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By William P. Chen MD FACS

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Extra resources for Asian Blepharoplasty and the Eyelid Crease 2nd Edition

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3. The swelling will have subsided by 80% by the end of 2 weeks. 4. The remaining 20% swelling will take another 6 weeks to resolve (the 80 : 20/2 weeks:8 weeks rule). 5. The crease height does not move: it is merely inflated up and down as wound swelling occurs and then subsides. 6. The incisional wound tension peaks at 5–6 weeks. 7. The healing wound may be pruritic. This may intensify and become reddened if the patient eats spicy and/or fried foods. Comedogenic foods such as chocolate and high-cholesterol foods such as crustaceans should be avoided as a general rule.

I always try to encourage patients to speak their mind, even if they may be embarrassed, and to facilitate this in a stress-free environment. Very often patients may be overly self-conscious about an issue that matters little to anyone they interact with, or one may need to point out an extreme condition that needs to be corrected before the desired aesthetic outcome can be achieved, for example ptosis. It is important for the surgeon to customize individual aspects of their particular technique for a particular patient.

Plast Reconstruct Surg 2001;107: 1665–1668. 10. Morikawa K, Yamamoto H, Uchinuma E, Yamashina S. Scanning electron microscopic study on double and single eyelids in Orientals. Aesth Plast Surg 2001;25:20–24. 11. Hwang K, Kim DJ, Chung RS, Lee SI, Hiraga Y. An anatomical study of the junction of the orbital septum and the levator aponeurosis in Orientals. Br J Plast Surg 1998;51:594–598. 12. Fink WH. An anatomic study of the check mechanism of the vertical muscles of the eyes. Am J Ophthalmol 1957;44:800–811.

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