
Hello, this is Objet Plastic Surgery.
Do your eyes look very uneven even to the director?
This is a question that patients who visit Objet Plastic Surgery often ask. Many people come in for eye surgery because they feel stressed about having uneven eyes.
There are cases where the difference is due to the height or presence of a double eyelid fold, but there are also people who say the shape of their eyes changed over time.
In particular, middle-aged patients often say they want correction because their eyes have become more uneven over time. In middle-aged patients, sagging eyelids can make both eyes asymmetrical.
In such cases, midlife double eyelid surgery can help improve sagging and asymmetry. Let me explain in detail how midlife double eyelid surgery is performed at Objet.
Why do eyes look uneven?
It is not just a sagging issue!

There are many reasons why eyes may appear uneven. In general, perfect left-right symmetry is rare, so the two eyes may naturally differ in size.
However, many of the people who come to Objet say that their eyes were not like this before, but became asymmetrical over time. In these cases, the problem is usually drooping eyelids.

The skin around the eyes is very thin compared to other areas of the face. Because of that, changes caused by aging are likely to appear there first.
As time passes, the skin around the eyes sags and the eyelids gradually droop as well. Usually, one side is used more and more often and is more likely to be affected. As a result, one side becomes especially stretched and drooped, which makes both eyes look asymmetrical.

Another reason is a difference in muscle function.
Many people know that eyelids droop and stretch due to aging, but fewer people know that the function of the muscles that open the eyes can differ.
Inside the eyes, there are muscles that open the eyes. If the muscle function on both sides is not the same and one side is weaker, the eyes will not open clearly and will look uneven.

To sum up, there are two major reasons why the eyes droop: skin laxity caused by aging and asymmetry caused by differences in muscle function.
So how should this kind of eye asymmetry be addressed?
At Objet, we perform midlife double eyelid surgery that corrects the condition by checking the degree of skin sagging and the function of the muscles that open the eyes. Through this, we can balance the asymmetry between both eyes.
Asymmetry caused by sagging eyelids
The surgery is not done the same way for everyone

At Objet, before performing midlife double eyelid surgery for eyelid sagging, we measure the width of the sagging skin on both eyes several times. Since the degree of sagging differs between the two sides, we carefully check it and plan the surgery.
However, even if the measurements are taken several times before surgery, there are cases where a little more needs to be trimmed or adjusted during the procedure. After anesthesia, the strength of the eyes tends to relax, so the results can differ from the preoperative measurements. In such cases, the adjustment is made during surgery by trimming a little more.

We also check and explain one thing before surgery. When performing midlife double eyelid surgery, there may be situations where asymmetry in the muscles that open the eyes needs to be adjusted.
Even if the difference in function between both sides does not seem large before surgery, the difference may become visible once the skin is lifted during the procedure. No matter how carefully it is checked beforehand, the most accurate way to confirm it is to directly assess the condition of the muscles.

Because of this, during the process of midlife double eyelid surgery, there are cases where the eyes seemed fine before surgery, but once the operation begins, the function of the muscles that open the eyes does not match on both sides.

If the surgery is completed without correcting the muscle function at that point, the asymmetry will not be fully corrected after surgery. That is why at Objet, we promptly correct any asymmetry in muscle function that becomes visible during the operation.
Surgery does not proceed exactly as planned; the situation changes each time. That is why responding quickly is more important than anything else. Fortunately, the directors at Objet Plastic Surgery have extensive experience with midlife double eyelid surgery, so they can respond quickly when a situation requires prompt action rather than the original plan.
If the uneven eyes are not caused by the eyelids and muscles, but by ○○?

I mentioned that eyes that look asymmetrical are caused by skin sagging and differences in muscle function. But in fact, there is another variable around the eyes.
That is hollowing of the eyes.
When I was younger, it was fine...
As I got older, my eyes do not open as well and they look uneven...
Many middle-aged patients who say this actually have hollowness above the eyes.

The fat layer above the eyes gradually becomes thinner with age. The issue here is that the fat above the eyes acts as a lubricant when opening and closing the eyes.
What happens when that lubricating fat is lost? Opening and closing the eyes becomes stiff, right?
Because opening and closing the eyes becomes uncomfortable, some people slightly relax the strength they use to open them, and this often causes asymmetry.

For these patients, solving the problem with midlife double eyelid surgery alone is difficult. To address the underlying cause, fat grafting needs to be performed together on the sunken area.
If fat grafting is done, the fat that serves as a lubricant is restored, making it easier to open the eyes. Filling the sunken area also brightens the complexion, providing a two-in-one effect.
In particular, Objet offers a procedure called single fat cell grafting, which allows for fine fat grafting around the eyes without lumpy nodules. There is a post with more detailed information about this procedure, so please refer to the link below.

At Objet Plastic Surgery, when consulting with patients who visit because their eyes are uneven and they want midlife double eyelid surgery, we carefully examine the eye area.
We check whether the issue is simply sagging eyelids, a problem with muscle function, or hollowing around the eyes.
If the eyelids become asymmetrical, it can affect your impression, but it can also prevent proper field of vision, leading to bumping into things or causing accidents.
So if you are worried because your eyes look uneven, or if you want surgery but are wondering about the method, please feel free to visit us.
We will carefully check the eye area of each patient who visits and explain it in more detail.^^
This has been Objet Plastic Surgery. Thank you.
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This post is medical information prepared by Objet Plastic Surgery Clinic in compliance with the Medical Advertising Act.
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The effectiveness of the procedure may vary depending on the individual, and side effects may occur.
We strongly recommend that you have sufficient consultation with medical professionals in advance before deciding on the procedure.