Male Double-Eyelid Surgery and Ptosis: If You Look Sleepy, Check Your Eye-Opening Strength First

Hello. I am Ahn Byung-jun, director of Ahn Byung-jun Plastic Surgery.

Some men visit us with concerns such as, “I am always told that I look tired,” or “My eyes feel heavy, so I keep straining my forehead.”

If these symptoms persist, they may not be merely an issue with your appearance.

This is because they may indicate ptosis, a condition in which the muscles that open the eyes become weak and the eyelids do not lift sufficiently.

Among those considering male double-eyelid surgery, more people than expected also have accompanying ptosis.

Since it is difficult to expect fundamental changes by approaching the procedure as one that only creates a crease, it is important to first check the strength of the muscles that open the eyes.

What discomfort can ptosis cause?

When the muscles that open the eyes become weak, the eyelids cover the pupils.

When this happens, a compensatory action naturally develops, causing you to use the forehead or eyebrow muscles to open your eyes.

Repeatedly straining the forehead can deepen forehead wrinkles and, in some cases, lead to chronic headaches.

You may also feel more fatigued in situations that require focused use of your eyes, such as reading or driving.

Because the face may appear sleepy or lacking in motivation, this can sometimes affect personal relationships and social life as well.

Ptosis is characterized by the presence of both functional discomfort and concerns about appearance.

Why is a natural look more important in male double-eyelid surgery?

Men tend to place greater importance on looking natural after surgery than women do.

This is because results in which the eyes suddenly look much larger or the crease is overly prominent can often feel burdensome.

Therefore, in male double-eyelid surgery, the initial goal is for the eyes to open naturally rather than focusing on the size of the crease.

If ptosis is also present, eye-opening correction may be performed at the same time. In that case, it is important to carefully adjust the degree of muscle reinforcement so that the eyes do not appear excessively large.

The design must take into account the contours of the face, the shape of the eyebrows, and the way the eyes open, tailoring the approach to each individual to achieve a natural result without an awkward appearance.

How is the surgery performed?

Male double-eyelid surgery and ptosis correction are often performed together.

While designing the double-eyelid crease, the procedure may be combined with levator advancement, which involves pulling forward and securing the levator muscle, the muscle that opens the eye.

The amount of muscle reinforcement is determined according to measurements taken before surgery to assess the degree to which the eyes do not open fully.

However, because the two eyes are structurally interconnected and influence each other, it is necessary to check the other eye as well and balance both sides when correcting one eye.

This is also why extensive experience and expertise are needed when treating ptosis correction.

Because fine adjustments may be made during surgery, the clinical experience of a board-certified plastic surgeon is especially important.

What improves after surgery?

After ptosis correction, opening the eyes becomes noticeably more comfortable.

As the habit of relying on the forehead muscles decreases, forehead wrinkles gradually soften and headaches often lessen as well.

With more of the pupils visible, the eyes may appear clearer, and the overall expression may look more alert and lively.

If you are concerned about both male double-eyelid surgery and ptosis, please visit a board-certified plastic surgeon and first have the strength of your eye-opening muscles assessed.

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