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Asymmetric Eyes with Multiple Folds!! A Plastic Surgery Specialist Explains How to Correct Them. (Incisional Ptosis Correction & Upper-Eyelid Fat Grafting)

미드라인성형외과 · 김준현 원장의 프로파일 성형 · March 22, 2021

Asymmetric eye with multiple fold!! Plastic surgery specialist explains How to Correct. (Incisional ptosis correction & Microfat transfer on upper lids) Midline Plastic Surgery_Chi...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: 미드라인성형외과

Original post date: March 22, 2021

Translated at: April 25, 2026 at 6:14 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

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.

Asymmetric Eyes with Multiple Folds!! A Plastic Surgery Specialist Explains How to Correct Them. (Incisional Ptosis Correction & Upper-Eyelid Fat Grafting) image 1

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:

  1. the condition of the eyes not opening as much,
  2. left/right asymmetry,
  3. the multiple fold that developed on the left side.

Asymmetric Eyes with Multiple Folds!! A Plastic Surgery Specialist Explains How to Correct Them. (Incisional Ptosis Correction & Upper-Eyelid Fat Grafting) image 2

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.

Asymmetric Eyes with Multiple Folds!! A Plastic Surgery Specialist Explains How to Correct Them. (Incisional Ptosis Correction & Upper-Eyelid Fat Grafting) image 3

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.

Asymmetric Eyes with Multiple Folds!! A Plastic Surgery Specialist Explains How to Correct Them. (Incisional Ptosis Correction & Upper-Eyelid Fat Grafting) image 4

Asymmetric Eyes with Multiple Folds!! A Plastic Surgery Specialist Explains How to Correct Them. (Incisional Ptosis Correction & Upper-Eyelid Fat Grafting) image 5

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.

Asymmetric Eyes with Multiple Folds!! A Plastic Surgery Specialist Explains How to Correct Them. (Incisional Ptosis Correction & Upper-Eyelid Fat Grafting) image 6

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.

Asymmetric Eyes with Multiple Folds!! A Plastic Surgery Specialist Explains How to Correct Them. (Incisional Ptosis Correction & Upper-Eyelid Fat Grafting) image 7

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

Asymmetric Eyes with Multiple Folds!! A Plastic Surgery Specialist Explains How to Correct Them. (Incisional Ptosis Correction & Upper-Eyelid Fat Grafting) image 8

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.

Asymmetric Eyes with Multiple Folds!! A Plastic Surgery Specialist Explains How to Correct Them. (Incisional Ptosis Correction & Upper-Eyelid Fat Grafting) image 9

Asymmetric Eyes with Multiple Folds!! A Plastic Surgery Specialist Explains How to Correct Them. (Incisional Ptosis Correction & Upper-Eyelid Fat Grafting) image 10

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.

. . .

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.>

Asymmetric Eyes with Multiple Folds!! A Plastic Surgery Specialist Explains How to Correct Them. (Incisional Ptosis Correction & Upper-Eyelid Fat Grafting) image 11

. . . . .

Asymmetric Eyes with Multiple Folds!! A Plastic Surgery Specialist Explains How to Correct Them. (Incisional Ptosis Correction & Upper-Eyelid Fat Grafting) image 12

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~

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