Nonincisional Shortening of the Posterior Lamellae: A Transconjunctival Approach

Asians are characterized by thick upper eyelids, no double eyelids, epicanthal folds, slanted eyes, and eyes with small vertical and horizontal lengths. For this reason, blepharoplasty, blepharoptosis correction, epicanthoplasty, and lateral canthoplasty are commonly performed in Asia. However, many patients still complain of small, fierce-looking eyes, and when the line from the lower eyelid to the tip of the eye is short and steep, the eyes may look quite fierce and may not be fully corrected even after surgery. With an accurate understanding of anatomy, we used the transconjunctival approach for nonincisional shortening of the posterior lamellae to adjust the slope of the lower eyelids and produced satisfactory results, which we report here.

Note

This study was performed in accordance with the guidelines contained in the Declaration of Helsinki. For this type of study, formal consent is not required.