How Should Double Eyelid Surgery Be Performed for Protruding Eyes?

When planning double eyelid surgery, it is important to consider not only the outer appearance of the eyes

but also their structural characteristics.

In particular, in the case of ‘protruding eyes,’ where the eyes are slightly pushed forward,

approaching the procedure with a standard double eyelid surgery method

may cause the line to show too much

or make the eyes look even more prominent,

so careful planning is necessary.

Characteristics of Protruding Eyes and Surgical Methods

Source: TS Plastic Surgery website

Protruding eyes, as the name suggests, are a form in which the eyeballs

are slightly forward of the facial bones.

Eyes like this may look large, but on the other hand,

they can also make a person look tired or give a sharp impression.

In addition, not only the visible impression,

but also how the double eyelid line is created can greatly change the overall impression,

so a thorough diagnosis before surgery is necessary.

1. In cases where the eyelid skin is thin and the fat layer is minimal

Because the eyeball is relatively forward, protruding eyes often appear overall

thin as the eyelid skin is pulled taut.

As a result, if there is little fat in the eyelid and the line is made too high,

the fold in the skin becomes immediately visible, making the double eyelid look pronounced

or giving an artificial impression.

In such cases, even if the line is made at the same height as for ordinary eyes,

it may look relatively higher, so it is better to design the line slightly lower to reduce the protruding appearance of the eyes

and create a soft, natural look.

2. A structure in which the inner eye fat (orbital fat) is pushed forward

Source: TS Plastic Surgery website

Although it may appear that there is no fat externally,

in many cases the orbital (inner) fat deep inside the eye is slightly pushed forward.

If this is simply removed,

the eyes may look more sunken, so depending on the situation,

a delicate adjustment or repositioning of the fat is used.

This reduces the protruding appearance,

and the eyelid area connects more smoothly,

allowing for a natural and stable double eyelid line.

3. A short distance between the pupil and the eyelid, creating a cramped impression

Source: TS Plastic Surgery website

In protruding eyes, because the eyes are positioned forward,

the distance between the pupil and the eyelid may appear short,

or the eye shape may look somewhat sharp.

In such cases, rather than simply creating a double eyelid,

combining it with ptosis correction can be effective in creating a clearer

and brighter eye shape.

By adjusting the strength of the muscle that opens the eyes so the pupil

is revealed more naturally, the protruding impression can be reduced

and the overall look can become much softer.

Precautions During Surgery

The key to surgery for protruding eyes is ‘harmony.’

If the line is made too high without restraint,

or if fat is excessively removed / repositioned,

the eyes may end up looking even more protruding,

and the impression may become tired or unnatural.

Therefore, it is essential to comprehensively analyze the degree of protrusion, skin condition, and fat distribution

in order to find the line that best suits each individual.

In Conclusion

In this way, protruding eyes are not simply about creating a double eyelid line,

but about surgery that balances the three-dimensionality of the eyes

and the overall harmony of the face.

Consulting a specialist with delicate design skills and ample experience

is the first step toward a satisfying result.

※ Depending on the individual, side effects such as inflammation, bleeding, and nerve damage may occur, so sufficient consultation with the medical staff before surgery is necessary.