ones ▁of ▁the ▁human ▁body : ▁ ▁the ▁external ▁layer ▁of ▁networks ▁of ▁dense , ▁connect ive ▁t issues ▁with ▁blood ▁vessels , ▁and ▁ ▁the ▁internal , ▁deep ▁layer ▁of ▁col lagen ous ▁bund les ▁composed ▁of ▁sp ind le - sh aped ▁cells ▁of ▁connect ive ▁t issue , ▁and ▁a ▁network ▁of ▁thin , ▁el astic ▁fib res . ▁ ▁The ▁Oriental ▁ble ph ar op last y ▁procedure ▁diff ers ▁from ▁the ▁classic ▁ble ph ar op last y . ▁In ▁younger ▁patients ▁the ▁goal ▁of ▁the ▁surg ery ▁is ▁to ▁create ▁a ▁su pr at ars al ▁fol d ▁(" double ▁e y el id ▁surg ery ") ▁whereas ▁in ▁older ▁patients ▁the ▁goals ▁are ▁to ▁create ▁or ▁elev ate ▁the ▁su pr at ars al ▁fol d ▁and ▁to ▁res ect ▁sur plus ▁e y el id ▁skin ▁(" As ian ▁ble par op last y "). ▁ ▁Medical ▁uses ▁The ▁thorough ▁pre - oper ative ▁medical ▁and ▁surg ical ▁histor ies , ▁and ▁the ▁physical ▁exam ination ▁of ▁the ▁patient ' s ▁per ior b ital ▁area ▁( ey eb row - to - che ek - to - n ose ), ▁determine ▁if ▁the ▁patient ▁can ▁safely ▁under go ▁a ▁ble ph ar op last y ▁procedure ▁to ▁feas ibly ▁resolve ▁( correct ▁or ▁modify , ▁or ▁both ) ▁the ▁functional ▁and ▁a est h etic ▁indic ations ▁presented ▁by ▁the ▁patient . ▁Se qu entially , ▁lower ▁e y el id ▁ble ph ar