Introduction
The procedure described
A comparison between Occidental and Asian eyelids
The choices in eyelid crease

Peter Dixon in the Press

Genetically Asians are predisposed to a wider lower face.

In oriental culture a square face is linked as more masculine & unhappy life.. An oval face is linked with being more obedient and feminine.

Many factors contribute to the square look:

• Widening of the mandible bone
• Thickened chewing ( Masseter Muscle)

This width is frequently referred to as “benign masseteric hypertrophy.”

Masseteric hypertrophy is thought to be due to excessive action, particularly diet factors – chewing dried squid, meat, fibrous vegetables, betel nut, etc. Additionally Personal habits – jaw clenching/grinding of the teeth.

Historically, surgical techniques with resection portions of the bony mandible with and without removal of the masseter muscle, has been performed.

More recently, the use of botulinum A or B toxin (BTX) has been reported for the correction of masseteric hypertrophy. See an Example.

Muscle relaxing injections (BTX) in a single treatment can improve the look.

The procedure requires 5-6 injections in the area of maximum muscle thickness.

Shrinkage can be seen by day 14, but does not reach a maximum until at least week 4, and sometimes not until week 12.

Duration of ‘cosmetically desirable effect’ is variable, but typically 3–12 months.

The injections are virtually painless and are placed in the thickened muscle mass over the jam angle. No disturbance of jaw function has been noticed by patients of the clinic.

The technique of facial slimming can be combined with Meso BTX therapy.

Meso BTX(or Micro BTX) is a procedure where multiple superficial micro doses are injected into the skin of the face and neck, causing sweat glands and sebaceous glands to shrink and atrophy. This results in smooth clear skin without loss of movement in major facial muscles.

Research and Asian patients describe considerable differences between Asian and Western cosmetic surgery.

These differences are not merely structural, but cultural and psychological factors define a difference in the requirements in the Asian community.

I understand the importance of maintaining the appearance of the Asian community, and even sub-groups of this community.

Generally, Asian patients wish to look more beautiful as Asians.

There are a number of procedures which the Asian community generally seek information on:

- Eye surgery
- Breast surgery
- Nasal surgery
- Body sculpting
- Facial pigmentation

Asian Beauty

The concept of beauty crosses cultural barriers. Beauty may be difficult to define but when present is recognised as features that attracts you and fills you with joy when you look at it. This visible beauty, consists of balance with the added elements of beauty in colour.

I now provide a brief description of how the clinic can assist in these areas.

A Beautiful Asian Nose

An appreciation of the Asian concept of beauty is essential to create a beautiful Asian nose. An enhanced nose should appear natural, balanced and harmonious with the patient’s overall Asian facial structure.

A surgeon’s aesthetic sense, imagination, creativity, and empirical analysis is necessary to style the nose that fits your face.

Computer Technology Provides More Reliable Results

At the clinic you can choose the style of nose you prefer prior to the surgery, … such is the sophistication of the assessment protocols designed to achieve your final appearance. Computer enhancement ensures benefits in education and quality of result.

Computer analysis performed by the surgeon is optimal. The surgeon can insure the changes are both aesthetically appropriate and indeed possible.

In Conclusion

A beautiful nose should be symmetrical and well proportioned to the face. The ideally beautiful Asian nose should fit the Asian face.

Aesthetic Eyelid Creation

The Asian eye often has no visible fold. The essential goal of Asian eye improvement is a double eyelid conforming to an individual’s concept of beauty.

The level of the new skin fold is one of personal preference. How much lid do you think is attractive?
For additional information on eyelid correction

Q: Can Asian blepharoplasty by undertaken simultaneously with other plastic surgery such as rhinoplasty?
A: While the answer is technically “yes,” the swelling from the rhinoplasty or other facial procedures may not be helpful during eyelid healing. Art the clinic however we understand that time off recovering is time and often wages lost.

We therefore recommend that if considering both procedures that they are performed at the same procedure time.