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Eye Plastic Surgery Center

Double-eyelid surgery

Burying

This is the method of stitching up the expected lines and fixing the skin, minimizing incision. The operation period is short, there is less swelling, and there is little case of bruise. Before, this method used to tend to lose the effect and fat removal was difficult. However, nowadays, with development of new operation procedure, the result can be almost as good as incision. The operating time is within 30 minutes with quick recovery, and the patient can go back to their normal life the next day. Also, correction after operation is easy.

While incision method is applicable to all candidates, this method is suitable for the candidates with thinner skin and less fat around the eyes, who experience less sagging of the skin.

 

Single suture and consecutive burying

This method is performed by making three to four holes on the skin of upper eyelid and consecutively burying the line over the desired length, using operative thread thinner than human hair. The operation lasts 10 to 15 minutes. This method causes little pain or swelling.


Incision

 

Incision

Incision refers to firmly fixing the line of double-eyelid by making incision on the line for the double eyelid and removing excess fat, skin, muscle, connective tissues, etc. by looking at the structure of the eye. Appropriate fixation through this incision method would not allow the line to disappear, and the fixation is ensured by the formation of scar from incision. This can be applied to the candidates with different eyelids for each eye.

The operating lasts longer than burying method, and incase the incised part is not sutured delicately, there can be unnecessary scars. However, since plastic surgery specialists master delicate suturing during his training period, there is no need to worry about it.

After operation, swelling will last for about a week, and the settlement of double eyelid takes from three weeks to two months. The operative mark that remains is barely visible.

 

Partial Incision

This method is not too much off the burying method, which complements the demerit of burying method and emphasizes the advantage of incision method. Fat can be removed partially, and firm fixation is possible by making double the fixation of thread.

This is the method that is appropriate for the candidate of burying method and those who wish to get double eyelid by the method around the middle of simple burying and incision. For example, this is suitable for those who have less fat in the eyelid, whose skin is not thick, who should go back to work right after operation, with slight double eyelid, whose eyelid skin does not sag that much, or who fears incision method.

This is a method with incision on two to three spots on the eyelid and which removes and fixes remaining eye fat. Swelling goes down about five days after the operation.

 

 

Reoperation of double eyelid

Reoperation can be performed about six months after the first operation when the double eyelid has settled. If reoperation is performed too early, another operation will be required after reoperation. Since there is no significant change in double eyelid after six months, reoperation is possible.

There are more cases of asymmetry caused by the eyelid of one eye getting undone than both eyes getting undone. In this case, application of burying method will solve the problem simply. There are cases where the eyelid of one eye is much higher than the other one. In this case, fat transplantation or other tissue can be used.

In cases where the line of double eyelid is too thick and the scar is visible, the scar can be removed and sutured again. Then, the synechia below that is resolved. In case there is swelling below the line of eyelid and it looks chubby, problems with location of line can be solved through reoperation, and the reoperation tends to be more difficult than the first one.

 

Eye-shape correction

This procedure controls the degree of exposure of the black eyes and white of the eye, holds the muscle used for opening eyes, which allows correction into clearer eye shape.

The operation method is the application of blpharoptosis, where incisional double-eyelid operation is performed as the upper eyelid muscle is reduced, making clear eye shape.

 

 

Blepharoplasty (Sagging eyelid)

Blepharoplasty refers to the eyes that look tired even if open large due to the weak muscle of the lifting eyelid. While only 1~2mm of the pupil is covered when the strength of the muscle that lifts the eyelid is normal, in case of blepharoptosis, more area of the pupil is covered, which creates unclear and sleepy impression.

There are some cases where they get regular double eyelid operation regardless of the symptom of blepharoptosis. However, in this case, since it can get more serious, the candidate should be tested of blepharoptosis before eye plastic surgery.

 

 

Lateral Epicanthoplasty

Epicanthic fold refers to the corner of the eyes near the nose, the center of two eyes. Covered by the eyelid, the eyes look small and the distance between eyes look far. If double-eyelid operation is performed in this case, the impression may be unclear and the epicanthic fold may look even more outstanding. In severe cases, lateral epicanthoplasty is recommended along with double-eyelid operation.

The biggest demerit of this procedure is that there can be a small scar within the eye. Trace of operation cannot be gone completely, but the key of minimum scar lateral epicanthoplasty is to minimize scar. As time elapses, even the minimum scar will fade into the skin color and become invisible.

 

Lateral Epicanthoplasty restoration

If the procedure is performed without regarding structure of the face, the impression may look tough or there can be large scar. In this case, reconstructive lateral epicanthoplasty is performed. Generally, since epicanthic fold is the part with very weak and sensitive skin, reconstructive operations is not easily performed. Hence, the decision whether or not to get the operation should be made discreetly after consulting with specialist and considering the structure of the part, condition of epicanthic fold, distance between eyes, and spare skin.

 

Candidacy

01 Those who were overly performed of lateral epicanthoplasty and whose reddish flesh inside the eyes is visible

02 Those with tough impression from excessive lateral epicanthoplasty

03 Those whose scars from the operation have not disappeared

 

Plastic surgery for lower eyelid

 

Sagging eyelid

Since the eyelid has the thinnest skin and less subcutaneous fat among the body parts and uses the muscle around the eyes the most, aging happens first. If the upper eyelid sags, the eyes get easily tired from interruption of view and inconvenience is caused from eyelashes poking, not to mention the ugly wrinkles. In particular, in case of older people, the hours when their views are blocked are longer, which may cause falling of eyesight.

 

Operative method

On the upper eyelid, the sagging skin part is indicated, incision is made along the line, the indicated skin and spare fat are cut and sutured. In case you want double eyelid, the procedures can be performed at once. However, the fine lines around the eyes or the crows feet around the eyes are not completely improved only with the operation of wrinkle removing from upper eyelid. When needed, partial wrinkle plastic surgery is performed or botox is injected.

 

Lower eyelid fat removal

Eyes are the part where aging first occurs. In particular, the skin below the eyes not only loses elasticity and form wrinkles, but the fat pocket is pushed out making it sag and stretch. This phenomenon is usually found in forties and fifties, and nowadays, there are many twenties and thirties who are concerned with the fat pocket under the eye.

In this case, it needs to be diagnosed whether only the fat below the eye will be removed or the hollow part under the eye after fat removal will also be resolved. In this operation, fat can be removed through conjunctiva incision, there is no trace of operation visible after procedure.

 

Fat relocation

When some time elapses after fat removal, it may get back to the original state of bulging lower eyelid. Here, the fat needs to be delicately relocated to prevent reoccurring. In fat relocation, the part below the eyelash is incised, skin and muscle are raised, fat pocket is open, and fat is inserted into the deep valley to make it flat. Here, the stretched muscle should be pulled and fixed to avoid fat pocket under the eye getting fatty and sinking due to fat removal.

In case the stretched skin should be removed or mid-face lifting are required at once, the skin incision is required. However, in cases of younger people whose skin tends to less stretch, fat can be relocated through the incision of conjunctiva. In case of conjunctiva incision, the recovery period is short and there is no scar at all.

 

Lower blepharoplasty

The eyelid below the eyes also get thin and sag from loosening of the neighboring muscle with aging. Also, the fat from the orbit is pushed out, making bulging pocket appear under the eyes and the boundary with neighboring bone hollow. The operation separates the muscle on the wrinkle from lower eyelid, removes spare fat when needed, and covers the bones around the eyes with fat and septum that blocks this and fixes. In this manner, the protruding fat and deep hollow can be resolved at once. Then, by pulling separated skin and muscle upward and outward, the loose skin and muscle can be cut. The outer muscle can be fixed on the bone around the eyes to prevent sagging again. If excessive skin is cut off, there can be serious side effect of lower eyelid to turn inside out.

The pain after operation is not that severe, but some inconvenience can be caused. Edema can be created on conjunctiva in some cases, which will be naturally recovered after some time. Place your head high and massage the face for two days with cold pack to reduce swelling or bruise. Three to four days after operation, thread can be removed and you can wash your face, so there is no inconvenience for daily life. However, the bruise lasts for seven to ten days, which may cause inconvenience when going out. After that, this can be covered by makeup.

 

Charming wrinkle

Charming wrinkle gives cute and lively impression, creating well padded lower eyelid when smiling or laughing. However, with aging, the muscle gets weak and the skin and fat gets loose. In this case, the charming flesh disappears and the fat below the eyes appears. Otherwise, in case one has less charming flesh under the eyes and want well padded charming flesh, this can be fulfilled by oepration.

 

Operative method

In case charming wrinkle has disappeared from aging, the loose muscle can be recovered by lower blepharoplasty. Filler can be injected on the lower eyelid of the younger people, in case they lack charming flesh. If desiring to get a longer term effect, artificial skin can be inserted.

 

Dark circle

Dark circle gives tired impression and make one look even older. In case of having dark circle simply from pigmentation, dermatologist treatment is more recommended than operative treatment. In case this is caused by protruding fat, the causes are skin pigmentation and creation of shade. In this case, pigmentation can be covered by makeup, but the shade remains. Therefore, if the lower eyelid becomes flat through operation, the shade will disappear, which will improve dark circle.

 

*Operative Method

There are different causes of dark circle. In case the cause is pigmentation of skin itself, operation would not lead to satisfying effect. However, if this is from the shade under protruding fat pocket, fat removal or fat relocation can lead to satisfying result. The operation is performed from conjunctiva incision, no scar remains.