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Surgical Pearls
May/Jun 2018

Asian Upper Blepharoplasty

Author Affiliations
  • 1UCLA School of Medicine, Los Angeles, California
  • 2Harbor-UCLA Medical Center, Torrance, California
JAMA Facial Plast Surg. 2018;20(3):249-250. doi:10.1001/jamafacial.2017.1793

Asian individuals with “single” upper eyelids are born without a noticeable upper eyelid crease owing to insufficient or absent terminal interdigitations of levator aponeurotic fibers toward the pretarsal orbicularis oculi intermuscular septae, and/or toward the undersurface of the skin that lies along the superior tarsal border.1,2 The associated findings in the single eyelid often include a lower insertional point of fusion of orbital septum with the levator aponeurosis, a relatively greater presence of preaponeurotic fat in the lower zone of the levator aponeurosis, and an overhanging fold of skin that may rest partly on the upper eyelashes.

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