We pride ourselves on the fact that our concepts and terminologies have filtered down to other practitioners who have read our publications, watched our video resources, and we can see it in their websites and even publications on various approaches.
The upper eyelid is a complex multi-layered structure and we strive to perform the necessary work for each individual patient, base on each person’s unique findings that may be preventing them from forming an eyelid crease. We do not use any buried sutures commonly used in “non-incisional” techniques as well as by surgeons who have been taught that buried and anchoring sutures should be used in earlier papers in the 1960-‘80s. These fixation sutures when embedded (or permanently buried) tend to restrict the slip-slide among the layers composing the upper lid and in our opinion, is less than ideal and may have side-effects that are under-reported. The crease created this way can be likened to be an indentation created through compressing tissue layers through a tightened noose(knot).
We prefer to custom renovate our patient’s eyelid, base on sound anatomy and understanding of its physiology and dynamics, and never taking the short-route by using buried sutures(which is like using staples).
We don’t believe in any fancy 3 or 4-letters acronyms for procedures that confuses the patients, or hides the fact that back-and-forth hairpin turn nylon sutures are permanently buried within the eyelid muscles, nor will we ever suggest ptosis repair when you do not show any ptosis as judged by an eye specialist(weak elevating muscle resulting in droopy eyelid opening), nor will we suggest unwarranted epicanthoplasty when all you have is a small medial upper lid fold.They should be part of the Asian Blepharoplasty(Chen) correction.
Most of all, we are Ophthalmologist by training, and we have your eyesight as the most precious structure we pay dear attention to.
Think of a Shinto temple that is built without the use of embedded nails, think of gentle entry and exit with minimal disruption, think of 3-D spatial renovation, that’s what we do.