Recommended Eyelid Correction Surgery: Which Is Right for Me, Incisional or Non-incisional?

Hello,

The place where the attending doctor takes full responsibility to the end!

This is Obje Plastic Surgery.

If you are interested in eye plastic surgery,

you may have heard the term

"recommended eyelid correction surgery" at least once.

Eyelid correction surgery is, simply put,

a procedure that strengthens the ability to open the eyes.

In actual consultations with patients,

whether by birth or later in life,

there are many people whose eye-opening strength is weak

and who cannot open their eyes clearly.

In such cases,

through recommended eyelid correction surgery,

it is necessary to make the eyes open clearly

by pulling and adjusting structures such as

the muscles that open the eyes or the levator aponeurosis.

What are the muscles that open the eyes? Before explaining the correction method,

let’s look at the structures that open the eyes.

There are two muscles that open the eyes.

They are the "levator palpebrae superioris" and the "Müller muscle." The levator palpebrae superioris is, as the name suggests,

the muscle that lifts the upper eyelid.

There is a muscle behind the upper part of the eyeball,

and because it is connected to the upper tarsal plate in front,

it contracts and plays the role of lifting the eyelid.

In other words, the muscle that opens the eyes

can be called the "levator palpebrae superioris."

This levator palpebrae superioris is not directly connected to the tarsal plate.

Instead, a tough structure called the levator aponeurosis

lies between the levator palpebrae superioris and the tarsal plate

and serves to transmit the force of the levator palpebrae superioris.

The levator palpebrae superioris

is a muscle that can move according to my will.

By contracting when I want,

it plays the role of opening the eyes.

Simply put,

it is the muscle that normally opens the eyes. The Müller muscle forms beneath the levator palpebrae superioris,

descends downward,

and is connected to the eyelid.

Unlike the levator palpebrae superioris,

the Müller muscle is a muscle that cannot move according to my will,

and it refers to the muscle that maintains the lifted eyelid

in an open-eye state.

The muscle acting at this time is the Müller muscle.

Recommended method for eyelid correction surgery In the end, eyelid correction surgery is

a procedure that shortens the levator palpebrae superioris,

the levator aponeurosis, and the Müller muscle.

In the case of incisional eyelid correction,

the skin is incised

and the levator muscle, aponeurosis, and Müller muscle are shortened.

By contrast, in non-incisional eyelid correction,

the skin is not incised; instead, the eyelid is turned over

and approached through the conjunctiva,

then the Müller muscle attached directly to the conjunctiva is tied and shortened.

When having double eyelid surgery, is eyelid correction necessary? For people with normal eye-opening strength,

you do not necessarily need recommended eyelid correction surgery.

Some people ask whether it is possible to undo eyelid correction later.

It is true that eyelid correction can be undone later.

However, if it is undone shortly after surgery,

it may return to its original pre-surgery state,

but as time passes,

the tied area becomes fibrotic

and the tissue itself becomes shortened.

In that case, simply releasing the tied sutures

does not allow a return to the pre-surgery state.

Many people probably mistakenly believe that

non-incisional eyelid correction always comes undone again.

It does not always come undone,

so if we compare the probability alone,

non-incisional eyelid correction has a higher chance of coming undone,

but

incisional eyelid correction can also come undone,

and non-incisional eyelid correction can also come undone.

Recently, many people have been visiting our clinic

for consultations about revision eyelid correction surgery.

In revision surgery, there may be more scar tissue than in the first surgery,

but there are no major problems in accessing

the levator aponeurosis or Müller muscle.

Is my eye also one that needs

recommended eyelid correction surgery? People with normal eye-opening strength,

when looking straight ahead without raising their eyebrows,

will have the edge of the upper eyelid cover about 1–2 mm of the black pupil.

The degree to which the pupil is covered differs by age,

but

for younger people,

covering about 1 mm is normal,

and

for older people,

covering up to about 2 mm

can be considered within the normal range. If, when you look in the mirror, the black pupil is covered more than the normal range,

you can think that your eye-opening strength is weak.

Today, we looked together at the questions

that people coming in for consultations about recommended eyelid correction surgery

have been curious about.

If you are worried because your eye-opening strength is weak,

and you always look sleepy

or have a blurry image,

please visit Obje Plastic Surgery,

check the condition of your eyelid muscles,

and try improving it with the appropriate method.