You need to know “this”!

Hello.
This is 오브제성형외과.
You likely came across this post while looking into double eyelid surgery because your eyes appear uneven.
Many people consider surgery for uneven eyes when they have a double eyelid on only one side, the crease heights differ between the two sides, or one eye looks noticeably smaller whenever they take photos.
You may have been searching with the expectation that the issue would be quickly resolved simply by matching the two crease lines.
However, even when the eyes appear uneven in the same way, the cause differs from person to person.
When the cause differs, the surgical approach must also differ.

Today, I would like to organize the possible “causes” for you.
By reading to the end, you will be able to understand when double eyelid surgery alone may be sufficient and when a different approach may be needed, helping you establish a direction before your consultation.
Can the issue be solved by simply matching both double eyelid creases?
The “cause” is different
The first method that people with uneven eyes usually think of is matching the crease lines through double eyelid surgery.

If the difference in the crease lines is truly the only cause of the asymmetry, double eyelid surgery alone may be enough to improve it.
For example, if there is a double eyelid on only one side, or if both sides have creases at different heights, balance can be improved by creating the crease lines again.
However, there is one aspect that is easy to overlook.
In quite a few cases, the reason the eyes look asymmetrical is not solely related to the double eyelid crease.
For example, if the strength used to open one eye is weaker, that eye may still look sleepy even if the crease is created at the same height on both sides.
When the eyelid thickness differs between the left and right sides, the result may also look different even when the same crease is created.
Some people have a habit of using the forehead muscle to lift one eye only.
There are also cases where the eyebrow heights themselves differ, making the eyes appear asymmetrical.
In other cases, the eyes are inherently different in size, causing one eye to look smaller.
These causes are difficult to resolve by matching only the double eyelid creases.
Therefore, when considering double eyelid surgery, the most important step is first identifying “what caused the asymmetry.”

What if you are in “this situation”?
Double eyelid surgery alone may not be enough
As mentioned earlier, there is not just one reason why the two eyes may look different.
Let’s take a closer look at some representative cases where improvement through double eyelid surgery alone may be difficult.
First, the strength used to open the eyes may differ between the two sides.
The muscles used to open the eyes lift the eyelids upward.
If the strength of these muscles differs between the two sides, the degree to which the eyes open will differ even when the double eyelid creases are the same.
If one eye looks particularly sleepy or feels difficult to open, this may be the case.
In this situation, ptosis correction may need to be performed together with double eyelid surgery.
Next, there may be a difference between the two sides in the habit of using the forehead.
When the strength used to open the eyes is insufficient, people unconsciously use their forehead muscles to lift the eyelids.
If this habit is more pronounced on only one side, the eyebrow heights become different.
As a result, even the size and shape of the eyes may appear asymmetrical.
In this case, even if only the double eyelid creases are matched, the underlying cause has not changed, so the difference may appear again over time.

Next, the eyelid thickness may differ between the left and right sides.
If creases of the same height are created on the thicker and thinner eyelids, the crease may appear less visible on the thicker side and more defined on the thinner side, making the final result look different.

In this situation, rather than using the same design for both sides, the crease height and width need to be designed separately according to the condition of each eyelid.
Lastly, the two eyes may differ in their overall size.
If the horizontal or vertical width of the eyes differs between the left and right sides, the area of the eyes that opens will still differ even when the double eyelid creases are created at the same height, and the asymmetrical appearance may remain.
In such cases, the designs for the two sides must be planned differently, taking into account not only the crease lines but also the difference in eye size.
In summary, having uneven eyes does not necessarily mean that making both sides identical is the right answer.
The more important point is to design each eye “differently” so that both sides look as natural and balanced as possible.

Before double eyelid surgery for uneven eyes,
check “this” first
If you have read this far, you likely understand that surgery for eye asymmetry involves more than simply matching the crease lines.
Then, what should you check in advance before your consultation? Let’s go over it.

First, look in the mirror and check whether you tense your forehead when opening your eyes.
If you gently press your forehead with your fingers while opening your eyes, you can check whether your eyes open well without help from your forehead.
If one side is noticeably more tense, there may be a difference between the two sides in the strength used to open the eyes.
Next, I recommend not deciding on the surgical method in advance.

Many people go to their consultation having already chosen a method, saying things like, “Please use the incisional method” or “Please use the natural adhesion method.”
Depending on the cause, some cases require only double eyelid surgery, while others may require eye-shape correction as well.
Therefore, accurately analyzing the condition of your eyes should take priority over choosing a method.

Lastly, organizing the image you want in specific terms will make communication during the consultation much easier.
Rather than bringing only an ambiguous photo of “pretty eyes,” organize specific preferences, such as “Make the inner part look natural, and make the outer line slightly longer.”
This makes it easier for the doctor to create a design plan that matches the direction you want.

Today, we discussed why eye asymmetry occurs, when double eyelid surgery alone may be sufficient, and when a different approach may be needed.
When choosing a surgical method, the most important thing is to “accurately identify the cause.”

Dr. Park Si-hyun of 오브제성형외과 examines where the difference between the left and right sides of uneven eyes originates.
The doctor considers the double eyelid creases, the strength used to open the eyes, eyelid thickness, and eyebrow height together when determining the surgical approach.

Rather than simply making both sides identical, the crease and height are individually designed to suit the structure of each eye, creating a natural and balanced appearance.
If you are considering double eyelid surgery for uneven eyes, rather than looking only for a surgical method, we recommend beginning with a consultation to carefully assess the current condition of your eyes.
This has been 오브제성형외과.
Thank you.
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The effects of treatment may vary from person to person, and side effects may occur.
We recommend that you make a decision about treatment only after having a sufficient consultation with a medical professional in advance.