Ординатура / Офтальмология / Английские материалы / Asian Blepharoplasty and the Eyelid Crease_Chen_2006
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Chapter 14 Primary Cases of Asian Blepharoplasty – Before and After
147
Case 11 (Fig. 14-11 A–D)
(A) The presence of a shielded nasally tapered crease over the left upper lid of a 25-year-old woman. (B) Pseudo-creases appeared as she looked downward, and faded (C) when she looked extremely downward. (D) During Asian blepharoplasty, three areas of fat are noted: the pale-yellow and relatively avascular
sub-brow (submuscular) fat, the slightly orangeyellowish preaponeurotic fat, which has more blood vessels, and the patchy yellowish pretarsal and subcutaneous fat pads. These areas of fat may be present even in an eyelid with a crease.
C
A
D
B
Asian Blepharoplasty and the Eyelid Crease
148
Case 12 (Fig. 14-12 A, B)
A 65-year-old woman who underwent functional
Asian blepharoplasty.
A
B
Chapter 14 Primary Cases of Asian Blepharoplasty – Before and After
149
Case 13 (Fig. 14-13 A–E)
A 20-year-old woman with an absent crease (A). She |
photographs were taken 1 week (D) and 4 months |
underwent Asian blepharoplasty (B, C) and clinical |
postoperatively (E). |
A
B
Asian Blepharoplasty and the Eyelid Crease
150
Case 13 (Fig. 14-13 A–E)—cont’d
D
C
E
Chapter 14 Primary Cases of Asian Blepharoplasty – Before and After
151
Case 14 (Fig. 14-14 A–G)
(A) A 30-year-old fashion model with a partially |
appearing on downgaze (views taken 1 month |
‘shielded’ crease of the right upper lid and a rudi- |
postoperatively). (E) A year later, the left crease has |
mentary crease of the left upper lid (preoperative |
faded. However, the left crease is still noticeable when |
photograph). (B) Postoperatively after Asian ble- |
she smiles (F). (G) The left crease was revised and this |
pharoplasty. (C, D) The ‘dynamic’ nature of the crease |
photograph was taken 9 months after the revision. |
– distinctive in a straight-ahead view and almost dis- |
|
A
B
Asian Blepharoplasty and the Eyelid Crease
152
Case 14 (Fig. 14-14 A–G)—cont’d
C
D
Chapter 14 Primary Cases of Asian Blepharoplasty – Before and After
153
Case 14 (Fig. 14-14 A–G)—cont’d
E
F
G
Asian Blepharoplasty and the Eyelid Crease
154
Case 15 (Fig. 14-15 A–C)
(A) A 20-year-old woman with a ‘shielded’ crease of the right upper lid and absent crease over the left. (B) One week after Asian blepharoplasty. (C) Two months postoperatively. Note the parallel appearance
of the crease. It illustrates the downward migration of the crease owing to resolution of tissue edema in the pretarsal region.
A
B
C
Chapter 14 Primary Cases of Asian Blepharoplasty – Before and After
155
Case 16 (Fig. 14-16 A–C)
(A) An 18-year-old woman with absent crease of the right upper lid and mild ptosis. (B) Two months after Asian blepharoplasty and ptosis repair – note the
distinctive nasally tapered crease merging with the supracanthal fold. (C) Two and a half years after surgery.
B
A
C
Asian Blepharoplasty and the Eyelid Crease
156
Case 17 (Fig. 14-17 A–C)
A 25-year-old with an absent crease over the right upper lid and a partially shielded crease over the left. Asian blepharoplasty was performed on both sides. At the time of surgery, a large amount of preaponeu-
rotic fat pad could be seen over the left upper lid, the side with the crease. Postoperative view was taken 3 weeks later.
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B