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n(%)n(%)n(%)n(%)Age in years (n=304)GenderEthnic groupsMRD1 in mm (n=60)Esthetic status Satisfactory outcome at 6th month41.64 ±42.1617-82 37 (12.2)267 (87.8)54 (17.8)20 (6.6)27 (8.8)29 (9.5)32 (10.5)70 (23)17 (5.6)55 (18.1)3.34 ± 0.66 4.40 ± 0.77304 (100)303 (99.6)298 (98)2 (0.6)6 (2)37 (12.2)259 (85.2)456Figure 4　Measurement of MRD1 (a) Immediate postoperative appearance on the right side and the preoperative appearance on the left side. The eyelash direction is inverting approximately 100° upwards and above the white dotted line on the postoperative (right) side with the higher MRD1 but it is below the white dot line on the preoperative (left) side with the lower MRD1. (b) Immediate postoperative appearance on both sides. The eyelash lines direction is inverting approximately 100° upwards and above the white dotted line with the increased MRD1 on both the right and left sides. (c) The MRD1 measures 3.07 mm before the operation and (d) 4.24 mm immediately after the operation. MRD1, marginal reflex distance.Table 1　Patients’ demographics and post-operative outcomesMean ± SDRangeMaleFemaleKachinKayahKarenChinMonBamarRakhineShan Before: Mean ± SDAfter: Mean ± SD Obvious crease without multiple foldsNo disappearance of foldBilaterally symmetric eyelidUnsatisfiedAcceptableModerately acceptableVery satisfied