When Asymmetry in Ptosis Caused Eyelid Hollowing to Worsen

This case involved eyelid hollowing accompanied by left-right asymmetry in ptosis.

Because it was more difficult to open one eye, the patient unconsciously used one side of the forehead excessively to keep the eye open.

As a result, one eyelid was repeatedly pulled upward by stronger force.

As this imbalance continued, the hollowing on that side of the eyelid gradually became more noticeable and worsened.

The essence of this problem was not simply a lack of volume.

Like repeatedly pulling an accordion in one direction,

each time the eyes were opened, the eyelid tissue was overstretched, and as a result, the hollowing came to look even deeper.

The first priority was correcting the asymmetry in ptosis.

In this case, if only the eyelid hollowing had been treated without correcting the ptosis asymmetry, a stable result would have been difficult to expect.

The most important goal of the surgery was

to correct the asymmetry in ptosis and restore balanced eye opening on both sides.

Through this, we removed the excessive compensatory action and normalized the abnormal force acting on the eyelid.

After functional correction, orbital fat repositioning was performed.

Once the balance of eye opening had been restored, the patient's remaining orbital fat was repositioned to structurally supplement the sunken area.

Rather than adding new volume, the focus was on restoring a natural contour by moving existing tissue while maintaining blood flow.

Stable results after surgery

After surgery, eye opening became stably balanced on both sides, and excessive use of the forehead also disappeared.

The eyelid hollowing improved naturally as unnecessary tension was removed.

At one month after surgery, the eyelids show a smoother contour and remain stable without recurrent tension or unstable movement.

This case demonstrates a very important principle in eyelid revision surgery.

Eyelid hollowing must always be evaluated together with eyelid function.

When ptosis asymmetry and compensatory action are present,

functional correction should always come first.

Seeing the Eye as a Whole, Not in Parts A Clinic Dedicated to Eyelid Revision Surgery in Korea Ahnsungmin Plastic Surgery

안성민성형외과 Ptosis · Revision Surgery for Eye Opening Inquiry: 02.414.1114 Consultation: 010. 3507. 3009 KakaoTalk ID: kr.asmps