From the lecture I'll be giving at this spring's conference.
I'll be presenting on a way to enlarge the eye without ptosis correction.
Title: "Reducing the Volume of Upper Eyelids in East Asians Increases Vertical Palpebral Height."
In plain terms: in East Asian patients, reducing the bulk of the upper lid enlarges the visible eye.
A common presentation — a male patient with a thick upper lid and a relatively small aperture.
We remove a measured amount of tissue from the thick area.
As the diagram shows, the volume reduction targets the central section.
We remove fat and muscle layers to flatten the thick portion as much as possible.
Tissue immediately under the skin cannot be removed, so a slight residual fullness remains.
Post-op view.
The eye looks substantially larger. The result was achieved through volume reduction alone — without the conventional levator advancement of ptosis correction.
It's an approach that enlarges the eye while sidestepping the complication profile of ptosis correction.
Candidates are limited: this works for patients with significant upper-lid bulk who struggle to open the eye fully because of it.