Introduction The periorbital region is key to facial aesthetics, and aging often leads to skin laxity, orbital fat pseudo-herniation, malar bags, and festoons. Lower eyelid blepharoplasty addresses these changes via transconjunctival  (fat-focused) or transcutaneous  (skin excision and canthopexy) approaches. Extended lower blepharoplasty  combines eyelid and midface rejuvenation, extending the skin–muscle flap below the orbital rim and securing it to the lateral canthal per

Accurate assessment of levator function is a fundamental step in planning successful upper eyelid surgery, particularly in blepharoplasty. The levator palpebrae superioris muscle plays a central role in eyelid elevation, and variations in its strength directly influence both surgical technique and postoperative outcomes. Inadequate preoperative evaluation can lead to asymmetry, persistent ptosis, or lagophthalmos—complications that may require revision surgery. This article r

Upper blepharoplasty is the gold-standard procedure for the treatment of dermatochalasis. While skin-only excision remains the most common technique, some surgeons perform additional removal of the orbicularis oculi muscle and preaponeurotic or nasal fat pads to address excess tissue and improve eyelid contour. Source: Blue Fin Vision The study by Viscardi & Giordano (2025) aimed to compare outcomes between skin-only upper blepharoplasty and combined excision of skin, orbicu

Epicanthus, characterized by the longitudinal curved skin folds covering the medial canthus, is a common anatomical feature predominantly observed in Asian populations. It significantly influences the aesthetic appearance of the eyes by partially concealing the medial canthal angle and lacrimal mound. With an estimated incidence of up to 70% among individuals with single eyelids in Asia, the demand for effective epicanthoplasty techniques is steadily rising among plastic surg

In the realm of Asian aesthetic surgery, medial epicanthoplasty remains one of the most frequently requested yet technically sensitive procedures. As detailed by Wong Chin-Ho, MRCS(Ed), FAMS(Plast Surg), and Hsieh Michael Ku Hung, MRCS(Ed), FAMS(Plast Surg) in their 2025 study published in Plastic and Reconstructive Surgery , the epicanthal fold—a fibromuscular web covering the medial canthus and often obscuring the caruncle—is present in up to 90% of Asian patients. While pa