Creation of natural double eyelids in Asian patients
Reviewed by Eduardo Morera Serna

This article shows a simple, safe and elegant technique to deal with single eyelids in Asian patients, addressing the lack of supratarsal crease and the puffiness of the lid without needing a full upper lid blepharoplasty incision. The use of this technique allows the surgeon to remove an excess of orbital fat and hypertrophic orbicularis oculi muscle through a small five millimetre incision, minimising the postoperative swelling and the need for further follow-up visits. The crease is created with a 6-0 nylon suture running from the lateral to the medial canthal area leaving a buried knot at the mini-incision. The authors stress the high patient satisfaction with the procedure, both with the surgical outcome and the low social downtime. Although the methodology of the study is not very clear, with a lack of outcome parameters and statistics, the description of the surgical technique and the figures are excellent; the long-lasting result of the surgery is stated by the authors, but we miss some long-term follow-up images. A very interesting paper for every facial plastic surgeon with an oculoplastic practice.

Creating natural double eyelids with continuous buried suture and mini-incision technique using subcutaneous absorbable suture for patients with puffy eyelids.
Li L, Ni B, Pan S, Lin Y.
JAMA FACIAL PLASTIC SURGERY
13 March 2014 [Epub ahead of print].