Oriental eyelids. Anatomic difference and surgical consideration.

Fashions change with time and beauty standards differ in different cultures. In recent years, there has been an increase in the number of immigrants to the United States from the Orient. The creation of an upper eyelid crease has been for the past several decades the most popular cosmetic procedure in many Asian countries. In order to perform this procedure to the satisfaction of an Oriental patient, the surgeon must know what the patient perceives as beautiful and the anatomic differences between the Oriental and the Occidental eyelids. In this paper with data collected from over 3,600 patients, we are presenting important statistics that enables the surgeon to understand better the Oriental mind and facilitate communications. The anatomic difference in the upper eyelid is also discussed.