What is BB Double Eyelid?

BB Eyes （BB眼睛）

“BB eyes” stands for Bigger and Brighter eyes. This is a series of customized cosmetic eyelid surgeries created by oculoplastic surgeon Dr Alice Goh. As she believes that no two eyes are the same, each eyelid design is customized to cater for each individual’s need.

BB Double Eyelid Suture Method (BB 双眼皮)

This is a safe and lasting double eyelid procedure invented by Dr Alice Goh to create a natural eyelid crease. This method is safe and uses high quality suture material to create the double eyelid.  It is performed in a hygienic procedure room and sterilized instruments. The double eyelid procedure alone takes approximately 15 mins each eye. However, additional time required if more procedures are done at the same time.

The conventional double eyelid formation rely almost solely on the suture to create the eyelid crease. Over time, the tensile strength of the suture reduces and therefore the force of keeping the eyelid crease is also compromised. She believes that BB Double Eyelid technique will last longer because of an additional step which create tissue adhesion to reinforce the lid crease formation. Therefore, as time passes when the tensile strength of the suture reduces, the tissue adhesion will continue to hold the lid crease formation.

The double eyelid procedure can be combined with other procedures to enhance the results of the double eyelid. In patients with puffy eyelids, fat removal can be performed together with the double eyelid procedure without any additional incision on the eyelids. Droopy eyelid can also be corrected without addition skin incision. Other enhancement and lengthening procedures such as Magic Epicanthoplasty (开眼角) and Lateral Canthotomy （开眼尾）can also be done together. 

The 10 advantages of BB Double Eyelid Suture Technique:

1.      Safe

2.      Scarless

3.      Natural

4.      Lasting

5.      Quick procedure

6.      Quick recovery

7.      No suture removal

8.      Fat removal possible without additional incision

9.      Droopy eyelid can be corrected together without additional incision

10.  Lengthening eyelid procedure such magic epicanthoplasty and lateral canthoplasty can be done together.

Call us at 603 22846090 for an appointment to consult Dr Alice Goh.

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Instagram @dralicegoh

                Cases 1: BB Double Eyelid (Suture Method) with Magic Epicanthoplasty

Case 2: BB Double Eyelid (Suture Method) with Scarless Droopy Eyelid Correction

                    Case 3:BB Double Eyelid (Incision Method) with droopy eyelid correction
                                                          and Magic Epicanthoplasty

                           Case 4: BB Double Eyelid (Suture) with Droopy Eyelid correction

                                            Case 5: BB Double Eyelid (Suture method)
                                               with Scarless Droopy Eyelid Correction

Case 6: BB Double Eyelid (Suture Method) with Scarless Droopy Eyelid Correction

and Magic Epicanthoplasty 

Aesthetics and Cosmetic Surgery for Men

According to new figures, men are now just as worried about their appearance as women. Aesthetic treatments and cosmetic surgery are traditionally associated with women. However, we see an increasing trend and demand from men for a wide range of procedures tailored specifically for their needs. 

When treating men, I generally have some rules that I follow which is different from treating women. Men, by and large prefer to preserve their natural, youthful good looks and they typically desire to look more "relaxed" and "well-rested". As such my approach when treating men are rather conservative. 

What are the treatments that can help them?

1. Droopy eyelids or Sagging eyelids

With excess skin which hangs over the eyelid margin make one appears tired, less attentive and unattractive. In more severe cases, one tends to use the forehead muscle to raise the eyelid to increase the visual field. In the long run, this will result in unwanted horizontal forehead lines which is commonly seen in men after 40's. 

To correct this, a simple procedure whereby excess skin is removed. Or when the muscle that elevate the eyelid has become weak, muscle tightening may be done together with skin removal. 

This patient under left muscle tightening procedure and 
skin removal in both eyes which yielded
a much more alert and attractive eyes. 

2. Eyebags

Eyebags always make you look tired even when you are not. Eyebags result from weakening of a fibrous membrane called the orbital septum which holds the fat in place. As you age, the septum weakens causing the fat to prolapse forward and cause puffy under eye. 

There are many approaches to correction eyebags. Depending on the severity, one may opt for surgery or non-surgery. Non-surgical eyebag correction involves injection of which may camouflage the puffy eyelids. This is a quick procedure done in the office with minimal or no downtime. 

In more severe cases, eyebags require surgery for complete correction. 

The under eye has been correction using hyaluronic acid gel filler
which camouflaged the puffy lower eyelids.

3. Forehead Lines

Many male patients come to me requesting to get rid of their forehead wrinkles. These forehead wrinkles may develop due to age and can be treated with toxins to relax the muscle. However, forehead lines may be due to excessive contraction of the forehead (frontalis) muscle. The lines formed are due to constant muscle contraction to compensate for the droopy or sagging eyelid. In this instance, correction of droopy or sagging eyelids by means of surgery will automatically relax the frontalis muscle and lessen the forehead wrinkles. 

This gentleman complained of tired eyes and forehead wrinkles and wish to correct them.
This is a typical patient with forehead lines due to constant contraction of his forehead
muscle to lift his eyelids. After a simple procedure where the excess eyelid skin was removed,
his forehead has naturally appear more relaxed and the lines has reduced tremendously. 

Another example of treating forehead lines without BOTOX. 

Good turn-out for the Aesthetic and Cosmetic Surgery updates. Here are our lucky winners!

On 16 October 2014, ISEC Penang organized a talk on "Advances of Aesthetic & Cosmetic Surgery from Korea & USA".

I presented 3 talks :

1. New Concept on Facial Ageing
2. Advances of Aesthetic & Cosmetic Surgery from Korea & USA
3. DOs and DON'Ts in Aesthetics

It was a fun-filled day. The turn-out was very encouraging despite being a weekday and during office hours. I am glad to meet all the attendees and had a good interactive sessions with them. I also managed to do a live demo for dermal filler injection of the eyebag. It was the first time for many of them to watch a live injection.

There were 3 lucky draw winners, each received free aesthetic treatments. The grand prize winner walked away with a free eyelid and medial epicanthoplasty surgery.

Yummy and healthy food for the participants.

 I will be visiting ISEC Penang 20 & 21 November 2014. For appointments kindly call 04 228 8802. Address 229, Jalan Burma, Penang.

3D Radiance Part 1 - Nose Contouring 3D的亮采Part 1 - 鼻子轮廓

Facial contouring entails enhancing these facial structures; forehead, nose, cheeks, lips, chin and jawline.

This blog will address nose contouring. 

The nose is the second most prominent feature on the face after the eyes. Besides contouring the cheeks, nose contouring is powerful in restructuring the face. A higher, narrower nasal bridge and tip can make the face appear slimmer and more radiant. East Asians (Orientals) by and large have a different bony structure compared to Caucasians. The nasal bone (nose bone) and zygoma (cheek bone) are less prominent, giving them a rather "flat" facial features. In addition, a prominent mandible bone (jaw bone) give a broad jawline and weak chin further "flattens" the face. 

Traditionally, nose contouring is achieved through surgery using implant such as ear, septal cartilage or synthetic material like silicone. Now with non-surgical techniques, the nose can also be recontoured to achieve a more 3-dimensional (3D) effect which gives definition and illumination to create a sleek, sculpted look. 

This patient's nose was contoured which created a natural 3D effect
with a more well defined nasal bridge, body and tip.

这名患者的鼻子轮廓的创造了一个自然的3D效果 

一个更明确的鼻梁，身体和鼻尖

Google Translate:

面部轮廓限嗣继承增强这些面部结构;额头，鼻子，脸颊，嘴唇 和下巴。 

这个博客将针对鼻子的轮廓。 

鼻子上的眼睛后，面临的第二个最突出的特点。除了轮廓的脸颊，鼻子轮廓是重组面前的强大。更高，更窄的鼻梁和小费可以使脸显得更苗条，更容光焕发。东亚人（东方人）大体上有不同的骨性结构较白种人。鼻骨（鼻梁骨）和颧弓（颧骨）不太突出，给他们一个比较“平”的面部特征。此外，一个突出的下颌骨（下巴骨）给出了广阔的下巴和下巴疲软进一步“变平”的脸。 

传统上，鼻子轮廓是通过手术来实现，其中植入物，如耳朵，鼻中隔软骨或类似硅合成材料。现在，随着非手术技术，鼻子可以的轮廓，以实现更3维（3D），它给出了定义和照明营造一个时尚，雕刻的样子。

Doctor, Please make my eyes smaller! 医生，请让我的眼睛更小！

In most instances, patients come in to see me requesting for larger and longer eyes. However, having big and prominent eyes may not always turn out to be attractive. There are some conditions where you can have prominent, 'bulging' eyes which give a stark or stare appearance and this can be pretty daunting. Thyroid Eye Disease and extreme short sightedness are 2 common conditions. Thyroid Eye Disease causes inflammation and swelling of the soft tissue behind the globe thus pushing the eyeball forward. The axial length of the eyeball is much longer in patients with extreme short sightedness, therefore the eyes appear prominent. Besides cosmetic disfigurement, these patients usually suffer discomfort and dry eye due to constant eye exposure.

What can we do to improve the cosmesis and eye comfort for such patients?

In severe cases, the definitive treatment is orbital decompression surgery whereby orbital bones are removed and sculpted to create more bony space to accommodate the globe. In mild to moderate cases, the eyelids can be sutured together to narrow down the eyelid aperture. Other minimally invasive modalities such as Botulinum Toxin A and hyaluronic acid gel filler can also do the trick.

This patient was very distressed with the prominent and stare look. 

She also suffers extreme eye discomfort due to dry eye.

 After narrowing the eyelid aperture, she not only looks better, her eyes also feel more comfortable.

这名患者是很心疼的突出和星空的样子。

她也遭受极端眼部不适，由于干眼病。

缩小眼睑光圈后，她不仅更好看，她也感觉更舒服。

Google Translate:

在大多数情况下，病人来见我，要求较大和较长的眼睛。然而，有大而突出的眼睛可能并不总会有吸引力。有一些条件，你可以有显着的“胀”眼睛能给出一个鲜明的或凝视的外观，这可以是相当艰巨的。甲状腺眼病和极端短视2个常见的情况。甲状腺眼病引起炎症后面的地球从而将眼球向前的软组织和肿胀。眼球的轴向长度更长患者极度近视，因此眼睛出现突出。除了化妆品毁容，这些患者通常患有不适，干眼是由于眼球不断曝光。

我们可以做些什么来改善外观效果和眼睛舒适为此类患者？

在严重的情况下，彻底治疗是眼眶减压手术，从而眼眶的骨头被移除，雕刻，创造更多的骨性空间来容纳全球。在轻度至中度的情况下，眼睑可以缝合在一起，缩小眼睑光圈。等微创方式，如A型肉毒毒素和透明质酸凝胶填充物也可以做的伎俩。

Cosmetic lateral canthoplasty and its potential complications

Lateral canthoplasty is a common cosmetic procedure whereby the outer corner of the eye is split to widen the horizontal aperture of the eye. It can be performed together with double eyelid surgery and medial epicanthoplasty to achieve longer and wider eye that makes the eye appear larger, wider and more attractive.


However, if not properly performed can give rise to complications. One of the complications that may arise from lateral canthoplasty is lacrimal ductule fistula, as seen in this patient. She had the lateral canthoplasty surgery done elsewhere a couple of months ago. She was referred to me for uncontrollable tearing. She started tearing a few weeks after the surgery. It has become a nuisance as she needs to wipe her eyes frequently and her eyeliner would not stay and smudge. 


The treatment for the fistula is called fistulectomy surgery whereby the tiny passage connecting to the lacrimal gland is excised and sutured.  

This patient underwent fistulectomy surgery and the tearing subsided immediately after the surgery.

Google Translate:

眼尾手术是一种常见的化妆品程序，使眼睛的外角被分割加宽眼睛的横向孔。它可与双眼皮和内眼角手术实现更长更宽的眼睛，使眼睛显得更大，更广泛，更具吸引力的进行。 

然而，如果没有正确地进行可产生并发症。一个可能产生的横向canthoplasty的并发症是下泪小管瘘，如在本例看出。她有横向内眼角手术别处做了几个月前。她称我为无法控制的撕裂。她开始在手术后撕裂了几个星期。它已成为一个麻烦，因为她需要经常擦拭她的眼睛和她的眼线不会留下污迹。 

为瘘的治疗被称为瘘管切除手术从而微小通道连接到泪腺切除和缝合。

这名患者接受了瘘管切除手术，手术后立即消退撕裂。