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Cultural anatomical variability is a complex and interesting facet of cosmetic, as well as reconstructive, eyelid surgery. Distinct anatomical differences do exist and need to be fully appreciated to provide the most aesthetically pleasing result. However, what is pleasing to one cultural group may not be so to another group. Understanding the psychosocial motivations of individuals within a cultural group is just as significant as the anatomical differences in achieving ideal results.
Asian Blepharoplasty by William Pai-Dei Chen provides a systematic approach to upper eyelid blepharoplasty in an Asian population. The book starts with a discussion pertaining to anatomical differences of the upper eyelid between Asians and whites.Terminology is then introduced to describe the upper eyelid crease configuration, followed by a historical discussion of the evolution of the surgical techniques (suture ligation vs external incision). The patient counseling chapter is next and is probably the most important because it deals
Sires BS. Asian Blepharoplasty: A Surgical Atlas. Arch Ophthalmol. 1996;114(6):781. doi:10.1001/archopht.1996.01100130773044