The incision technique while doing Asian Double Eyelid Blepharoplasty (Dr Young is in Bellevue Washington) gives a longer lasting and more reliable result than a non incision technique in most hands. When done correctly the results should last 10-15 years or longer. Essentially most results should be indefinite and be there permanently. There are ways to make sure that the crease stays. One method that I employ is the orbicularis-levator fixation technique which entails using internal sutures that attach the eye muscle that closes the eye (orbicularis) with the muscle and fascia of the muscle that opens up the eyes (levator). These internal sutures are created with small nylon sutures that take a very long time to dissolve and sometimes never dissolve. I also employ the more traditional skin to levator fixation sutures as well to ensure that the crease stays as long as possible. Non incision techniques have a long history of having less than reliable fixation and also less definite crease formation. The risks of incomplete creases, asymmetry, and loss of the fold are much higher with the non incision techniques. In my experience, it seems that most experienced surgeons lean toward doing more incision techniques after they have done non incision techniques for several years. The picture below explains some of what was mentioned above. Here is video on Asian Blepharoplasty and Medial epicanthoplasty.
Thanks for reading, Dr Young
Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
