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, Failure Analysis in 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.

Contents

۱. What is an Upper Lid Crease and Historical Consideration
۲. Comparative Anatomy of the Eyelids
۳. The Eyelid Crease: Consultation, Counseling, Goals and Expectations
۴. Suture Ligation Methods
۵. External Incision Methods
۶. A sian B lepharoplasty I: T he F irst Traverse (Vector)
۷. Asian Blepharoplasty II: The Second Traverse (Vector)
۸. Concept of Triangular, Trapezoidal and Rectangular Debulking: Application in Asian Blepharoplasty
۹. Optimal Closure and Management of Wound Healing
۱۰. Primary Asian Blepharoplasty Results (Before and After)
۱۱. Suboptimal Factors
۱۲. Revision Parameters
۱۳. Revisions in Suboptimal Cases
۱۴. Advanced Concept of a Glide Zone as it Relates to Upper Lid Crease, Lid Fold and Application in Asian Blepharoplasty
۱۵. Wpd Chen’s Technique Of Super-Beveled Approach and Mid-Lamellar Clearance in Revisional Asian Blepharoplasty
۱۶. Angle of Observation, Crease Height, Tarsal Tilt and Its Effects on Planning for Upper Blepharoplasty
۱۷. Investigation of Tarsal Tilt: its Effects on Normal and Abnormal Conditions and Clinical Outcome of Upper Blepharoplasty
۱۸. Effect of High Anchoring of the Crease, Faden-Like Effect and Use of Buried Sutures
۱۹. Visual, Physiological and Aesthetic Factors Affecting Outcome in Asian Blepharoplasty
۲۰. Treatment of Medial Upper Lid Fold and the Fog Surrounding Epicanthoplasty
۲۱. Advanced Concept of the Eyelid Crease as a Stringed Series of Unipoints
۲۲. Techniques, Principles and Benchmarks in Asian Blepharoplasty
۲۳. Summary of Eyelid Crease Factors
۲۴. Depth of Upper Lid Crease Construction in Asian Blepharoplasty
۲۵. Ratios and Proportions in Double-Eyelid Segments
۲۶. The Eyelid Crease Height, Depth, and Shape: A Scoring System for Revisional Asian Blepharoplasty
۲۷. Failure Analysis in Asian Blepharoplasty
۲۸. An Intraoperative Primer: Paths, Pitfalls, and Solutions in Asian Blepharoplasty (Incisional Methods)
۲۹. Outlook for Aesthetic Asian Eyelid Surgery
۳۰. A Deeper InterpretationOF THE Asian Blepharoplasty Technique of Trapezoidal Debulking and Clearance of Preaponeurotic Space
۱. Pre-1952 Japanese Literature on Cosmetic Eyelid Surgery (in Japanese)
۲. Modern Literature on Asian Eyelid Surgery
۳. Recent Literature (1998–۲۰۲۱) on Asian Eyelid Surgery
۴. Recent Literature on Epicanthoplasty
۵. Aesthetic Effects of Asian Blepharoplasty
۶. Recent Literature on Anatomy