Lift drooping eyelids for a more alert, defined appearance.
*Individual results may vary. Side effects such as bleeding, infection, and inflammation may occur after cosmetic surgery. Please consult your doctor.
Incisional Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty(3 months)
When the eyes are fully open, at least 80% of the iris should be visible for ideal eyes.
For patients with severe ptosis where the eyelids cover more than half the iris
and obstruct vision, incisional ptosis correction is more suitable than the non-incisional method.
Eyes with thick eyelid skin or excessive fat can also achieve
clear and defined eyes through incisional ptosis correction.
Incisional Ptosis Correction (Revision) + Medial Epicanthoplasty + Upper Epicanthoplasty (2 years)
Incisional Ptosis Correction + Upper Epicanthoplasty (6 months)
Incisional Ptosis Correction (Revision) + Upper Epicanthoplasty (5 months)
Incisional Ptosis Correction + Lateral Canthoplasty + Lower Eyelid Surgery (1 year 9 months)
Incisional Ptosis Correction + Upper Epicanthoplasty (4 months)
Incisional Ptosis Correction (4 months)
BEFORE&AFTER
Incisional Ptosis Correction (1 year 11 months)
Incisional Ptosis Correction (Revision) + Lateral Canthoplasty (3 months)
Incisional Ptosis Correction (Revision) + Upper Epicanthoplasty (Revision) (1 month)
Incisional Ptosis Correction (Revision) + Upper Epicanthoplasty (1 month)
<Problem Analysis>
Severe ptosis causing
obstructed vision
Measure eye-opening muscle strength
and proceed with appropriate design
Incise along the designed line
and remove unnecessary
fat and muscle
Pull and knot
the eye-opening muscle
Clear and defined
eyes completed
Preserve tissue and allow sufficient healing time for a natural-looking result.
Incisional Ptosis Correction+Medial Epicanthoplasty+Upper Epicanthoplasty
3 months
9 months
Excessive skin, muscle, soft tissue excision NO
Having incisional surgery does not necessarily mean severe scarring.
The type of scarring most patients worry about is depressed scarring.
Depressed scarring occurs when skin, muscle, and soft tissue are excessively removed,
resulting in a sunken appearance along the double eyelid crease line.
To prevent such scarring, only the necessary tissue is removed
while preserving skin, muscle, and soft tissue as much as possible to minimize scarring.
While the incisional method may look unnatural during recovery, after sufficient recovery time
the scar becomes nearly invisible, so there is no need to worry excessively.
Getting double eyelid surgery without ptosis correction
can result in a more unnatural appearance.
Without ptosis improvement,
the double eyelid crease forms
but looks unnaturally thick
and makes the eyes appear 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 look 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 also recommended.
Since ptosis and pseudo-ptosis look similar on the surface, they are not easy to distinguish,
but an accurate diagnosis before surgery is essential because 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
|
Although the lid droop was not severe, it covered much of the iris and created a constricted, stern appearance.
Because the skin was thick despite minimal excess, incisional ptosis correction was used to lift the eyelids and increase iris exposure for a softer appearance.
After using double-eyelid adhesive for about a year, skin laxity developed and the fold was visible only at the outer corner.
Incisional ptosis correction removed lax skin and lifted the lids; upper epicanthoplasty helped the double-eyelid line remain visible throughout.
Excess upper-lid fat and a hooked medial canthus left the double-eyelid line visible only toward the outer corner.
Incisional ptosis correction removed unnecessary upper-lid fat, and upper epicanthoplasty established a defined in-out double-eyelid line.
Weak eyelid-lifting muscles left about half of the iris covered, making the eyes look less open.
Because the skin was thick, incisional ptosis correction restored eyelid-opening strength and created a near-monolid contour for a masculine appearance.
Weak eyelid-opening muscles required forehead compensation, producing pronounced forehead lines that are not visible in the photographs.
Incisional ptosis correction strengthened eyelid-opening function so the eyes could open without relying on the forehead muscles.
The epicanthal fold pulled the medial canthus downward and contributed to upper-lid drooping.
Ptosis correction and upper epicanthoplasty improved upper-lid lifting and reduced the downward pull of the epicanthal fold.
Severe lid drooping caused the lashes to touch the eye and covered half of the iris, creating a constricted appearance.
Incisional ptosis correction removed excess eyelid fat and lifted the lids so the eyes could open more fully. Once the lids were lifted, the eyelashes no longer touched the eyes.
Because forehead muscles were used to open the eyes, the patient reported persistent fatigue and heaviness and requested ptosis correction with a subtle inner fold.
Incisional ptosis correction lifted the lids and created a subtle inner fold, changing previously small, weak-looking eyes into a stronger masculine contour.
Drooping eyelids covered the iris and created a constricted appearance. The patient wanted clearer, larger-looking eyes.
Incisional ptosis correction alone lifted the lids and created a natural double-eyelid line, resulting in a much clearer eye contour.
The eyes were generally small, and an excessive upper-lid-to-brow distance made their proportions appear even smaller and more constricted.
Incisional ptosis correction adjusted the upper-lid-to-brow distance, while medial and lateral canthoplasty expanded both horizontal and vertical eye dimensions.
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