[Duhan Plastic Surgery Double Eyelid Revision Surgery] - [Types of Unattractive Double Eyelids]

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Unattractive double eyelids

Have you perhaps ended up with unattractive double eyelids? ㅜㅜ

Please check whether you fall into any of the following cases ~

Unattractive Double Eyelids ①

A double eyelid line that is too large

A double eyelid line that is too large rarely suits anyone, no matter the case.

A natural line is appropriate when it is only slightly visible when the eyes are open.

A large line is a representative example of an unattractive double eyelid and is one of the most common indications for revision surgery.

Unattractive Double Eyelids ②

When the area below the line looks swollen - sausage phenomenon

This refers to swelling in the area below the double eyelid line, commonly called the sausage phenomenon.

It gives the impression that the person had surgery only a few days ago and makes viewers feel uncomfortable.

Causes of the sausage phenomenon include thick skin and orbicularis oculi muscle, designing the line too high, or partial loosening of the line. Correction is performed by partially removing the orbicularis oculi muscle and then pulling the skin.

Unattractive Double Eyelids ③

When the double eyelid scar line is clearly visible

Sometimes, after double eyelid surgery, if you slightly lower your gaze, the incision mark stands out severely, leaving an ugly double eyelid that looks as if it was cut with a knife.

The reasons for prominent scarring include constitutional factors, but also improper suturing and poor timing of stitch removal. Correction should be performed in a manner similar to scar revision surgery, by excising the scar and then meticulously suturing it.

Unattractive Double Eyelids ④

When there is an epicanthal fold

When there is an epicanthal fold, the double eyelid line may not extend all the way and instead disappear in the middle.

If the inner part of the double eyelid line disappears, it can create a somewhat cramped feeling.

Surgery to remove the epicanthal fold is also called epicanthoplasty. If double eyelid surgery is performed together with epicanthoplasty to create the fold, the line can continue all the way through and create a natural-looking line.

Unattractive Double Eyelids ⑤

When there are multiple wrinkles below the double eyelid line

When there are multiple lines below the double eyelid line, the eyelid crease looks messy.

A beautiful line should be small and made precisely as a single line, but if there are many fine wrinkles in addition to the double eyelid line, the eyes can look older and the impression can appear unfavorable.

In such cases, correction should be done with the partial incision method, or if that is not feasible, with the full incision method by removing a certain amount of skin.

Unattractive Double Eyelids ⑥

When the line is not clear and looks blurry

A double eyelid line is beautiful when it is somewhat clear.

However, if the line becomes loose and blurry, it can look like a wrinkle rather than a refined line, creating an unfavorable impression.

In such cases, it should be restored to a clear line again.

Unattractive Double Eyelids ⑦

When the line is too deep and dark

It also looks unnatural if the line appears too deep or too dark.

Causes include sagging skin and indentation around the incision line. The line should be clear, but a double eyelid line that looks too deep also falls under unattractive double eyelids.

Unattractive Double Eyelids ⑧

When there is an excessive outfold line that goes beyond the inner corner of the eye

An excessive outfold double eyelid line often feels unnatural because it gives a strong artificial impression.

An infold line that disappears in the middle because of an epicanthal fold is also unnatural, but an outfold line that extends past the inner corner of the eye is also unnatural and creates a strong impression, so it can be considered one of the unattractive double eyelids.

Unattractive Double Eyelids ⑨

When the double eyelid line is not smooth and is uneven

The double eyelid line should curve smoothly.

The ideal line is one where the inner part is small and widens toward the outer side, continuing without any unevenness.

However, a curved line in which the inner part is wide, becomes smaller in the middle, and then widens again on the outer side is a wave line and is one of the unnatural line shapes.

Unattractive Double Eyelids ⑩

When there is indentation in the eyelid area above the crease

If there is indentation in the eyelid above the double eyelid line, it can make the face look older or cause the line to become larger or deformed and look unnatural.

Indentation of the eyelid is a major cause of double eyelid deformation, so if there is indentation, it should be corrected with microfat grafting.

Unattractive Double Eyelids ⑪

When there is an unnecessary epicanthoplasty in the double eyelid line

Various problems can arise due to an unnecessary epicanthoplasty.

Epicanthoplasty should only be performed when it is truly needed for eyes with an epicanthal fold. Unnecessary or excessive epicanthoplasty can cause side effects such as excessive exposure of the inner mucosa, a severe outfold line, eyes that appear too close together, or a harsh-looking eye shape.

Unnecessary epicanthoplasty often makes the impression look worse, so caution is needed.

Unattractive Double Eyelids ⑫

When the double eyelid line has undergone lateral canthoplasty

This is one of the surgeries that should absolutely not be performed in plastic surgery.

It is also clearly stated in plastic surgery textbooks that this surgery is not recommended.

Lateral canthoplasty is a procedure that can cause various side effects such as mucosal exposure, ectropion of the eyelid, a harsh eye shape, and severe scarring.

The rate of side effects from lateral canthoplasty is over 90%, and because it can create irreversible and serious complications, caution is necessary.

Warning of Lateral Canthoplasty

(Warning of Lateral Canthoplasty)

Among eye surgeries, lateral canthoplasty is the procedure with the most side effects and risk.

Lateral canthoplasty surgery

These days, complaints about side effects from lateral canthoplasty performed at other hospitals are frequent.

Lateral canthoplasty refers to surgery that opens the outer corner of the eye, unlike epicanthoplasty.

Unlike epicanthoplasty, it is in an area where scars cannot be hidden, so the rate of postoperative side effects is high.

Lateral canthoplasty should not be performed unless it is truly necessary.

Types of lateral canthoplasty side effects

1. Eyelid ectropion and elevation
2. Distorted scar at the outer corner of the eye
3. Mucosal exposure and eyelid drooping
4. Excessive exposure of the white of the eye below
5. Deformation of the eye shape and twisting of the outer canthus
6. Dry eye syndrome and tearing

Examples of lateral canthoplasty side effects from other hospitals

The lateral canthoplasty photos below are a collection of photos of people who came to our clinic for consultation or surgery and had undergone lateral canthoplasty at other hospitals, to show the seriousness of lateral canthoplasty side effects.

Please refer to them. ㅠㅠ

Our clinic’s lateral canthoplasty restoration method

The lateral canthoplasty performed at Duhan Plastic Surgery Double Eyelid Revision Clinic has recently received attention because it addresses the drawback of re-adhesion, which is a problem with existing lateral canthoplasty complications.

Because the tissue that tends to reattach is sufficiently removed through skin dissection, it does not reattach, and delicate suturing is performed according to the anatomical structure from the inner conjunctiva of the eye to the ligament-fascial layer, muscle layer, and skin layer.

Because the skin and mucosa are sutured separately, a "ㄷ" shape does not form, and there is no concern about re-adhesion.

Also, unlike other hospitals, it is not performed only with a skin incision; it is securely fixed to the periosteum so it does not come undone, and it is a safe procedure that can also be restored later.

The sutured area is naturally hidden along the eye corner line to minimize visible scars, and thanks to more than 20 years of extensive experience in double eyelid revision surgery, the delicate and precise suturing leaves almost no scar.

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