LAM FACIAL PLASTICS

Hi Dr Lam!!!!

What's the difference between the tapered, lateral flare and parallel crease when doing surgery for asian double eyelids? Why do you prefer the lateral flare compare to the tapered and parallel crease? With most Asian eyes I see, their inner lids are buried underneath the fold versus shown outside the fold. Can you give that type of result when doing the eyelid surgery? Your work on the first two ladies with their full face in your before and after pics are very beautifully done. Do you remember what type of crease you have done on those ladies? Is it an outer or inner fold? I couldn't tell cause the pictures were not a close up of the eyes.

Thanx

both ladies have an inner fold with a flare. the inner fold where the skin folds to close on the inner eye is better in my opinion. the flare is not critical. we can go flatter or more parallel. despite my best efforts, even if i design an outside fold it may become a bit in and vice versa. it depends on how the skin folds over. in most cases i can get it where you want it, but i just want to make sure that i don't "sell" you a shape that i can't deliver.
best,
sml

Can you also explain the difference between "static" vs "dynamic" crease and which method you use? Is it also possible to revise a static crease to be dynamic?

personally, i think this whole dynamic and static creases are full of you know what. a crease is a crease. the theory is that if the crease is fixed the tarsus you get a "fixed" one, i.e., it does not move when you open and close your eyes. a "dynamic" one is supposedly created by fixing it to the mobile levator muscle. i fix mine to the levator and nothing is dynamic about it. i really think this is academic craziness. you can therefore figure out what i think about revising a dynamic to a static eyelid.

That was very helpful and glad to get your opinion on it.

great, i'm glad you were not offended by my remark. but this dynamic and fixed thing is ridiculous.
best,
sml