Double Eyelid Surgery

The eyelid crease is a physiological portal to the upper eyelid. This is an enhanced digital book focusing on the upper eyelid's unique position among cosmetic plastic surgery, describing what is involved in double eyelid surgery, a common procedure available for Asians who desire to make their upper lids look less hooded by adding a natural eyelid crease. 


It offers general  and advanced concepts, the Author's current understanding of the eyelid crease, why it is important to understand its function and susceptibility, and the pros and cons of various procedures. 

The beginning chapters include historical background, definition of an eyelid crease, comparative anatomy, consultation, various buried sutures methods versus skin incision approaches. The middle chapters deal with technical steps and rationale used to achieve optimal  results, three chapters on Asian Blepharoplasty, before-and-after images and complications and suboptimal results. The revision techniques and individual parameters are introduced. The seven advanced chapters starts with the concept of the glide zone, the beveled approach and mid-lamellar clearance, crease height and angle of observation with respect to clinical outcome, the concept of tarsal tilt, the effect of high anchoring and Faden effect, leading to a summary of crease factors, and the concept of the eyelid crease as a stringed serie of unipoints. There are a total of 23 chapters with colored illustrations  and photo images through out, with schematic modeling, tables and 4 video sequences embedded in the iBook format.


The writing style is more targeted to general educated readership (than the Author's other published medical textbooks in eye plastic surgery), such that anyone that is curious about the topic can read and follow the illustrations; seven of the 23 chapters are aimed at advanced level eye surgeons and physicians, plastic surgeons, and facial plastic surgeons. 


The concepts and techniques described here for double eyelid procedures is universally applicable to anyone contemplating what upper eyelid surgery entails, as in upper blepharoplasty for cosmetic or functional correction, ptosis(droopy eyelid) repair, restoration or enhancement of a pre-existing eyelid crease that has faded with natural aging, and any procedure that involves entry or exiting through the upper eyelid crease. Therefore the information may be helpful to readers of any ethnicity.


(The Author Dr.William Chen has published two surgical textbooks related to this topic:  the original "Asian Blepharoplasty-A Surgical Atlas"(published 1995), and "Asian Blepharoplasty and the Eyelid Crease"(2006), both by Butterworth-Heinemann. He holds a clinical faculty position at the University of California, and is in private practice in Southern California.)