Asian eye section – features of the Mongoloid type of the eyes, characterized by a narrow section of the eye gap, the smoothing or absence of super-orbit folds of the upper century and the presence of epicanthus – skin folds in the inner corners of the eyes. Also, unlike the European Asian eye section, it has small orbits, thick skin eyelids, excess orbital fat and a higher eyebrow location. Typical features of the Asian eye cut are genetically determined features inherited by an autosomal-dominant type.
The Mongoloid (Asian) eye section is characteristic of the Japanese, Koreans, Chinese, Vietnamese, Uyghurs, Kazakhs and representatives of other eastern nationalities. The first attempts to change the Mongoloid eye incision were made in Asian countries at the end of the 18th century. These procedures were popularly called “sangapuri”, performed by unprofessional healers at home and consisted of stitching soft tissues of the century through and squeezing them with threads, usually in three sections. Ignorance of anatomical and physiological features, non-compliance with aseptics and antiseptics, gross tissue injury led to an unaesthetic and short-term result.
The possibility of rapid change in the Asian eye cut was first proposed by a surgeon from Japan Mikamo in 1896, when the “land of the rising sun” began to conduct active trade with the West. Widely correcting the shape of Asian (mongoloid) eyes began to be carried out after World War II due to the large flow of immigration from Asian countries. Since then, Asian eye cut correction operations have been popular not only among women, but also among men.
Since the appearance of the Mongoloid eyes forms precisely the absence of a sub-orbital fold and epicanthus, then the correction of the Asian eye cut provides, first of all, the formation of a fold in the upper century and the elimination of skin folds in eye corners.
The absence of a double supraorbital fold is associated with the anatomical features of Asian eyes, in the upper eyelids there are no connective tissue fibers that bind the aponeurosis of the upper eyelid muscle with the upper eyelid. Therefore, the purpose of the Asian eye cut correction operation is to create the missing fold by creating a scar between aponeurosis and skin or insertion between the skin and muscle.
The method of correction of the eastern (Asian or orientation) incision of the eyes is a special type blepharoplasty, during which the upper-century fold is formed, the elimination of epicanthus (epicantoplasty) and the correction of other features of the Mongoloid eyes are carried out. Operations to change the Asian eye cut are very popular around the world, and in Japan more than 250,000 people conduct them annually. The result of this operation is not only giving the eyes of European traits, but also increasing the fields of view, changing the direction of eyelash growth at the top, which visually makes the eyes younger and more attractive.
Today, 2 main methods are used to correct the Asian type of eye oriented blepharoplasty: without cuts and with cuts.
With fine skin of the upper century and the presence of a slight fold on it, it is possible to use equipment without cuts (i. n. seamstress). By an open method, or by a method with cuts, blepharoplasty is carried out in all other cases.
Many plastic surgeons prefer an open technique, considering it more reliable in the Asian context of the eyes. Under local anesthesia, point cuts of the skin at the location of the typical location of the fold in the upper century secrete and remove a thin strip of skin, as well as excesses of subcutaneous fat and muscle tissue. The cut place is sutured with thin intra-skinned seams. The duration of the operation is usually from half an hour to two hours, taking into account the volume of surgical intervention.
At the end of the operation, aseptic bandage is applied forever for 2-4 hours. The pain in the postoperative period is usually moderate, not requiring the reception of analgesics. Seams are removed for 3-5 days. Hematomas and edema of the eyelids usually dissolve after 7-10 days.
After successfully performing the correction of the Asian eye cut, a persistent aesthetic result is usually maintained throughout life.
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