Do You Really Need Ptosis Correction Along with Double-Eyelid Surgery?
Director Park Si-hyun’s <Answer>

Hello.
This is Objet Plastic Surgery.
Even after undergoing the same double-eyelid surgery,
there are cases where the results look different.
For some people, the eyes look bright and clear
after double-eyelid surgery alone,
while for others, even after the crease has settled,
the eyes may still look sleepy
or retain a stuffy appearance.

The reason the results differ
is not the design or thickness of the crease.
The difference comes from
the strength used to open the eyes.
Even if the eyes look similar,
the results can differ when this strength is different.
That is why, during consultations,
some people are advised
to undergo ptosis correction as well,
while others are told that it is not particularly necessary.
Today, we will explain where this difference comes from,
who may be suited to double-eyelid surgery with ptosis correction,
and who may not be.
This may help you establish a basis
for deciding which procedure is right for your eyes,
so we hope you will read to the end.
Eyes That Become Clearer with Double-Eyelid Surgery Alone?
‘These Are the Eyes’
To give you the conclusion first,
double-eyelid surgery with ptosis correction
is not recommended for everyone.

This is because the surgical approach differs
depending on the degree of the aforementioned
“strength used to open the eyes.”
To explain in a little more detail,
the strength used to open the eyes
refers to how well the function of lifting the eyelids upward
normally works.
For those with sufficient strength,
once the double-eyelid crease settles,
the iris becomes more visible
and the eyes naturally take on a clearer appearance.
For these people,
double-eyelid surgery alone,
without adding another procedure,
may bring them closer to the look they want.

Eyes that are horizontally long and open-looking,
eyes in which the iris is clearly visible,
and eyes without prominent epicanthal folds
often meet these conditions.

On the other hand, the situation is different
when the strength used to open the eyes is weak.
Even if a double-eyelid crease is created,
if the iris is not sufficiently exposed,
the eyes may instead look smaller
or retain a sleepy appearance.
This is when
double-eyelid surgery with ptosis correction
may be considered.
Sleepy-Looking Eyes
It’s Not the ‘Crease’
Some people are occasionally told after double-eyelid surgery,
“Oh, did you actually have it done?”
The crease has clearly settled,
but those around them do not notice much difference
compared with before the surgery.

The reason for this result
is not a problem with the shape or thickness of the crease.
It is a common appearance when
only a double-eyelid crease is created
while the strength used to open the eyes is weak.
Because the eyelids droop more heavily than usual,
even after a crease is created,
the crease can become hidden
by the weight of the eyelid itself.
The black part of the eye is slightly covered
by the upper eyelid,
and since only a crease is added above it,
it can be difficult for the eyes to look clear.
In such cases,
along with creating the double-eyelid crease,
it is necessary to supplement the function
so that the eyes can open more effectively.
This process is called ptosis correction,
and performing it together with double-eyelid surgery
is double-eyelid surgery with ptosis correction.

People whose eyes look especially sleepy in photographs,
people who feel that their eyes only open comfortably
when they engage their forehead muscles,
and people whose one eye looks noticeably smaller
may often have a difference in the strength used to open their eyes.
For these people, the eyes often look clearer
when the two procedures are performed together
than when double-eyelid surgery is performed alone.
Is Having Them Done Together Always Better?
Not Necessarily
If you have read this far,
you may be thinking,
“Then wouldn’t it always be better to have them done together?”

If ptosis correction is added
for someone whose strength used to open the eyes is sufficient,
the eyes may instead appear excessively open,
or an awkward appearance different from their usual look
may remain.
The facial expression may look unnatural,
creating an appearance that is
far from the person’s original impression.
Ptosis correction, in particular,
is a procedure that subtly supplements
the function of opening the eyes.
It is a procedure in which the more precisely
the degree of adjustment is controlled,
the more natural the result can be.
However, if additional adjustment is made
in eyes that already have sufficient strength,
the balance between the two sides
or the person’s usual expression may be disrupted.
Therefore, recommending double-eyelid surgery
with ptosis correction to everyone
may actually make it more difficult
to be satisfied with the result.

Before deciding on surgery,
the most important thing is
to accurately understand the condition of your eyes.
How well the eyes open,
how thick the eyelids are and how elastic the skin is,
how much fat is present,
and whether there are differences between the two eyes
must all be assessed comprehensively
before deciding whether to proceed
with double-eyelid surgery alone
or together with ptosis correction.

Today, we discussed why the results can differ
even with the same double-eyelid surgery.
In summary:
For those with weak strength used to open the eyes,
the eyes may look clearer
when ptosis correction is performed together.
For those who already have sufficient strength
to open their eyes,
double-eyelid surgery alone
may bring them closer to the look they want.
Ultimately, the key is not whether
“they must always be done together”
or “they should never be done together.”
It is about accurately determining
the condition of your eyes
and which procedure should be applied,
and to what extent.

During consultations, Director Park Si-hyun
of Objet Plastic Surgery first carefully examines
how the strength used to open the eyes
normally functions.
In addition, after carefully checking
the thickness of the eyelids,
how elastic the skin is,
and how the two eyes are balanced,
as well as how much fat is present,
he explains, based on each patient’s eye structure,
whether double-eyelid surgery alone is appropriate
or whether having the procedures performed together
would be a better fit.
Since no two people have identical eyes,
please remember that consultations are conducted
with the perspective that there is no single combination
of procedures that suits everyone.
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 effects of the procedure may vary from person to person, and side effects may occur.
We recommend that you make a decision about the procedure only after having a thorough consultation with a medical professional beforehand.