between the fascia of the eyelid elevator muscle and the skin, often its insertion as well as the insertion of the septum is lower in Asians and there is more often an excess of fat even in young patients under the septum, thus creating a bulging appearance of the eyelid.Īpproximately 70% of Asians have an epicanthus, which covers the inner corner of the eye giving a hard and severe look to the eyes and closing the eye, it can be corrected in the same surgical time.Ī young Asian eye is defined by an eyebrow in an ideal position (1 cm higher than the orbital rim), a deep and well-defined upper crease not coming into contact with the lashes (distance crease to lashes: 6-8 mm, different from Caucasians), a smooth lower eyelid without hollows or bulging. Often, when it is present, it is too low (2-4 mm from the ciliary margin instead of 5-8 mm). The upper eyelid fold is absent in about 80% of Koreans and Chinese, while it is absent on average in 30% of Japanese and South Asians (Thailand, Cambodia, Vietnam, …). The aging mechanism of the Asian eye is roughly similar to that of the Caucasian eye, but the basic anatomy of the eye structures is very different.Īnatomy comparison of the eyelids between Asians and Europeans

Caucasian eyelid tape