This patient had Asian upper blepharoplasty lift surgery.

This patient had Asian upper blepharoplasty lift surgery.

This patient had upper blepharoplasty lift surgery.

This patient had Asian upper blepharoplasty lift surgery.

This patient had non surgical double eyelid stitch called the durable suture technique. Results are before, 1 week, 6 weeks and 3mths. 

There are a number of complications that are generally associated with all surgeries, and some specific to upper blepharoplasty. Most complications are temporary and heal spontaneously.

Some of the things that could go wrong are:

• scarring is unavoidable (we place the scar in the crease to make it less perceptible)
• pain (usually paracetamol is sufficient),
• prolonged swelling lasting for months and in rare event upto a year,
• bleeding after discharge (need to return to the clinic to stop the bleed),
• assymetry (10% normal) requiring correction,
• abnormal scars (requiring scar injections and other corrections),
• blurred vision (usually few days due to swelling),
• dry eyes (need some lubricating eyedrops),
• over and under correction (careful planning to avoid this),
• not meeting patient’s expectations,  
• infection (we routinely give antibiotics),
• allergic reaction,
• double eyelids gets undone,
• We are not aware of any cases of blindness and death from blepharoplasties performed under local anaesthesia as these complications are usually related to the general anaesthesia. Under general anaesthesia, these complications were reported.

Dr Peter Kim has published numerous papers on the topic of Asian Double Eyelid Surgery and blepharoplasty.

Ahn JT, Sang-Hui Kim P. Combined Sub-Brow Lift and Upper Blepharoplasty to Minimize the Supratarsal Fold Thickness and Lateral Hooding: A Concept and Review of Cases. The American Journal of Cosmetic Surgery. July 2022. 

• Abstract

  Despite upper blepharoplasty being the most popular periorbital rejuvenation surgical procedure, in Asians with moderate to severe blepharochalasis, the occurrence of postoperative puffy supratarsal fold (double eyelid) and residual lateral hooding is not uncommon. A qualitative retrospective analysis of before and after photos of 268 cases of combined sub-brow lift and upper blepharoplasty was done. A substantial number of cases had satisfying supratarsal fold thickness and improvement in lateral hooding. A combined sub-brow lift and upper blepharoplasty is an effective method to reduce the supratarsal fold thickness and lateral hooding in Asians with moderate to severe blepharochalasis.

Durable Suture Technique: A Simple and Versatile Nonsurgical Technique to Create/Reshape Double Eyelid in Asians. The American Journal of Cosmetic Surgery. Jan 2023. 

• Abstract
  Nonincisional double-eyelid plasty, the Durable Suture Technique, is a popular nonsurgical procedure for creating double eyelids on monolids. We report cases where the Durable Suture Technique was successfully applied to other Asian cosmetic eyelid indications. A series of before-and-after photos of patients who underwent the Durable Suture Technique were shown to demonstrate that it is effective in reshaping and rejuvenating the double eyelids, as well as treating post-blepharoplasty complications. The rationale for applying the Durable Suture Technique in the above nonstandard indications was discussed. The Durable Suture Technique is a versatile, nonsurgical cosmetic eyelid enhancement procedure in Asians.

T epicanthoplasty: New Surgical Treatment of Asian Mongolian Fold. Journal of Cosmetic Surgery & Medicine. 2010; 5 (1):58-62.

• Abstract:
  Epicanthal fold (Mongolian Fold) is a unique feature of the Asian eye. It is present in the majority of Asians and is frequently and culturally seen as being aesthetically displeasing. There are numerous epicanthoplasty techniques reported in the literature that have been shown to be effective. However, they are technically difficult, complex in design, and not simple to learn. T-epicanthoplasty is a surgical approach to correct Mongolian folds using transposition micro-flap surgery for the epicanthal fold. It is simple to learn and offers an effective solution to the treatment of this common Asian cosmetic concern.

As per Good Medical Practice Guideline, we would like to notify you that:

• Any surgical, invasive, nonsurgical, or laser procedure carries risks.

• Complications do and can occur.

• Previous success is not a promissory indication of future success.

• Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

• All before and after photos on this site are Dr Peter Kim’s work.

• Copyrights reserved by Dr Peter Kim.