Novel Technique, Challenges and Outlook for the Future in Aesthetic Surgery of the Asian Eyelid

Combined Approach of Partial Incision Technique with Medial Tunnel Fixation (Incorporating a Buried Orbicularis–Aponeurosis Suture)

An ideal compromise would be to combine an external incision approach across the central 50% of the proposed area for an eyelid crease, combined with buried suture ligation over the medial end by way of the open central wound. This avoids any incision through the thicker medial canthal skin and still achieves a crease as well as some control over the shape of the crease there, whether the crease is to be nasally tapered or parallel.