[Duhan Plastic Surgery Double Eyelid Revision Surgery] - [Partial Incision Method and Epicanthoplasty]

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Finding the line that suits me

Before surgery, to find a line that suits you,

it is important to make a temporary line

with a wire called Eyeform.

First, by making a temporary line,

it is important to find the line you like

and the line that can be made most naturally.

If you find the line you want and mark that spot

before surgery, you can get a result that is

very close to the line you wanted.

http://www.duhans.com

What are beautiful double eyelids?

The content below is the general standard for beautiful double eyelids.

Please use it as a reference.^^

The double eyelid line should only be slightly visible.

When the eyes are open and looking straight ahead naturally, it is best if the double eyelid is almost not visible.

After double eyelid surgery, many people mistakenly think that a large and clearly visible double eyelid when the eyes are open means the surgery was successful.

If a large and distinct line appears when the eyes are open, it is often a poorly made double eyelid.

When you look in the mirror and the double eyelid line is slightly visible or almost invisible, you can think of it as a very successful double eyelid.

In such cases, when you slightly lower your gaze, the double eyelid line becomes visible and gives the eyes a more atmospheric look.

The eyes should open in a refreshed way.

Sometimes the double eyelid line is large, but the eyes do not open well.

In such cases, the result should be considered unsatisfactory.

The eyes should be big, bright, and open in a refreshed way to create a more atmospheric and beautiful eye shape.

If you look in the mirror and focus on your eyes, you can tell whether almost the entire black pupil is visible or only part of it is visible because it is covered by the eyelid.

The most natural eye shape is when the eyelid only slightly covers the black pupil, and it should not look sleepy or tired.

It is better not to have an epicanthal fold.

Some double eyelids have an epicanthal fold (inner canthal fold), so even after double eyelid surgery, only the outer part of the line is slightly visible, and the line disappears toward the inner corner of the eye.

In such cases, if necessary, it is better to perform epicanthoplasty so that the line appears to the inner corner as well.

However, epicanthoplasty should only be performed when it is truly necessary.

If the distance between the eyes exceeds 40 mm, it is considered to have an epicanthal fold, and if the patient wants it, epicanthal fold removal (epicanthoplasty) is performed.

However, if possible, it is better not to perform epicanthal fold removal if the distance between the eyes does not exceed 40 mm.

If surgery is performed when the distance is 40 mm or less, the distance between the eyes may become narrower, causing the eyes to look crowded, and in some cases the inner line of the eyes may become wider than the outer line.

The eyelashes should be lifted slightly upward.

After double eyelid surgery, if the eyelashes are lifted slightly upward, the eyes look more beautiful.

Even after double eyelid surgery, there are cases where the eyebrows remain sagging as they are, but rather than that, it looks more beautiful if the eyebrows are also lifted slightly, so it is better to slightly change the direction of the eyebrows while performing double eyelid surgery.

What is the double eyelid that suits me?

Through a consultation before surgery, you should determine which line suits you.

Because each person’s eye shape and size are different,

it is important to create a double eyelid line that suits you.

In-fold double eyelid

An in-fold double eyelid refers to a double eyelid line that disappears toward the inner corner of the eye.

This type of double eyelid is created in eyes with a short horizontal eye length or eyes with an epicanthal fold at the inner canthus.

Therefore, if the line is made too much into an in-fold shape, it may be designed artificially closer to an out-fold, but an artificial line can easily create an awkward appearance.

Out-fold double eyelid

An out-fold double eyelid refers to a double eyelid in which the fold line is visible all the way to the inner corner of the eye.

This type of double eyelid is created in eyes without an epicanthal fold and with a long horizontal eye length.

Also, when the line is designed to be large during surgery, the likelihood of creating an out-fold double eyelid is high.

Inner double eyelid

This refers to a double eyelid with a small line that is almost invisible when looking straight ahead.

In general, this inner double eyelid suits people with thick skin or large eyes.

It is suitable for those who want a natural line that does not stand out.

Outer double eyelid

This refers to a double eyelid with a large line that is clearly visible when looking straight ahead.

In most cases, a double eyelid line that appears too clearly does not fall under the desirable type of double eyelid from today’s perspective.

A too-large double eyelid line can also lead to the need for revision surgery.

The purpose of double eyelid surgery

People often mistakenly think that double eyelid surgery is

simply a surgery to create a double eyelid line.

Its purpose is not just to create a line.

The purpose of double eyelid surgery is to make the eyes look bigger and brighter,

and to create an intelligent yet beautiful impression.

Surgery done solely to create a double eyelid line

can sometimes produce an unfavorable impression.

The ultimate goal is to create a natural and beautiful eye shape.

Indications for double eyelid surgery

When the eyes look small
When there are wrinkles on the eyelids
When the eyelids look saggy
When only one side has a double eyelid

Natural quick double eyelid - Partial incision method

Quick double eyelid surgery is a procedure that allows a return to daily life immediately after surgery,

with minimal incision and minimal swelling.

At our clinic, it is performed using a minimal-incision partial incision method,

so no skin suturing is needed, daily life is possible,

there is almost no swelling immediately after surgery,

and it is characterized by a natural look.

It also has the advantage of not easily loosening.

The 4 principles of natural quick double eyelid - partial incision method surgery

1. Swelling should be minimized

Quick double eyelid surgery is one of the methods that causes less swelling than any other method.

2. The line should not loosen

By removing the orbicularis oculi muscle and orbital fat, the line almost does not loosen.

3. Scarring should be minimized

With a minimal 2 mm incision, scarring is almost nonexistent.

4. The line should be natural

By creating the line in advance while sitting, we find the most natural line and perform the surgery accordingly.

Comparison between natural quick double eyelid - partial incision method and buried suture method

	Quick double eyelid - partial incision method	Buried suture method
Use of thread	Dissolvable thread	Non-dissolvable thread
Degree of incision	About 2 mm, 3 incision sites	About 2 mm, 3 incision sites
Postoperative swelling	Slight	Slight
Degree of loosening	Almost never loosens	High frequency of loosening or thinning
Clarity of the line	Maintains the same clarity as incision methods	Often loosens or is not distinct
Removal of fat	Possible	Not possible
Removal of stitches	Not needed. Can be removed if desired	Not possible or very difficult
Scarring	Almost none	Almost none

Why swelling does not occur with the natural quick double eyelid - partial incision method at Duhan Plastic Surgery’s double eyelid clinic

Swelling occurs when exudate generated by surgery accumulates within the tissue.

The reason quick double eyelid surgery causes almost no swelling is that through micro-incisions, the swelling-causing tissues—orbicularis oculi muscle and fatty tissue—are removed, and the exudate generated by surgery is immediately drained through the micro-incision sites, leaving no room for swelling to develop.

For example, a bruise without an open wound swells, but a cut wound swells very little, for the same reason.

A bruise without an open wound swells because exudate forms inside and cannot drain, so it accumulates. A cut wound does not swell because the exudate drains right away.

Frequently asked questions and answers about the natural quick double eyelid - partial incision method

Question) What is the biggest difference between quick double eyelid surgery (partial incision method) and the buried suture method?

Answer) The partial incision method is a way to obtain the advantages of an incision method that does not easily loosen.

A simple buried suture method creates the double eyelid line by simply burying the thread,

so if the skin is thick or there is a lot of muscle and fat, it can loosen easily.

The partial incision method has several advantages, including the ability to remove orbital fat, minimal scarring, and a low likelihood of loosening.

Question) Does the partial incision method leave scars?

Answer) Like the buried suture method, it leaves almost no scars.

The period for scars to settle is usually after 3 months.

Until 3 months, there is still an erythematous stage and the scar is developing, so until about 3 to 4 months there may be some visible scarring, but after 3 to 6 months the scar becomes almost invisible.

Question) How much swelling and bruising occurs after quick double eyelid surgery?

Answer) There is almost no swelling or bruising, so daily life is possible immediately.

Even if a small amount of bruising occurs depending on the individual, it is not very noticeable and disappears almost completely within about a week.

Question) When can I wash my face and wear makeup after quick double eyelid surgery?

Answer) Washing the face and wearing makeup are possible starting the day after surgery.

After washing your face, apply the disinfectant and ointment prescribed by the hospital, and then you can put on makeup.

Examples of natural quick double eyelid - partial incision method surgery

At Duhan Plastic Surgery’s double eyelid clinic, instead of a pure buried suture method, we create a natural and beautiful double eyelid line using the quick double eyelid - partial incision method.

The difference is that the buried suture method has the disadvantage of easily loosening, so we perform the procedure using the partial incision method to compensate for this.

By making the partial incision minimal at about 2 mm, it has been differentiated from other partial incision methods.

Our clinic’s quick double eyelid - partial incision method uses very small incisions of about 2 mm at each area, and the surgery is performed in a way that is natural like the buried suture method, allows immediate return to daily life, and generally causes almost no swelling.

It also leaves almost no scars.

If there is a lot of fat, fat removal is also possible.

With the buried suture method, if swelling occurs, there is no path for tissue exudate to drain, so people who swell a lot may swell as much as they would with incision methods.

The quick double eyelid - partial incision method has the major advantage that tissue exudate drains immediately through the incision openings, resulting in less swelling and bruising than any other method.

It also has the advantage of not easily loosening like an incision method.

Double eyelid revision surgery

When the double eyelid line is too large, uneven, loosened, or otherwise problematic,

this refers to surgery that revises the double eyelid line to restore its original natural

and refreshed appearance.

Indications for double eyelid revision surgery

When the double eyelid line is too large
When the double eyelid line has loosened
When the line is asymmetrical
When the eyes feel tired after double eyelid surgery
When there is a thick sausage-like appearance below the incision line
When the impression becomes worse after double eyelid surgery
When you want to restore beautiful and natural eyes

The purpose of general double eyelid surgery

Double eyelid surgery is not simply intended to create a double eyelid line.

The purpose of double eyelid surgery is to make the eyes larger and more refreshed, and to create bright eyes and a refined eye shape.

Surgery done only to create a double eyelid line can easily bring unwanted results.

The same applies to the purpose of double eyelid revision surgery.

Its purpose is to correct the eye shape to make it larger, more refreshed, and more natural.

What is the partial incision method?

It is a surgical method used to restore a blurred line back to its original distinct line.

It is a method that can make a small double eyelid line slightly larger.

Partial incision method surgical process

1. Design the desired double eyelid line.

In many cases, the design is made along the existing scar line.

Sometimes it is designed according to the height and shape the patient wants, or the surgeon judges and designs the line that suits the patient best.

Also, depending on whether it is to be an out-fold or an in-fold, the direction of the design line changes.

2. Mark the incision points in three places with design ink.

The positions are lightly marked on the inner side, center, and outer side.

3. Under sleep anesthesia, after about 5 minutes of sleep, local anesthetic is injected into the three marked areas.

The local anesthetic is administered in minimal amounts to reduce swelling as much as possible.

4. Make very small incisions of about 2 mm at the three marked areas.

If the incision is made too large, more scarring remains, so the surgery is performed with the minimum incision to leave almost no scars.

5. Through the incision site, first pull out the orbicularis oculi muscle and remove it with scissors.

The orbicularis oculi muscle is the muscle layer covering the eyelid and is a tissue that interferes with double eyelid formation, so it must be removed to prevent the double eyelid line from loosening.

Along with removing the orbicularis oculi muscle, the preseptal fat beneath the muscle layer is also removed.

6. When there is a lot of orbital fat, pull the orbital fat outward through the outer incision site to expose it.

Fat removal is mainly performed from the outer side.

7. Grasp the fat with a hemostatic forceps and cut the base of the protruding fat with a scalpel.

Excessive fat removal can cause the eyelid to become sunken, so it is better to remove only as much as protrudes.

8. After fat excision, use an electrocautery device to stop bleeding so that no bleeding occurs.

If hemostasis is not properly achieved, orbital bleeding may occur and bruising and swelling will worsen, so proper hemostasis is important.

9. Through the three incision sites, use very fine dissolvable thread to connect the upper eyelid levator muscle and the skin to create the double eyelid line.

10. After burying the thread and applying eye ointment, the surgery is finished.

Face washing and makeup are possible starting the next day.

Apply cold compresses with the cool pack provided by the hospital for 3 days.

If you do cold compresses for more than 3 days, the swelling will not go down any further, so it is best to do it only for exactly 3 days.

Examples of the partial incision method

Epicanthal fold removal

When the space between both eyes looks wide,

there are often cases where the skin at the inner canthus excessively covers the eyeball,

and the skin covering the eyeball on the inner side of the eye is called an epicanthal fold.

By removing the skin at the inner canthus,

this surgery normalizes the distance between the eyes

and opens up the inner corner of the eye that looks tight.

How to diagnose an epicanthal fold

An epicanthal fold (inner canthal fold) is diagnosed when the distance between the eyes is 40 mm or more,

or when the skin on the inner side of the eye covers the white of the eye, creating a tight feeling.

Eyes with an epicanthal fold often have an inner corner that is not sharp but rounded, or the angle descends sharply.

Why scars do not occur in epicanthal fold removal surgery at Duhan Plastic Surgery’s double eyelid clinic

If skin is incised, scars will inevitably occur.

The same applies to epicanthal fold surgery, which also involves incisions, so scarring is an unavoidable issue.

If the surgery is performed in a way that leaves the scar exposed on the surface, the scar can look unattractive no matter how precisely it is sutured.

However, if the scar line is hidden at the edge of the outer corner of the eye, the scar becomes almost unnoticeable.

Because the scar is not exposed externally, it is not visible.

Indications for epicanthal fold removal

1. When the eyes look far apart, the surgery is generally performed when the distance between the inner corners of the eyes exceeds 40 mm.

The normal distance between the eyes is about 36 to 37 mm, but if the distance is normal

and there is an epicanthal fold, it is better not to perform the surgery.

If done incorrectly, the distance between the eyes may become too short, making the eyes look crowded.

2. If you want to create an out-fold double eyelid and an epicanthal fold is present, an in-fold double eyelid will be created,

so epicanthal fold removal is necessary to create an out-fold double eyelid.

Principles of epicanthal fold removal surgery

Scarring should not remain.It is necessary to hide the incision line within the eyelid boundary so that scarring is almost nonexistent.
The shape should be natural.The inner corner of the eye should be designed horizontally so that the epicanthoplasty looks natural.
It should not recur.The inner tail should be fixed and sutured to the ligament so that it does not return to its original position.

Comparison between externally exposed epicanthoplasty scars and Duhan Plastic Surgery’s epicanthoplasty

The principles of epicanthal fold removal surgery (epicanthoplasty) are that it should leave little scarring, have a low recurrence rate, and be a method that can be performed together with double eyelid surgery.

At Duhan Plastic Surgery’s double eyelid clinic, we perform surgery using the Furukawa, Y-V method.

The advantages of the surgery are that the scar is less visible, the result is natural, and when combined with double eyelid surgery, it can be performed naturally as an extension of the double eyelid line.

Various epicanthal fold removal methods and the shape of scars

At Duhan Plastic Surgery’s double eyelid clinic, we mainly apply the Furukawa method shown in the lower right and perform surgery.

Its advantages are that the scar is almost invisible, the shape is natural, and when combined with double eyelid surgery, the epicanthal fold can be removed naturally as an extension of the double eyelid line.

Epicanthal fold removal surgery process

1. Pull the skin toward the nose to make it taut.

2. While the skin is pulled tight, design with special ink.

The shape of the design varies depending on the surgical method, so it is not fixed.

At Duhan Plastic Surgery’s double eyelid clinic, we mainly use the Y-V method to keep the scar from being noticeable.

3. Under sleep anesthesia, local anesthesia is administered to the design area.

4. Make a precise incision along the design line with a scalpel.

5. Lift the skin away from the muscle.

6. Reposition the skin tissue so that the epicanthal fold is pulled toward the nose.

At this time, the excess skin tissue is removed in an appropriate amount.

7. Suture the skin with fine thread.

Immediately after surgery, there is no need to apply tape separately, and the stitches are removed after 5 to 6 days.

Examples of epicanthal fold removal surgery

Postoperative care after epicanthal fold removal surgery

1. The day after surgery, return to the clinic to disinfect the surgical site and monitor the progress.

2. Remove the stitches on the 5th day after surgery.

3. Postoperative swelling is almost nonexistent, and the period for complete settling is about 1 to 3 months,

and during this period you should not rub the surgical site strongly.

4. For about 3 months, a scar may be slightly visible at the inner edge of the eye, but this is a normal process, and after 3 months it becomes almost unnoticeable.

5. Be careful not to rub the surgical site when washing your face.

If you rub the surgical site strongly, the scar may become messy or widen, so be careful.

Cases in which epicanthal fold removal surgery should not be performed

• If the distance between the eyes is not 40 mm, the normal distance is usually about 36 to 37 mm.

If it is not 40 mm, the procedure should not be performed.

If epicanthoplasty is performed on eyes with a normal distance, the side effect of the eyes appearing crowded may occur, so caution is needed.

• Even if the distance between the eyes is wide, if the inner corner of the eye has a sharp shape, epicanthal fold removal should not be performed.

The goal of epicanthal fold removal is to open up and refresh the inner corner of the eye when the inner shape is rounded.

If the eye shape is already sharply open, the eye may look even more severe after surgery, so caution is needed.

Precautions for epicanthal fold removal surgery

□ It should only be performed when it suits your eye shape.

During consultation, you should discuss with a specialist and carefully decide whether epicanthal fold removal is truly necessary before proceeding with surgery.

□ No matter which method is used, it is difficult to perform epicanthal fold removal surgery without leaving any scar at all.

It is desirable to perform surgery in a way that leaves as little scarring as possible, and it is preferable to perform the surgery by hiding the scar inside.

Because the scar is not visible externally, there is almost no trace of surgery.

Features of Duhan Plastic Surgery’s eye plastic surgery clinic

♥ We have accumulated more than 20 years of rich experience and know-how in eye plastic surgery.

♥ We have a systematic system for eye plastic surgery.

♥ Through preoperative consultation, we perform various examinations and tests to predict postoperative results.

♥ We perform surgery only when the examinations and tests show that there is sufficient room for improvement.

If we determine that the desired result cannot be achieved, it is our principle not to attempt surgery.

♥ By identifying the problems in previous surgeries through examination, we provide a thorough and clear explanation and suggest the best surgical method for the best outcome.

♥ We explain the surgical process and progress clearly so that you understand them well, and we do not omit explanations about possible side effects after surgery.

♥ We provide thorough postoperative care.

♥ We carefully observe the postoperative course to make sure recovery is progressing properly.

♥ We are making every effort and doing research so that people who want double eyelid revision surgery can make our clinic the last hospital they need to visit.

http://www.doublefold.co.kr

http://www.duhans.com