Category: Blepharoplasty

South Korea: The World’s Capital for Plastic Surgery

Korean Plastic Surgery FaceI  just returned from a week in Seoul S. Korea, visiting with a manufacturer of US medical devices. This first time visit to Korea was eye opening. My pre-conceived images of Korea, probably formed by watching re-runs of MASH, were of a struggling people recovering from the ravages of Japanese occupation and the Korean Civil War. They have reversed the sufferings of the last century. Seoul is now a sophisticated metropolis, ringing with commerce and populated with meticulously dressed urbanites, rushing from offices, restaurants, karaoke bars, health clubs and university classrooms. South Korea has made an astonishing move from shanty-town poverty into a modern high rise industrialized economy in a span of 50 years. 

Of particular interest to me was the Korean attention to beauty. They dress stylishly, pay careful attention to grooming and consider looks to be an important element to success. This value allows them to be very open to plastic surgery as a means of achieving their ideals.

South Korea has the world’s highest per capita rate of cosmetic plastic surgery, according to the 2009 and 2011 statistics of the International Society of  Aesthetic Plastic Surgeons. 

For Korean college graduates seeking employment, 27.4% get plastic surgery to fare better in the hyper-competitive job market. Every year 74 out of every 10,000 people undergo cosmetic surgery, a rate 1.8 times the United States. One in five women between the ages of 20 and 45 is reported to have cosmetic surgery. 

Korea is followed by Greece, Italy and the United States in the per capita rate of choosing plastic surgery. The people of Brazil and Taiwan also value and utilize plastic surgery with a high degree of frequency.

The Asian specialized procedures that are performed frequently in Korea include the double eyelid surgery to make the eyes appear larger, cheek implants to create an “apple” shape, jaw contouring to decrease the width of the face and rhinoplasty to raise the height of the nose.  Forehead shaping with fat grafts, liposuction and breast implants are also popular. 

For more information consult:

International Society for Aesthetic Plastic Surgeons,

Anti-aging, Beauty, Blepharoplasty, Doctor-Patient Relationship, Fat Transfer / Fat Grafting, Rhinoplasty, Skin Care

Asian Eyelid Surgery

AsianWomancropSeattle has a large Asian population of varying ethnicities. I find they express different preferences for beauty in the upper eyelid. Those from Chinese, Japanese or Korean heritage more often favor a narrow crease above the eyelashes. Filipinos, Taiwanese, Malaysians and Indonesians prefer a wider fold. Population genetics show that the narrow or no crease peoples were originally from Northern Mongolia in prehistoric times. The Southern Mongolians evolved different facial features including deep set eyes and a wider crease. Most people want to retain a natural look that is true to their familial background.

The “classic” Asian eye

  1. Slants upward on the outer corner
  2. Has an absent lid crease,
  3. Has a fold of skin that lies over the inner corner, referred to as an epicanthal fold

In reality, the Asian eyelid has a large range of individual variation, including the height of the crease, the width of the eyelid opening, the amount of fat around the lids, and the shape of the eye.

It is possible to vary the blepharoplasty procedure according to each person’s preferences, especially when it comes to the desired fold height. You will want to talk about that when you come in for a consultation. You can make aesthetic changes without  erasing your heritage. A “natural” look is better than a “westernized” look. 

Anti-aging, Beauty, Blepharoplasty, Fat Transfer / Fat Grafting, Skin Care, Uncategorized

Top 5 Cosmetic Procedures for Men

HandsomeManMen in the prime of their life are seeking cosmetic surgery for both personal and professional reasons. In July, the Cosmetic Surgery National Data Bank released its statistics for 2012. It is interesting to see what plastic surgeries men select. Men had nearly 1 million cosmetic procedures in the US, 10% of the total. The winners are listed with the number of reported cases.

  1. Liposuction (41,642)
  2. Rhinoplasty, nose reshaping (29,996)
  3. Blepharoplasty, cosmetic eye lid surgery (23,251)
  4. Gynecomastia, reduction of male breasts (22,736)
  5. Otoplasty, correction of prominent ears (12,053)

The data collection for plastic surgery goes back to 1997. The number of procedures for men has more than doubled since that time. Men are also seeking nonsurgical cosmetic procedures, such as Botox injections in rapidly increasing numbers. There were 808,011 nonsurgical cosmetic procedures reported to have been performed on men in the United States during 2012 according to the American Society for Aesthetic Surgery.

Aesthetic Surgery Journal, vol. 33, Supplement 2, July 2013.

Anti-aging, Beauty, Blepharoplasty, Body Contouring, Gynecomastia, Male Breast Enlargement, Male Breast Reduction, Personal Fitness

Current Trends Show Fat Grafting the Breast Is Popular

Breast Fat TransferA recent survey of board certified Plastic Surgeons confirms that plastic surgeons are using fat transfer with increasing frequency and success.
80% reported using fat in parts of the body other than breast.
70 % actively perform fat grafting to the breast.
62% used fat transfer as a good choice for improving breast shape and
contour in reconstructive breast surgeries.
28% of the surveyed surgeons employ this technique for cosmetic purposes.



Here are some of the ways this valuable technique is being used:

  1. Breast implants in thin women can show wrinkling or visible borders. Fat can provide a thicker soft tissue cover to hide implant characteristics.
  2. Fat grafts can cover prominent ribs or an irregular chest wall.
  3. Congenital breast problems, such as tubular breasts or lack of growth of one breast can be reshaped with fat transfer as part of the procedure.
  4. In breast reconstruction after mastectomy, fat can help camouflage the borders of an implant, or fill in a deficit in a flap contour or after a lumpectomy defect. Fat can treat irradiated tissue and seems to improve skin quality. 

There were nearly 72,000 fat grafting procedures reported by US board certified surgeons for 2012, according to the American Society for Aesthetic Surgery. 

For more detail visit the July 2013 issue if Plastic and Reconstructive Surgery,

Anti-aging, Blepharoplasty, Body Contouring, Breast Augmentation, Breast health, Breast Implants, Breast Reduction, Fat Transfer / Fat Grafting, Mommy Makeover, Tubular Breasts

What Causes Dark Circles Beneath the Eyes?

Aging is the Most Common Cause

Your eyes are believed to be a window to the soul. They convey a full range of expression and make a difference in how you are perceived in terms of health and beauty. Dark circles beneath the eyes are detractors. They suggest fatigue or sadness or being past your prime. The physical characteristic can suggest troubles even when your emotions do not match. What causes dark circles and what can be done about them? 

Some people have dark eyelid skin that they inherited from their parents. “Hyper pigmentation” is benign, but just as it is impossible to erase a leopard’s spots, it is difficult to change the natural color of your skin if that is your genetic type. 

Illnesses can cause changes in the tissues around the eyes. Lack of sleep, smoking, and excessive alcohol intake are lifestyle choices that negatively impact the appearance of your eyes. Thyroid, kidney and liver disorders can contribute to dark under-eye circles. Allergies, asthma, and circulatory diseases cause swelling that may lead to eyelid changes. 

For those of us in good general health who were not born with dark lower eyelid skin, the most common cause of circles under the eye is simply aging. Eyelid skin is thin and cheek skin is thick. The zone where thin meets thick is called the “lid-cheek junction.” This line begins to drop as we age. The zone between eyelid and cheek becomes more pronounced and the surface irregularity casts a shadow that creates the dark circle. The lower eyelid shape changes and looks like an upside down triangle with its peak pointing away from the middle of the eye. The line from the inner corner of your eye to the peak of the triangle is referred to by plastic surgeons as the “tear trough deformity.”

The problem can be a combination of dark skin pigment, loose skin, fine wrinkling, excess fat, or loss of fat, gravitational forces and irregular contour.

So what choices are there for dark lower eyelids? Treatment begins with identifying the cause.

1. Hyper pigmentation is caused by excess brown pigment (melanin) in the skin. This may be responsive to fade creams, such as hydroquinone, chemical peels, and sun screens. Other skin care products such as Retin A can be useful. 

2. If the cause of the shadow beneath the eye is a contour abnormality, then injectable fillers such as Restylane and Juvederm can be placed in the tear trough deformity for an improvement that lasts 6-9 months.

3. A blepharoplasty is eyelid surgery that gives long lasting improvement for the eyelid changes of aging. It tightens eyelid skin, repositions fat in the orbit, and smoothes the transition from lower lid to cheek. For more on this topic check out Services>Surgical Facial and visit my Facial Procedures gallery.

Anti-aging, Beauty, Blepharoplasty, Nutrition, Skin Care

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