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Invited commentary| Volume 65, ISSUE 9, P1181, September 2012

Preoperative asymmetry of upper eyelid thickness in young Chinese women undergoing double eyelid blepharoplasty

      The authors present a large series of 1217 patients undergoing double eyelid blepharoplasty in young asian women operated by a single surgeon.

      Zhou Q, Zhang L, Wang P J, Yang S, Bi Y L. Preoperative asymmetry of upper eyelid thickness in young Chinese women undergoing double eyelid blepharoplasty. J Aesth Plast Recon Surg.

      In order to evaluate the presence of eyelid asymmetries preoperatively the authors develop an original method to analyze the differences in thickness of both upper eyelids through MRI imaging. These differences are later confirmed through intraoperative weighing of the resected specimens. Although, as the authors acknowledge in their text, the intraoperative weighing is highly susceptible to researcher bias, their preoperative results through MRI imaging showing a high incidence of upper eyelid asymmetries are an important finding for plastic surgeons performing double eyelid blepharoplasty procedures.
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      References

      1. Zhou Q, Zhang L, Wang P J, Yang S, Bi Y L. Preoperative asymmetry of upper eyelid thickness in young Chinese women undergoing double eyelid blepharoplasty. J Aesth Plast Recon Surg.

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        (Presented at the American Society for Aesthetic Plastic Surgery, The Aesthetic Meeting 2010,)April 27, 2010 (Washington DC)

      Linked Article

      • Preoperative asymmetry of upper eyelid thickness in young Chinese women undergoing double eyelid blepharoplasty
        Journal of Plastic, Reconstructive & Aesthetic SurgeryVol. 65Issue 9
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          Asymmetry of the eyelid crease is a major complication following double eyelid blepharoplasty; the reasons are multivariate. This study presents, for the first time, a novel method, based on high-definition magnetic resonance imaging and high-precision weighing of tissue, for quantitating preoperative asymmetry of eyelid thickness in young Chinese women presenting for blepharoplasty. From 1 January 2008 to 1 October 2011, we studied 1217 women requesting double eyelid blepharoplasty. The patients ranged in age from 17 to 24 years (average 21.13 years).
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