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Department of Ophthalmology and Ophthalmic Plastic, University of California, Los Angeles, USA.
There has been continued refinement and understanding in the concepts of Asian blepharoplasty. Among Asians, aesthetic upper eyelid surgery to convert a creaseless upper eyelid (popularly referred to as "single eyelid") to one with a crease ("double eyelid") is the most frequently performed cosmetic surgery in Asia and among Asians living in the Western hemisphere. I have discussed my understanding of the concept of this surgery, utilizing a tarsal height-based external incision method plus assymmetrical debulking of the preaponeurotic tissues, including some fat, septum orbitale, pretarsal and preseptal orbicularis oculi muscles, and preseptal skin.
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