Asian Eyelid Surgery – The Orbicularis Fixation Technique by Dr. Philip Young of Bellevue | Seattle: This is important to bring up for many reasons. This technique is quite different from the way 90% of surgeons do this procedure. We use this technique to create the crease and essentially permanent sutures are left in there to help keep your crease much longer lasting. Also the fold works more in a natural way. The technique is called the Orbicularis Fixation Technique for Asian Double Eyelids. The below anatomy will show you what we are talking about. Most surgeons perform the dermal fixation technique where the crease forming sutures are used to grasp the upper eyelid skin incisional edge then the levator muscle and then the lower eyelid incisional edge. These sutures are then taken out 6-7 days later. The crease is then dependent on scar formation to keep the crease. Sometimes this can be good enough, sometimes this can lead to asymmetric results and relaxation and multiple folds. The orbicularis fixation technique is based on the fact that the orbicularis muscle is tightly adherent to the skin of the eyelids. So attachment of this muscle to the levator is just like attaching the skin to the levator. Also with this attachment, the fold acts more natural. Meaning there is not a scar crease for the fold but it is created by the muscle attaching to where the fold should be. You can click here to learn more about Asian Eyelid Surgery.
