The team behind this comparison

Aesthetic surgery · upper eyelid and brow · the surgical decision

Dr. Tongchun Mao is Deputy Director and Head of Aesthetic Surgery at Chongqing West District Hospital, a Vice Chief Physician and Licensed Aesthetic Attending, and he is the physician responsible for the medical review of this site. The question the site is built around — which tissue moved — is the judgement he makes at an assessment rather than an assumption, and the guides here are written to the standard he applies there.

The two operations compared here are offered for one complaint, and Dr. Mao treats the choice between them as an examination finding rather than a preference. He measures brow height at rest and in movement, holds the brow up to see what skin remains over the lid, and asks what the hooding does over the course of a day. When the brow is low and the lid skin is not the main problem, he says so and explains what an eyelid operation alone would and would not change.

Clinical focus

• Upper eyelid surgery: skin removal, the crease, and what it leaves above
• Brow lift by approach, and where each approach places its scar
• Assessment that separates lid skin from brow position before a plan is made
• Plans that address both findings, in one session or in two
• Revision after eyelid or brow surgery, and what a second operation can reach

Plastic surgery · complex cases · revision

Dr. Shaoliang Wang is Director of the Plastic Surgery & Aesthetics Medical Center at Chongqing West District Hospital. Within the team he provides the surgical perspective and the tertiary-hospital backstop — the assessment when an operation is the honest answer, and the hospital-level care for the rare complication that needs it.

On this site his part is the lid that has already been operated on: what a previous eyelid or brow operation has left in the tissue, whether a second operation should proceed at all, and how much skin remains. Because a revision carries added risk rather than removing the risk of the first operation, that judgement belongs in the first plan rather than in the years after it.

Clinical focus

• Center leadership and multidisciplinary case review
• Surgical assessment when an operation is the honest answer to descent or excess skin
• Hospital-based care for the rare complication that needs theatre-level management

Skin & laser aesthetics · eye surface · lid skin

Dr. Ke He is Deputy Director of the Plastic Surgery & Aesthetics Medical Center and head of its skin and laser aesthetic service at Chongqing West District Hospital. Her part in this comparison is the eye surface and the lid skin: whether the tear film is stable, whether the lid closes completely, and how lid skin is likely to heal. She also manages the dryness an eyelid operation can bring on, which is one reason the surface is checked first.

Clinical focus

• Eye surface and tear film assessment before upper eyelid surgery
• Lid skin quality, and how it heals after an incision
• Management of dry eye and lid irritation after surgery

Dermatology · assessment and complication management

Dr. Yongbo Jia is a dermatologist within the Plastic Surgery & Aesthetics Medical Center at Chongqing West District Hospital. Within the team his role is medical skin assessment — diagnosing and managing pigment and barrier conditions, and treating skin that a device or an injection has irritated.

His part in this decision is the skin assessment that happens before an operation is planned, and the management of a lid that changes in a way surgery does not explain — a rash, a scaling lid margin, or a swelling that comes and goes. Those are clinical questions with their own treatment, and they are worth settling before an operation rather than after it.

Clinical focus

• Medical skin assessment behind injectable treatment plans
• Diagnosis and management of pigment and barrier conditions
• Dermatologic care of skin after irritation or a delayed reaction