What Is Best for Me: Ptosis Correction or Double Eyelid Surgery?

As many people know, for those whose ability to open their eyes is weak and who open their eyes by raising their eyebrows and forehead—that is, people with ptosis—ptosis correction surgery is necessary. These are usually cases where the eyes look sleepy and the eyelids cover the pupils, making the expression seem 답답해 보이는.

If people like this only have double eyelid surgery, the eyes may actually look smaller, and the sleepy impression may not improve.

Double eyelid surgery is a procedure that creates a beautiful fold in the eyelid, so it does not always make the eyes themselves larger in every case (in cases of pseudoptosis, it does).

If you want the eyes to look bigger and more defined, ptosis correction surgery is needed. This method strengthens the ability to open the eyes by working on the small muscle that lifts the eyelid. I often compare it to folding a rubber band twice when explaining it to patients... Since its purpose and result are different from double eyelid surgery, they are sometimes performed at the same time when necessary.

A case in which ptosis correction and epicanthoplasty were performed together with incisional double eyelid surgery

For people whose ability to open their eyes is good and whose eyelids do not cover the pupils, double eyelid surgery alone can be enough to make the eyes look more attractive. Also, for people with pseudoptosis—that is, those who appear to have ptosis because of sagging skin—double eyelid surgery alone can create the desired eye shape. However, this type of diagnosis and selection is something a board-certified plastic surgeon with extensive experience in eye surgery can do well.

A case of pseudoptosis

If you want to keep a single eyelid or your current subtle double eyelid crease and only make your eyes bigger, it is recommended to create a low double-eyelid line while also performing ptosis correction. In the case of asymmetrical eyes, correction can be done by performing ptosis correction on only one side if needed, or by adjusting the degree of muscle strengthening on the left and right differently. Of course, if the plastic surgeon has extensive surgical know-how, the results will be predictable.

A case of ptosis correction for single eyelids

A case in which incisional double eyelid surgery was performed and ptosis correction was done only on the right side

If ptosis is present (a condition in which the eyelids cover a large portion of the pupils) and improvement of the double eyelid fold is also needed (such as multiple folds, a loose crease, a crease that has become higher due to hollowing above the eyes, or a subtle inner double eyelid), then ptosis correction and double eyelid surgery can be performed together to create a clear and attractive eye shape.

A case of bilateral ptosis correction with different degrees of pulling on the left and right

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