Regarded as the “go-to” reference on this complex and intricate procedure, Dr. William P. 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, 35 comprehensive videos, and 10 “short step” videos that provide operative guidance and illustrate patient outcomes over time.

Key Features
Revised throughout with updated case examples, select new patient photos, and updated coverage based on the recent literature.

Eight new chapters cover Control of Eyelid Crease Depth During Construction; Ratios in Double Lid Segment; Revisional Asian Blepharoplasty; Paths, Pitfalls, and Solutions in Asian Blepharoplasty; Failure Analysis; An Operative Primer, and more.

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.

35 comprehensive videos cover primary surgery as well as revisional procedures, and can be viewed step by step or as an entire sequence.

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.


Author Information
By William P. Chen, MD, FACS, Clinical Professor of Ophthalmology, Department of Ophthalmology, University of California Los Angeles, School of Medicine, Los Angeles; Senior Attending Surgeon, Ophthalmic Plastic Surgery Service, Harbor-UCLA Medical Center, Torrance and Private Practice, Long Beach and Newport Beach, California

1. What is an Upper Lid Crease?

2. Historical Considerations

3. Anatomy of the Upper Lid

4. The Eyelid Crease: Goals and Benchmarks

5. Consultation and Counselling

6. Suture Ligation Method

7. External Incision Methods

8. Asian Blepharoplasty I (The First Vector)

9. Asian Blepharoplasty II (The Second Vector)

10. Asian Blepharoplasty III (Factors that influence Outcome)

11. Concept of Triangular, Trapezoidal and Rectangular Debulking---Application in Upper Blepharoplasty

12. Optimal Closure and Management of Wound Healing

13. Primary Asian Blepharoplasty Results (Before and After)

14. Suboptimal Factors

15. Revision Parameters

16. Revisions in Suboptimal Cases

17. Advanced Concept of a Glide Zone as it relates to Upper Lid Crease, Lid Fold, and Application in Asian Blepharoplasty

18. Advanced: Beveled Approach and Mid-Lamellar Clearance in Revisional Asian Blepharoplasty

19. Advanced: Angle of Observation, Crease Height, and its effects on Clinical Outcome of Upper Blepharoplasty

20. Advanced: Tarsal Tilt and its effects in Normal and Abnormal Clinical Conditions

21. The Effect of High Anchoring of Crease, Faden Effect, and use of buried sutures

22. Advanced: Summary of Eyelid Crease Factors

23. Advanced Concept of the Eyelid Crease as a stringed series of unipoints

24. Asian Eyelid Surgery: Thoughts

25. Treatment of Medial Upper Lid Fold and the fog surrounding epicanthoplasty

26. Novel technique, Challenges and Outlook for the future in Aesthetic Surgery of the Asian eye

Appendix