Asymmetric eye with multiple fold!!
Plastic surgery specialist
explains
How to Correct.
(Incisional ptosis correction
&
Microfat transfer on upper lids)
Midline Plastic Surgery_Chief Director_Kim Junhyun
In the previous post,
I explained cases in which
ptosis correction absolutely needs
to be performed through an incisional method.
You can refer to the link below.
https://blog.naver.com/creating_beauty/222065896783
For those who find it difficult to read the post above,
to summarize it in one line,
when non-incisional ptosis correction
is not expected to be sufficient,
incisional ptosis correction should be performed.

How to correct asymmetric eyes
The patient with asymmetric eyes
had undergone eye surgery 30 years ago,
and currently
came to the clinic to improve:
- the condition of the eyes not opening as much,
- left/right asymmetry,
- the multiple fold that developed on the left side.

Correcting asymmetric eyes with a multiple fold on the left side in sleepy-looking eyes
Both eyes required incisional ptosis correction,
and we entered through the previous incisional line.

The levator palpebrae superioris was lowered as shown by the dotted arrow and fixed again to the upper eyelid plate (tarsal plate). https://www.earthslab.com/anatomy/levator-palpebrae-superioris/
The incisional ptosis correction and double-eyelid surgery were completed,
and next remained the issue of the multiple fold.


Here!!
The left eye was caused by excessive fat removal during the first surgery,
and even when the original incision line used for making the double eyelid
was reestablished,
the multiple fold above it did not disappear.

The left multiple fold is also present
even in eyes looking downward.
You can see the difference
between the double-eyelid folds on both sides, right?
In cases like this,
the lost volume must be replenished
for the multiple fold to disappear.
The volume was replenished with fat grafting.
▼
This surgical method is also called
depressed-eye fat grafting / upper eyelid fat grafting /
or fat grafting on the upper eyelids.
In the future, I will write posts about cases
where asymmetric eyes are corrected,
or sleepy-looking eyes are improved,
with only upper-eyelid fat grafting
without double-eyelid surgery.

Taping done to prevent multiple folds after incisional ptosis correction, epicanthoplasty, and left upper-eyelid fat grafting (6 days after surgery)
And because multiple folds can form again
after asymmetric-eye correction surgery,
taping was applied over the eyes
to prevent the folds from reappearing.
Because fat grafting added volume and swelling to the left eyelid,
the eye appears less open than the right.
Two weeks after day 6

3 weeks after incisional ptosis correction, epicanthoplasty, and left upper-eyelid fat grafting
As the swelling went down,
the asymmetry was corrected,
and the ptosis correction also became symmetrical.
Let me place the photos side by side
for an easier comparison.


Corrected 3 weeks after incisional ptosis correction, epicanthoplasty, and left upper-eyelid fat grafting for asymmetric eyes with a multiple fold on the left and sleepy-looking eyes (left: before / right: after)
The patient’s upper-eyelid fat grafting
today is a useful method when resolving multiple folds,
but it also shows good results
when the goal is simply to improve the hollowing above the eyes
and the tired, sunken appearance.
I will post about this next time.
We looked at a case in which
sleepy-looking eyes and asymmetric eyes were corrected
through incisional ptosis correction and upper-eyelid fat grafting.
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Asymmetric eyes
are also a form of facial asymmetry.
These days, with masks being worn
and the eyes standing out more,
the concern can become even greater,
so I chose asymmetric-eye correction
as the topic of this post.
There are various methods
for correcting asymmetric eyes.
If you are curious about
which method can be used,
please leave a comment or contact Midline Plastic Surgery.
Thank you.
<If you leave additional questions in a private comment,
I will kindly answer them. Thank you.>

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Midline Plastic Surgery
Our Midline Plastic Surgery has also started a YouTube channel.
We filmed a video,
and one of the staff captured a screenshot from it,
so I’m uploading it.^^
In front of the camera,
whatever you do feels awkward and embarrassing,
and even the things you always do somehow don’t go well, haha.
Please continue to show us lots of interest and support~