I recently had the opportunity and the pleasure to be invited by a major hospital Corporation in China. I was the President of the Postpartum Cosmetic Surgery Program that they have initiated. The Hospital Corporation has hospitals in Beijing, Nanjing, and Shanghai so I visited all these hospitals. At those hospitals, I had the opportunity to discuss the newest techniques that I apply to the Asian population in Beverly Hills with the local doctors. I had the opportunity also to meet a lot of patients and discussed what would be the best treatment for them.
In practicing in Los Angeles I am exposed to a large number of ethnic populations. One of those population is Chinese, Korean, and Japanese. Each of this population has a standard of beauty that they seek and there are also anatomic differences compared to Western civilizations. As a surgeon in Beverly Hills that performs many Asian plastic surgery operations, I was able to convey my experience during my visit.
In general, a lot of the plastic surgery in China and other Asian population focuses on the face. Specifically:
1. Asian eyelid surgery.
The Asian eyelids are distinctly different from Western eyelids because they lack an upper crease or an upper eyelid fold. So, Asian populations are interested in having an operation to create an upper eyelid fold that is called the Asian eyelid operation. Specifically, what the surgery does is, it opens up the eyelid and it repositions the levator muscle and its aponeurosis in such a way to create a crease. This crease that most of us have in our upper eyelid is an element of beauty that is perhaps the most popular cosmetic surgery facial operation for Chinese and Asian populations. The upper eyelid operation is an operation that is easily and nicely done under local anesthesia or the patient can elects to have local anesthesia and sedation and also general anesthesia if this is the patient’s preference. The Asian eyelid operation opens up the eyes and this is one of the main reasons why the Chinese people and other Asian seek that kind of surgery. Bigger eyes and wide-opened eyes are an element of beauty. This is an operation with a high satisfaction rate. The most common complication of this operation is asymmetry. Asymmetric crease is the most common complication. In order for that to be corrected, that requires another surgery and that is something that must be explained to the patients.
Stay tuned for Part 2…
John Anastasatos, MD, FACS