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ASIAN EYELID SURGERY - ORBICULARIS LEVATOR FIXATION TECHNIQUE
By Seattle's Asian Plastic Surgery Expert Dr. Philip Young

Click here for our Asian Plastic Surgery YouTube Playlist.
Below Video: Asian Double Eyelid Surgery - Orbicularis Levator Fixation Technique

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

In the video above we are presenting a live video demonstration of our Orbicularis Levator Fixation Technique. In this video we will be discussing taking skin to increase the height of the crease, identifying the levator aponeurosis, cauterizing to make sure there is no significant bleeding, finding the areas to fix the levator to the orbicularis to create the crease, etc. This technique allow us to make the crease more permanent, more natural and more reliable. The crease with this technique is able to fold like a normal eyelid that has a double eyelid crease. The older, more traditional method of using sutures from the skin to the levator, or the dermal fixation method, always leaves a crease present even with the eyes closed. The Orbicularis Levator Fixation Technique avoids this better leaving a fold with a crease that is gone with the eyes closed and folds when the eyes open in a natural way.


We would like to discuss our technique of doing Asian Double Eyelid Surgery to create a crease for a person that has a single eyelid fold or a fold that is too low. On this page, we are going to discuss a unique approach, Orbicularis Levator Fixation Technique, that we use almost all the time to create the double eyelid crease. The procedure entails attaching the levator muscle to the muscle that closes the eye. This association then creates the fold. It allows the tissue of the eyelid below the incision and the proposed crease to slide under the skin above to form the crease.  Traditionally, the double eyelid surgery is performed by attaching the skin to the levator with sutures that removed 7-14 days after the surgery. The scarring and adhesions that form from this is then the main way that the crease is created. This traditional approach often lead to variable results and folds | creases that had more chances for inconsistency. If you take a look at the picture below you might be better able to understand what we are talking about:

Asian double eyelid orbicularis fixation technique anatomy
Asian Double Eyelid Orbicularis Fixation Technique Anatomy

As you can see from the picture above, traditional dermal fixation technique to create the asian double eyelid crease is to attach the skin (dermal) to the levator with sutures. These are removed at 7-14 days. Once removed the crease is held up by the adhesions from the scarring that is created. Everyone tends to form scars differently based on this your results can be variable. The orbicularis fixation technique attaches the orbicularis to the levator through sutures that are left in there permanently. Through this the sutures keep the crease more permanently as the sutures are left in there for good and are not taken out. This ensures that the crease will be more stable and last longer and be more consistent.  You might be wondering why the sutures that attach to the orbicularis can lead to the crease being formed. The answer is because the orbicularis is tightly adherent to the skin and acts like a single unit. The orbicularis fixation technique also leads to more natural results as the folds action is more natural and starts when the eye starts to open. With the traditional technique, the crease can have persistent indentations that are quite common. Meaning that, the crease has the potential to never really relax and stays a crease with the eyes closed. This can be a noticeable sign of a crease formation surgery. With the orbicularis fixation technique, the crease is gone when you close your eyes and forms when you open your eyes, like it does in nature in someone that has a fold | crease naturally.


Below are some examples of the Orbicularis Levator Fixation Technique that is used to Create the Double Eyelid in the Asian Ethnic Population:


Asian Double Eyelid Crease Formation Blepharoplasty Eyelift for this Asian Female Client:
Before Asian Double Eyelid Crease Formation Surgery
Before Asian Double Eyelid Crease Formation Surgery
After Asian Double Eyelid Crease Formation Surgery
After Asian Double Eyelid Crease Formation Surgery

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

"Yes those pictures are ok with me. The after picture is not the best selfie but if you like the eye area then it's ok with me. I'm healing very nicely. I love the result. This is the latest picture of myself. I love the difference! So happy I got it done. Thank you!...Happy with the healing. Ppl can't tell what's different when they see me. Which I think is good 😊...I just wanted to say thank you again for your wonderful services. I was nervous about the procedure and I didn't need to be. You guys made me feel so comfortable and Dr young is amazing. I definitely chose the right surgeon. I'm healing very nicely. Swelling is going down. I had no bleeding or bruising. I will send pictures soon. " - 30's Asian Female, Canada after her Asian Double Eyelid Procedure.
After Asian Double Eyelid Crease Formation Surgery in a natural setting

Before Asian Double Eyelid Crease Formation Surgery Right Oblique View
Before Asian Double Eyelid Crease Formation Surgery Right Oblique View
After Asian Double Eyelid Crease Formation Surgery Right Oblique View
After Asian Double Eyelid Crease Formation Surgery Right Oblique View
Before Asian Double Eyelid Crease Formation Surgery Right Oblique View Close Up
Before Asian Double Eyelid Crease Formation Surgery Right Oblique View Close Up
After Asian Double Eyelid Crease Formation Surgery Right Oblique View Close Up
After Asian Double Eyelid Crease Formation Surgery Right Oblique View Close Up
Before Asian Double Eyelid Crease Formation Surgery Left Oblique View
Before Asian Double Eyelid Crease Formation Surgery Left Oblique View
After Asian Double Eyelid Crease Formation Surgery Left Oblique View
After Asian Double Eyelid Crease Formation Surgery Left Oblique View
Performed by Dr. Philip Young


Before Image of an Asian Double Eyelid Fold | Crease Surgery for Single Eyelid Fold Nine Months After Surgery

After Image of an Asian Double Eyelid Fold | Crease Surgery for Single Eyelid Fold Nine Months After Surgery

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Before

After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Before

After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Before Image of an Asian Double Eyelid Fold | Crease Surgery for Single Eyelid Fold Nine Month After Surgery

After Image of an Asian Double Eyelid Fold | Crease Surgery for Single Eyelid Fold Nine Month After Surgery

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Before Asian Double Eyelid Crease Formation Procedure for this Asian 20 Something Male from Eastern Washington
Before Asian Double Eyelid Crease Formation Procedure for this Asian 20 Something Male from Eastern Washington
After Asian Double Eyelid Crease Formation Procedure for this Asian 20 Something Male from Eastern Washington
After Asian Double Eyelid Crease Formation Procedure for this Asian 20 Something Male from Eastern Washington

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.



Before Asian Double Eyelid Crease Procedure for Single Eyelid Fold One Month After Surgery

After Asian Double Eyelid Crease Procedure for Single Eyelid Fold One Month After Surgery

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Before

After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Before

After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Asian Double Eyelid Crease Formation Surgery
Before Asian Double Eyelid Crease Formation Surgery and Chin Reduction | Shaping for Single Eyelid Crease and Large, Protuberant Masculine Chin
Asian Double Eyelid Crease Formation Surgery
After Asian Double Eyelid Crease Formation Surgery and Chin Reduction | Shaping for Single Eyelid Crease and Large, Protuberant Masculine Chin

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Before Asian Double Eyelid Crease Formation Surgery and Chin Reduction | Shaping for Single Eyelid Crease and Large, Protuberant Masculine Chin

After Asian Double Eyelid Crease Formation Surgery and Chin Reduction | Shaping for Single Eyelid Crease and Large, Protuberant Masculine Chin

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


Asian Double Eyelid Surgery Close Up Before After:
Before Double Eyelid Crease Formation
Before Double Eyelid Crease Formation
After Double Eyelid Crease Formation
After Double Eyelid Crease Formation

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Performed by Dr. Philip Young