Asian Blepharoplasty and the Eyelid Crease

4th Edition - November 14, 2023
Author: William P. Chen
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 8 7 8 7 6 - 0
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 8 7 9 4 1 - 5

Regarded as the “go-to” reference on this complex and intricate procedure, Dr. William P.D. Chen’s Asian Blepharoplasty and the Eyelid Crease, 4th Edition, has been thoroughly revi… Read more

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Regarded as the “go-to” reference on this complex and intricate procedure, Dr. William P.D. Chen’s Asian Blepharoplasty and the Eyelid Crease, 4th Edition, has been thoroughly revised to include the most up-to-date and authoritative information you need to expand your practice or refine your skills. Ideal for plastic surgeons, ophthalmologists, and cosmetic dermatologic surgeons, this unique multimedia resource offers comprehensive coverage of eyelid anatomy, surgical approaches, and revision surgery—all highlighted by more than 450 step-by-step illustrations and a comprehensive video program that provide operative guidance and illustrate patient outcomes over time.

Revised throughout with updated case examples, select new patient photos, and updated coverage based on the recent literature.
Eight new chapters, including Visual, Physiological and Aesthetic Factors Affecting Outcome in Asian Blepharoplasty; Techniques, Principles, and Benchmarks in Asian Blepharoplasty; Depth of Upper Lid Crease Construction in Asian Blepharoplasty; Ratios and Proportions in Double-Eyelid Segments; The Eyelid Crease Height, Depth, and Shape: A Scoring System for Revisional Asian Blepharoplasty; Failure Analysis in Asian Blepharoplasty; An Intraoperative Primer: Paths, Pitfalls, and Solutions in Asian Blepharoplasty (Incisional Methods), and A Deeper Interpretation of the Asian Blepharoplasty Technique of Trapezoidal Debulking and Clearance of Preaponeurotic Space.
Contains a new paradigm of scoring suboptimal findings based on eyelid crease height, depth, and crease shape, providing realistic assessment and comparison.
Step-by-step instructions for optimizing the biodynamics for eyelid crease formation; how to eliminate the prominent medial upper lid fold; removing tissues as a trapezoidal block using minimized steps; and much more.
Expanded guidance on managing complications integrated throughout, with surgical pearls and summative boxes where relevant.
High-quality, full-color artwork shows three-dimensional representations of key anatomy and procedural steps.
Extensive collection of case studies, with before and after patient photos; plus practice worksheets, appendix tables, comprehensive references, and pearls and pitfalls throughout.
Features a comprehensive video program including 18 primary surgery cases, 12 revisional surgery cases, 10 “short step” videos, 6 concept videos, and 22 edited compilations of video clips depicting how to approach each procedural step across a range of patient cases.
An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.

Instructions for online access
Cover image
Title page
Table of Contents
Copyright
Dedication
Video Table of Contents
Preface (Fourth Edition)
Preface (Third Edition, 2015)
Acknowledgments
Introduction to The Fourth Edition
Introduction to the Third Edition (2015)
Preface (Third Edition, 2015)
Part I. Introduction
Chapter 1. What is an Upper Lid Crease and Historical Consideration: 双眼皮与手术历史
HISTORICAL CONSIDERATIONS: EVOLUTION OF DOUBLE-EYELID COSMETIC SURGERY IN THE JAPANESE LITERATURE
Chapter 2. Comparative Anatomy of the Eyelids: 眼睑解剖学
THE UPPER LID AND CREASE
THE FAT PADS OF THE UPPER LIDS
THE MEDIAL CANTHUS
UPPER TARSUS
VASCULAR SUPPLY OF THE UPPER EYELID
FACIAL ANATOMY
CONCEPT OF FACIAL SYMMETRY
SUMMARY
Chapter 3. The Eyelid Crease: Consultation, Counseling, Goals and Expectations: 双眼术咨询与期待
THE CONSULTATION
HOW DO STITCH METHODS COMPARE WITH INCISIONAL METHODS?
FURTHER DISCUSSION ON HEIGHT, SHAPE, CONTINUITY AND PERMANANCE
PHYSIOLOGY VERSUS FAD
Part II. Basic Techniques
CHAPTER 4. Suture Ligation Methods: 埋线法
EVOLUTION OF DOUBLE-EYELID COSMETIC SURGERY IN THE JAPANESE LITERATURE
ENGLISH MEDICAL AND LITERATURE EXTERNAL INCISION METHODS
VARIATIONS AMONG SUTURE LIGATION METHODS
The Boo-Chai Sutures Method
Chapter 5. External Incision Methods: 切开法
DYNAMIC VERSUS STATIC
CONSTRUCTION OF THE UPPER EYELID CREASE
Chapter 6. Asian Blepharoplasty I: The First Traverse (Vector): 双眼皮手术第一段
1. PRE-MEDICATIONS AND SURGICAL SETUP
2. ANESTHETIC MIXTURE AND INJECTIONS
3. SURGICAL STEPS
CHAPTER 7. Asian Blepharoplasty II: The Second Traverse (Vector): 双眼皮手术第二段
FOLLOWING OPENING OF THE ORBITAL SEPTUM
CREASE-ENHANCING MANEUVERS: McCORD’S ANCHORING/RETENTION STITCHES (Figure 7-8)
CHAPTER 8. Concept of Triangular, Trapezoidal and Rectangular Debulking: Application in Asian Blepharoplasty: 梯形切法
CONCEPT OF TRIANGULAR, TRAPEZOIDAL AND RECTANGULAR DEBULKING OF EYELID TISSUES
CHAPTER 9. Optimal Closure and Management of Wound Healing: 最佳伤口愈合
THE CONCEPT OF A DYNAMIC VERSUS A STATIC CREASE (A REVISIT)
CREASE DYNAMICS
SURGICAL FINESSE, NUANCES AND PEARLS
POSTOPERATIVE CARE
Chapter 10. Primary Asian Blepharoplasty Results (Before and After): 第一次手术
Part III. Intermediate Concepts and Revisional Blepharoplasty
Chapter 11. Suboptimal Factors: 次优分析因素
HEIGHT
SHAPE
CONTINUITY AND PERMANENCE
Chapter 12. Revision Parameters: 調整参数
THE CIRCLE OF SUBOPTIMAL PARAMETERS, ETIOLOGY AND INTERRELATEDNESS
CREASE ASYMMETRY
SUMMARY OF SOLUTIONS IN REVISIONAL BLEPHAROPLASTY
CHAPTER 13. Revisions in Suboptimal Cases: 修复手术
Chapter 14. Advanced Concept of a Glide Zone as it Relates to Upper Lid Crease, Lid Fold and Application in Asian Blepharoplasty: 滑动层的概念
CHAPTER 15. Wpd Chen’s Technique Of Super-Beveled Approach and Mid-Lamellar Clearance in Revisional Asian Blepharoplasty: 修复手术的超级斜角方法
DYNAMICS OF THE UPPER EYELID CREASE
Part IV. Further Discussions and Advanced Applications
Chapter 16. Angle of Observation, Crease Height, Tarsal Tilt and Its Effects on Planning for Upper Blepharoplasty: 眼睑跗骨及双眼线倾斜对手术规划的影响
ANATOMIC DEFINITION OF AN UPPER EYELID CREASE
VISUAL AXIS ANGLE (VAX): THE PATIENT (OBSERVED SUBJECT)’S CENTRAL VISUAL AXIS ALIGNMENT
ANGLE OF OBSERVATION (ao)
DISCREPANCY BETWEEN OBSERVED APPARENT CREASE HEIGHT AND TRUE ANATOMIC CREASE HEIGHT
CHAPTER 17. Investigation of Tarsal Tilt: its Effects on Normal and Abnormal Conditions and Clinical Outcome of Upper Blepharoplasty: 眼睑跗骨倾斜对正常与异常情况的分析
METHODS OF INVESTIGATION AND ANALYSIS: MATHEMATICAL MODELING
Normal I for Asians is 51°.
CLINICAL APPLICATIONS
FURTHER MATHEMATICAL MODELING
CHAPTER 18. Effect of High Anchoring of the Crease, Faden-Like Effect and Use of Buried Sutures: 埋线及高线可能削弱肌肉
Chapter 19. Visual, Physiological and Aesthetic Factors Affecting Outcome in Asian Blepharoplasty: 影响结果的因素
VISUAL INTERPRETATION
PHYSIOLOGICAL
AESTHETIC APPEARANCE OF THE CREASE
DISCUSSION
Chapter 20. Treatment of Medial Upper Lid Fold and the Fog Surrounding Epicanthoplasty: 开眼角手术
SOLUTIONS FOR REDUCTION OF MEDIAL UPPER LID FOLD IN RELATION TO CREASE SHAPE DESIGN
Chapter 21. Advanced Concept of the Eyelid Crease as a Stringed Series of Unipoints: 微串珠概念
VARIATION IN FUNCTION OF THE UNIPOINTS AND VECTOR FORCES AT THIS FOCUS
DIFFERENT POINTS ALONG THE UPPER LID CREASE
LIMITATIONS
Chapter 22. Techniques, Principles and Benchmarks in Asian Blepharoplasty: 双眼皮手术基准
Introduction
THE CHALLENGE
PATIENTS AND METHODS
RESULTS
DISCUSSION
CONCLUSION
CHAPTER 23. Summary of Eyelid Crease Factors: 眼睑折痕因素摘要
WHAT IS AN UPPER EYELID CREASE?
HEAD TILT AND THE EYELID CREASE
SHAPE OF CREASE
PREDICTORS OF CREASE
ADDITIONAL EXPLANATION OF CREASE HEIGHT (see also Chapters 16 and 17)
Chapter 24. Depth of Upper Lid Crease Construction in Asian Blepharoplasty: 控制深度
BACKGROUND
DISCUSSION
CONCLUSION
Chapter 25. Ratios and Proportions in Double-Eyelid Segments: 眼睑节段比率
ANOTHER OPTION TO LOOK AT THIS CONCEPT
Chapter 26. The Eyelid Crease Height, Depth, and Shape: A Scoring System for Revisional Asian Blepharoplasty: 高度深度形状积分系统
INTRODUCTION
PATIENTS AND METHODS
RESULTS
DISCUSSION
LIMITATIONS
CONCLUSIONS
Chapter 27. Failure Analysis in Asian Blepharoplasty: 失败分析
THE LIKELY CONDITIONS THAT LEAD TO SUBOPTIMAL RESULTS
RECOMMENDATIONS
CONCLUSION
Chapter 28. An Intraoperative Primer: Paths, Pitfalls, and Solutions in Asian Blepharoplasty (Incisional Methods): 手术操作指南
FACTORS THAT MAY AFFECT OUTCOME IN INCISIONAL METHODS
Primer for the Operating Theater
INVOLUTIONAL CHANGES
CHAPTER 29. Outlook for Aesthetic Asian Eyelid Surgery: 未来展望
COMBINED APPROACH OF PARTIAL INCISION TECHNIQUE WITH MEDIAL TUNNEL FIXATION (INCORPORATING A BURIED ORBICULARIS–APONEUROSIS SUTURE)
THE CHALLENGE OF AESTHETIC SURGERY FOR THE ASIAN EYELID
A LOOK TO THE FUTURE
Chapter 30. A Deeper InterpretationOF THE Asian Blepharoplasty Technique of Trapezoidal Debulking and Clearance of Preaponeurotic Space: 更深刻的理解
A DEEPER EXAMINATION
DIMENSIONS OF ASIAN UPPER EYELID STRUCTURES: A CURRENT VIEW
A PHYSICAL (MECHANICAL) PERSPECTIVE ON PRIMARY ASIAN BLEPHAROPLASTY
SUPER-BEVELED REVISIONAL UPPER BLEPHAROPLASTY TO RESET HIGH CREASE10
Appendices
Appendix 1. Pre-1952 Japanese Literature on Cosmetic Eyelid Surgery (in Japanese)
Appendix 2. Modern Literature on Asian Eyelid Surgery
APPENDIX 3. Recent Literature (1998–2021) on Asian Eyelid Surgery
APPENDIX 4. Recent Literature on Epicanthoplasty
APPENDIX 5. Aesthetic Effects of Asian Blepharoplasty
APPENDIX 6. Recent Literature on Anatomy
Index

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Asian Blepharoplasty and the Eyelid Crease

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William P. Chen