Can Ptosis Correction for Monolids Be Done with Double Eyelid Surgery? Dr. Park Si-hyun Answers!

Can Ptosis Correction for Monolids Be Done with Double Eyelid Surgery?

Dr. Park Si-hyun Answers!

Hello.

This is 오브제성형외과.

Many people begin looking into surgery with the expectation that

a single double eyelid procedure will make their eyes look more defined than they do now.

However, when they start searching for consultation information,

the term “ptosis” often appears alongside it,

and they may even hear that

eye-shape correction should be performed as well.

This is when unfamiliar terms begin to pile up,

even though they had only been thinking about double eyelid surgery,

leaving them increasingly confused about

what they actually need.

I imagine those of you who came across this article

may be at a similar point in your decision-making process.

So today,

we will look at whether double eyelid surgery alone

really resolves the issue when someone has monolids and ptosis.

From the relationship between double eyelid surgery and eye-shape correction

to which procedure may be right for your eyes,

I will explain everything step by step,

so reading to the end may help you determine your direction.

Double eyelid surgery alone makes the eyes look bigger?

It depends on “this.”

To give you the conclusion first,

double eyelid surgery alone

does not make the eyes themselves larger.

Double eyelid surgery creates a crease on the eyelid,

making more of the iris visible

and increasing the vertical width of the eyes.

It can make the eyes look more defined,

but it does not increase their horizontal length

or strengthen the muscles used to open the eyes.

In particular, when the eyes are short horizontally,

they may not look as large as expected

even if their vertical width increases.

This is where

we need to discuss ptosis.

Ptosis refers to a condition in which

the muscles used to open the eyes are weak.

Because the upper eyelids cannot rise sufficiently

when opening the eyes,

the eyes may appear half-closed even normally,

creating a sleepy-looking impression.

If double eyelid surgery alone is performed in this condition,

the crease may become clearly defined,

but the strength used to open the eyes remains unchanged,

so the eyes may not look as open and refreshed as expected.

Therefore, when the muscles used to open the eyes are weak,

planning ptosis-related eye-shape correction together

with double eyelid surgery may lead to a natural-looking result.

Do all monolids require eye-shape correction?

Not these eyes.

At this point,

you may feel that everyone with monolids

needs eye-shape correction as well.

That is not necessarily the case.

If the muscles used to open the eyes are sufficiently strong,

many monolids can achieve

a well-defined, attractive crease

and clear-looking eyes with double eyelid surgery alone.

Adding eye-shape correction for monolids in such cases

may instead make the eyes look excessively large

or artificial.

In other words, eye-shape correction for monolids

is not a procedure required for everyone with monolids.

It is a procedure that can be helpful

when the muscles used to open the eyes

are actually weak.

If the eye-opening strength is adequate

but the crease simply forms faintly,

how the crease is designed for double eyelid surgery

becomes more important than adding ptosis-related eye-shape correction.

Thus, even when the starting point is the same—monolids—

the required procedure can differ

depending on the strength used to open the eyes.

The “real reason” the results differ

even with apparently identical monolids

In addition to eye-opening strength,

there are other factors that influence the result.

Even if two people appear to have the same type of monolids,

the horizontal length of their eyes,

the degree of their epicanthic folds,

the amount of fat in the upper eyelids,

and the thickness of their eyelid skin can all differ.

First, let us consider eyes that are short horizontally.

Double eyelid surgery can increase the vertical width,

but because it does not change the horizontal length,

the eyes may not look as large as expected

with double eyelid surgery alone.

In such cases,

an eye-opening procedure that increases horizontal length

may also be considered.

Eyes with pronounced epicanthic folds

that cover the inner corners

may also have difficulty forming

a smooth double eyelid crease toward the front.

In such cases, considering medial epicanthoplasty as well

may help the crease appear more naturally and clearly.

When there is a substantial amount of fat in the upper eyelids,

the crease can become obscured by the fat

and appear faint.

In such cases, appropriately adjusting the amount of fat

may help the crease become more clearly defined.

However, removing too much fat

can make the upper eyelids look sunken,

so appropriate adjustment is important.

The same applies when choosing the method

for double eyelid surgery.

People often assume that the non-incisional method is natural-looking

while the incisional method is more noticeable,

but in reality, some eyes are better suited to the incisional method

while others are better suited to the non-incisional method,

depending on their structure.

Ultimately, the key is not simply

to make the eyes look bigger,

but to accurately identify

why your eyes look small.

Whether the reason is

the strength used to open the eyes,

their horizontal length,

the epicanthic folds,

or the amount of fat determines

whether double eyelid surgery alone is sufficient

or whether ptosis-related eye-shape correction

should be added.

Today, we reviewed the relationship between

monolids, ptosis, and double eyelid surgery.

Double eyelid surgery increases the vertical width of the eyes

and creates a more defined impression,

but it does not strengthen the muscles used to open the eyes.

For eyes with weak eye-opening strength,

planning ptosis-related eye-shape correction together

with double eyelid surgery may lead to a more natural-looking result.

We also looked at how the necessary procedure can differ

even for people with the same type of monolids,

depending on their epicanthic folds, fat,

horizontal eye length, and skin condition.

Dr. Park Si-hyun of 오브제성형외과

checks the vertical and horizontal dimensions of the eyes,

the strength used to open them,

the epicanthic folds,

the amount of fat in the upper eyelids,

and even the thickness of the eyelid skin,

before determining whether double eyelid surgery alone is sufficient

or whether eye-shape correction for monolids

or ptosis-related eye-shape correction is needed,

and then plans an approach suited to each person’s eyes.

Even when starting from the same concern about monolids,

the reason the eyes look small differs from person to person.

We recommend carefully consulting with several clinics

and taking the time to determine

why your eyes look small

and which procedure is appropriate for that reason.

We hope that the careful research you undertake

will lead to a result you are happy with.

This has been 오브제성형외과.

Thank you.

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• This post contains medical information prepared by 오브제성형외과의원 in compliance with the Medical Advertising Act.

• 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 in advance.