Reasons for Failure in Non-Incisional Eye Correction #Director Lee Kyung-mook

Hello. This is Objet Plastic Surgery.

Many of you are considering double eyelid surgery, right? Many people are wondering whether they should have an incisional procedure or a non-incisional procedure. In this post, we will look at the reasons why non-incisional eye correction fails.

✔ An uneven, asymmetrical state where both sides do not match

✔ A state where the strength of opening the eyes has been undercorrected

✔ A state where the correction for opening the eyes has been overdone

When we see these kinds of eye conditions after surgery, we say that it has “failed.” Why do these symptoms appear? The most fundamental and main reason is this: ✔ the eyes that should have been treated with an incisional procedure were treated with a non-incisional procedure.

Reasons for Failure in Non-Incisional Eye Correction

The main cause

Because an eye that should have been treated with an incisional procedure was treated with a non-incisional procedure

If you are unsure whether your eyes can be treated with a non-incisional method or whether an incisional method is needed, try using a toothpick.

If a double eyelid crease can be easily created with a toothpick, then a non-incisional method may be possible. However, if not, or if there is a bit too much fat or the strength of opening the eyes is too weak and the eyes look sleepy, non-incisional eye correction is meaningless.

If non-incisional eye correction is performed when there is a lot of fat and no strength to open the eyes, it will either fail completely, or even if the eye correction is done, it will come undone within a month.

Also, non-incisional eye correction does not work by pulling the levator palpebrae muscle, but by pulling the Müller muscle. There is a limit to how much the Müller muscle can be pulled. In a non-incisional procedure that pulls muscle, unlike an incisional procedure, the tissue cannot be cut, so it is simply tied in place. Therefore, in people whose eye-opening strength is too weak, it is difficult to maintain the result if the Müller muscle is tied non-incisionally.

For example, if you tie beef with thread and leave it for a month, the thread will cut into the beef. Medically, this is called cheese wiring, and in this case, cheese wiring also occurs.

A certain degree of ptosis can be corrected with a non-incisional method, but for people whose eye-opening strength is really weak, if the Müller muscle is tied, it will all become cheese wiring and tear through the tissue. In this case, not only is there no effect at all, but eventually the patient ends up undergoing a procedure that switches to an incisional method.

The main reason for failure in non-incisional eye correction is that “an eye that should have been treated with an incisional procedure was treated with a non-incisional procedure.”

In many cases, this happens because the consultation with the medical staff was not done accurately. When consulting with the medical staff, you should clearly discuss whether it should be incisional or non-incisional.

✔ If your eye-opening strength is very weak and you have deep forehead wrinkles, it is best to choose an incisional procedure if possible, as this can minimize the risk of revision surgery.

Then, are there cases where the patient is responsible for the failure?

Of course there are. Cases like this.

Creating a double eyelid means, in the end, creating a line and designing the double eyelid along that line. What helps a non-incisional double eyelid settle in is practicing opening and closing the eyes as much as possible. You should open and close your eyes as much as possible without using your forehead. Only then will that line continue to hold, and wrinkles will form in the skin.

Sometimes, as people get older, the fat thins out and wrinkles appear, and you often see people mistaking this for a double eyelid. In other words, wrinkles forming also means it is favorable for creating a double eyelid. If you keep practicing opening and closing your eyes along the double eyelid line through a buried-suture method, wrinkles will form along that line as well, creating a very natural-looking line.

However, if shortly after double eyelid surgery you start opening your eyes with your forehead instead of your eyes, the line will not settle properly, so the chance of wrinkles forming decreases and the chance of it loosening increases. This is the same for incisional procedures.

After all double eyelid surgeries, for about a month, you should work hard to practice opening and closing your eyes without using your forehead. Through this practice, wrinkles can form along that line and make the line look more attractive.

Also, the wound area may itch a little after surgery. In particular, people with atopic dermatitis may feel even more itching. In such cases, you may habitually rub the area because it itches. This can cause the internal thread knots to loosen, which may lead to the double eyelid or eye shape loosening.

After double eyelid surgery or eye correction surgery, for at least about a month, do not rub your eyes. If you hold your forehead and practice opening your eyes wide, it can greatly help maintain your double eyelids.

■ Choosing a non-incisional procedure for an eye that should have been treated with an incisional procedure means that the eye correction was likely done too strongly or raised too high. Doing a thread-based procedure too aggressively makes failure very likely, so an incisional method is the right choice. Please take another careful look at this through Director Lee Kyung-mook’s video.

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