Improve narrow, sleepy-looking eyes with non-incisional ptosis correction.
*Individual results may vary. Side effects such as bleeding, infection, and inflammation may occur after cosmetic surgery. Please consult your doctor.
Non-incisional Ptosis Correction+Medial Epicanthoplasty (1 month)
When the eyes are fully open, the iris should be 80~90% exposed
for the eyes to be considered ideal.
When the iris is covered, creating a narrow and sleepy appearance,
this procedure corrects the eyes to a natural and defined appearance without incision.
This surgery is suitable for cases where the eye-opening muscle is weak
and the eyebrows or forehead muscles are used to open the eyes (ptosis),
and is possible for those with thin eyelid skin who do not need fat removal.
Non-incisional Ptosis Correction+Upper Epicanthoplasty (1 week)
Non-incisional Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery (4 months)
Non-incisional Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery (2 months)
Non-incisional Ptosis Correction (revision)+Upper Epicanthoplasty (revision)+Lateral Canthoplasty + Lower Eyelid Surgery (1 year 9 months)
Non-incisional Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty (4 months)
Non-incisional Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty (1 month)
BEFORE&AFTER
Non-incisional Ptosis Correction (1 year 11 months)
Non-incisional Ptosis Correction+Medial Epicanthoplasty (2 months)
Non-incisional Double Eyelid (revision)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery (6 weeks)
Non-incisional Ptosis Correction+Medial Epicanthoplasty (1 month)
<Problem Analysis>
Iris covered, creating
a narrow and sleepy-looking eye appearance
Measure eye-opening
muscle strength and proceed
with appropriate design
Create micro-holes
along the designed line
Pull and knot
the eye-opening muscle
Natural and defined
eyes completed
If the surgery method is tailored to your eyes,
the chance of the correction weakening can be minimized.
Non-incisional Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(3 months)
- Thin skin with minimal tissue - Mild ptosis - Eyelid fat removal nearly impossible - Nearly invisible scarring
Incisional Ptosis Correction+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery (7 months)
- Thick skin with abundant tissue - Severe ptosis - Revision surgery with severe adhesion - Eyelid fat removal possible - Minor scarring may occur
If the method is performed without considering the characteristics of your eyes,
even the incisional method can come undone. In other words, choosing the right method between non-incisional
and incisional for your eyes can significantly reduce the chance of the correction weakening.
While there is a relatively higher chance of loosening compared to incisional methods,
natural adhesion inside the eye prevents it from completely coming undone.
Even if it loosens or weakens, it can be corrected relatively simply compared to incisional methods.
Getting double eyelid surgery without ptosis correction
can result in a more unnatural appearance.
Without correcting ptosis, a crease may form but appear too thick, making the eyes look smaller
Along with ptosis improvement,
80~90% iris exposure
for clearer, more defined
eyes
When it is 'pseudo-ptosis,' ptosis correction is not necessary.
Incisional Ptosis Correction (Revision)+Lower Eyelid Fat Repositioning (3 months)
✓ Problem with levator muscle (eye-opening muscle) ✓ The eyelash line position covers the iris ✓ Ptosis correction surgery performed
Brow Lift+Upper Epicanthoplasty (10 months)
✓ Levator muscle (eye-opening muscle) is normal
✓ The eyelash line position is normal, but
the upper eyelid skin sags and covers the iris
✓ Can be improved with double eyelid surgery alone / Brow lift or forehead lift performed
'Pseudo-ptosis' is simply put, 'fake ptosis'. The iris exposure is low and
the forehead muscles are used to open the eyes, so the symptoms are similar to ptosis.
However, it only appears like ptosis because the eyelid skin sags and has excess fat,
while the eye-opening muscle strength is actually normal.
In other words, pseudo-ptosis can be improved with regular double eyelid surgery rather than ptosis correction.
Incisional double eyelid surgery is more suitable than the non-incisional method, and removing eyelid fat as needed is recommended.
Since ptosis and pseudo-ptosis look similar on the outside, they are not easy to distinguish,
but an accurate diagnosis before surgery is essential as the surgical methods differ.
| Category | Non-incisional | Incisional |
|---|---|---|
| Surgical Technique | Pulling and burying the muscle that controls eye-opening strength without incision |
Incising the eyelid skin and pulling the muscle that controls eye-opening strength to suture |
| Applicable Procedures |
Thin eyelid skin
Mild degree of eyelid sagging
Minimal eyelid fat
|
Thick eyelid skin
Severe eyelid sagging
similar to ptosis
Excessive eyelid fat
|
| Surgery Duration | 20 min | 40 min |
| Stitch Removal | None | After 7 days |
| Recovery Period | 5~7 days | 7~14 days |
| Advantages |
Less swelling and faster recovery
since no incision is made
No stitch removal
Nearly invisible scarring
|
Semi-permanent results with a single surgery
Stronger correction effect than non-incisional
|
| Disadvantages |
Weaker correction effect compared to incisional
|
Longer recovery period compared to non-incisional
due to incision and suturing
Some incision scarring may remain
|
The upper eyelid covered the iris, with typical lower scleral show.
Because the eyelid skin was thin, non-incisional ptosis correction and double-eyelid surgery made the iris clearly visible, also correcting the lower scleral show.
Weak eyelid-opening strength had caused a congenital loose-appearing double-eyelid contour.
Non-incisional ptosis correction strengthened eyelid opening, allowing the existing double-eyelid line to settle naturally without additional surgery.
Pre-existing eyelid ptosis worsened after double-eyelid surgery performed five years earlier without ptosis correction.
Non-incisional ptosis correction strengthened eyelid opening and increased iris exposure.
The prior buried-suture double-eyelid fold had loosened over seven years, leaving marked eyelid drooping.
Non-incisional ptosis correction with upper epicanthoplasty created a more open double-eyelid contour and lifted the upper lid for clearer eyes.
Although the eyes were relatively long horizontally, limited vertical height made them appear sharp and constricted.
Ptosis correction lifted the upper eyelids for clearer opening, while an in-out double-eyelid line softened the previously sharp appearance.
A hooked epicanthal fold and limited vertical eye height relative to width created a sharp appearance.
Lifting the upper lid with ptosis correction and upper epicanthoplasty increased vertical eye height and created a softer contour.
After a partial-incision double-eyelid procedure three years earlier loosened, multiple folds developed and heavy lids created a sleepy appearance.
To achieve the requested in-out line, upper epicanthoplasty lifted the 45-degree medial-canthal area while ptosis correction improved eyelid-opening strength and defined the fold.
Because the 45-degree medial-canthal area was hooded, double-eyelid surgery alone would expose the fold only at its outer end.
For the requested in-out line, upper epicanthoplasty released the hooded medial-canthal area and ptosis correction supported the upper eyelid throughout.
Despite prominent lacrimal-lake exposure, the outer corners were short and the eyelids covered the iris. A pronounced fold was not desired for this male patient.
Non-incisional ptosis correction lifted the lids to maximize iris exposure, with a subtle inner double fold for a natural contour.
There was no double fold and the lids covered the iris, creating a constricted appearance. The patient wanted only a subtle visible fold.
The heavy upper lids were lifted for clearer opening, and a thin in-out double-eyelid line was created.
Because the eyelid contour was straight rather than gently arched, it covered about half the iris; downturned outer corners further created a droopy appearance.
Non-incisional ptosis correction improved eyelid lifting to reveal more of the iris, while a subtle inner crease added definition.
Drooping eyelids covered much of the iris. The patient wanted a horizontally elongated contour with a subtle inner fold.
Non-incisional ptosis correction lifted the heavy lids and created a subtle inner fold; medial and lateral canthoplasty further lengthened the eyes horizontally.
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