Medial epicanthoplasty (also known as Mongolian fold surgery)
The medial epicanthus is an excess fold of skin that covers the inner corner of the eyelid. This creates an illusion of a narrower eye and makes the eye appear wider apart. The degree of severity can be ranged from non-existent or mild, moderate and severe, depending on how much of the caruncle (the pink “bump” inside the eye corner) is exposed. The severe cases should be corrected; for moderate folds, correction is optional. One popular technique for correcting the fold is by augmenting the nose with a nasal implant as it takes some of the eyelid slackness away. Another way is by repositioning the fold by what is known as a jumping man flap or vy advancement flap with a double opposing z plasty technique.
Mongolian fold surgery increases the visibility of the inner corners of the eye and reduces the distance between the eyes. So in effect, a larger appearing eye and eyes lesser apart. For this reason, Mongolian Fold Surgery is a popular and uniquely Asian cosmetic procedure.
Essential factors for successful Mongolian Fold Surgery are:
- The shape and characteristics of your Mongolian Fold
- Amount of Mongolian fold needs to be removed & repositioned
- Whether you would consider having double eyelid surgery at the same time
- What type of eyelid would you like to have after the surgery
- Previous history of eyelid procedures and eye condition.
Comprehensive consultation and examination is essential before choosing the correct surgical approach for you.
Removal of Excess Upper Eyelid Skin, Upper blephroplasty.
With the aging process, the skin of the upper eyelid tends to sag. This not only appears aesthetically displeasing but also makes one appear old and tiredsome. In severe cases, it places gravitational pressure on the eyelashes hence makes the eye look and feel tired as well as obscure vision.
Upper eyelid surgery to remove excess upper eyelid skin is a simple procedure:
- performed under local anaesthesia with twilight sedation
- excess skin is trimmed, muscles tightened and excess fat trimmed
- 60-minute procedure
- sutures are removed in 7 days.
Lazy Eye Surgery (aka Ptosis Correction Surgery)
Whether you are born with it or whether you have acquired it, “droopy eyelid” or “lazy eye” gives one an appearance of looking sleepy and tiresome. The reason for droopy eyelid is because there is a functional weakeness of the eyelid opening mechanism called Levator. Lazy-Eye Surgery corrects droopy eyes by tightening the lavator.
Big Eye Surgery
“Big Eye Surgery” is a surgery that is becoming more and more popular in Asian countries.
Unlike Caucasians, Asian Anatomy of eyelid dictates their smaller eye dimensions. Double eyelid surgery and Mongolian Fold correction surgery does make the eye appear bigger and more open, but it does not actually increase the dimension of the eyelid. Despite these efforts, one’s eye may still appear small. In this selected group of patients, “Big Eye Surgery” can help, by actually increasing the size of the eye opening.
“Big Eye Surgery” is actually a procedure that shortens/tightens the upper lid opening mechanism, Levator. As the Levator is shortened and tightened, the upper eyelid margins are pulled more open, hence the eyelid is rested at a more opened position and more of the eye is visible. Hence the name “Big Eye Surgery”.
Asian Lower eyelid surgery
Muscle weakness, excess fatty tissue and laxed skin are some of the factors that leads to baggy lower eyelids in Asian.
There are two solutions to this problem:
Non Surgical lower eyelid rejuvenation. This is achieved by skin tightening by laser or peel and volume restoration of the eyelid by soft tissue fillers or fat injection
Surgery. The excess fat is removed or redistributed through a small incision hidden on the inside surface of the eyelid or just under the eyelashes.
Asian eyelid anatomy differs from Caucasians. Asian eyelids characterised by a “severe form” of lower eye bags directly resulted from excess fatty tissue and dark circles from the younger age. For this reason, eye bag removal is a popular Asian Cosmetic Procedure in all age groups whereas the lower eyelid surgery for wrinkle removal and skin tightening tends to be more popular in the middle age and above.
The most popular lower eyelid procedures are:
- Lower eyelid bag removal. This often requires surgery
- Lower eyelid skin tightening and wrinkle removal.
- Lower eyelid non surgical skin tightening with peel or Laser
Surgery: Lower eyelid bag removal. There are 2 surgical approaches to this procedure
Internal approach – a small incision is made inside the lower eyelid (no visible external scar) and through this incision fat is removed.
External approach – an incision is made just under the eyelashes and through this incision, fat can be removed, loosened muscle can be tightened and the excess skin can be trimmed and tightened.
Soft or Non-surgical treatment of lower eyelid skin can produce a great outcome in some cases. A most effective method of improving the appearance and tone of the lower eyelid skin is to use lasers or skin peels. Unlike surgical procedures, there is little downtime.
Consultation, examination and clinical analyses by Dr Barnouti is essential before choosing the correct surgical approach for you. Call 1300 004 008 or 02-9561 0200 to book for a consultation