When meeting patients at the hospital, their eye size and shape are all different,
but another difference is how they open their eyes.
Basically, the eyes open through the action of the levator palpebrae superioris, which extends from the inner side of the upper eyelid all the way to the back.
![[Lari Plastic Surgery] Forehead and Glabella Botox, and Short-Term Progress Photos Before and After Incisional Ptosis Correction Surgery image 1](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/tgzuf37zyh/naver_blog/laree2345/assets/by_hash/5445d673f721d51861b177ac6835358aa6b12cc0b328c8b9b3865c7ffca007c3.jpg)
However, if the levator palpebrae superioris is weak, the eyes do not open well,
so people usually use the frontalis muscle, which is broadly spread across the forehead vertically, to lift the eyelids and open their eyes.
If the frontalis muscle is used instead of the levator palpebrae superioris when opening the eyes,
the levator palpebrae superioris continues to weaken and its usable range becomes even smaller,
making it harder to open the eyes.
Continuous use of the frontalis muscle can also change the results of eye surgery,
and uneven use of the frontalis muscle can cause uneven eyes.
This is an especially important point when it comes to double eyelids, double eyelid removal, or ptosis correction surgery.
Ptosis correction surgery is a procedure that strengthens the force used to open the eyes so that the eyes can open better.
These patients come in for consultation on the assumption that they do not open their eyes well,
generally opening their eyes by forcefully using the frontalis muscle in the forehead.
That is the only way to make the eyes show a little more.
![[Lari Plastic Surgery] Forehead and Glabella Botox, and Short-Term Progress Photos Before and After Incisional Ptosis Correction Surgery image 2](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/tgzuf37zyh/naver_blog/laree2345/assets/by_hash/4618afb83ff984df1186a3fd9991c1ca29c701614d999d44933f74b177025070.jpg)
Even if surgery strengthens the force used to open the eyes,
if the patient continues to use the frontalis muscle instead of the strengthened levator palpebrae superioris,
it can be difficult for the ptosis correction surgery to settle in and its effect may be reduced.
So for people who rely heavily on the forehead, to see the effect of ptosis correction surgery,
they first receive forehead and glabella Botox to suppress the frontalis muscle that they unconsciously use.
Then, the eyes that were opened as much as possible by using the forehead muscles in the first photo
become like this in the second photo .........
At this point, patients complain of a great deal of discomfort.
But this means that they are opening their eyes using only their own levator palpebrae superioris.
![[Lari Plastic Surgery] Forehead and Glabella Botox, and Short-Term Progress Photos Before and After Incisional Ptosis Correction Surgery image 3](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/tgzuf37zyh/naver_blog/laree2345/assets/by_hash/ea598a100f7c165d439e45835a3480798510066ab197dfe1eee043b75b758f2f.jpg)
The surgery should be performed in this state so that an accurate diagnosis of the eyes before surgery can be made,
design can be planned, and the muscle that opens the eyes can be clearly strengthened.
Unlike the condition before surgery, when it had been about a week since the Botox procedure,
looking at the eyes 3 months after surgery, you can see that the eyes have definitely become larger and open better.
Also, by placing limits on muscles that are misused and overused and restoring them to a normal state,
it becomes possible to accurately determine how much excess skin needs to be removed,
which helps prevent not only temporary incomplete eye closure after surgery
but also incomplete eye closure even after recovery, thereby reducing side effects.
![[Lari Plastic Surgery] Forehead and Glabella Botox, and Short-Term Progress Photos Before and After Incisional Ptosis Correction Surgery image 4](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/tgzuf37zyh/naver_blog/laree2345/assets/by_hash/894e4ff71fdd01b4fa6c4c48b34a44f4b6a99d5cacc31b5526d170fc38f6e474.jpg)
Three months after surgery, the incisional scar is still noticeably visible,
but it shows a scar level that is appropriate for the stage,
and the eyes also close well after surgery, just as they did before surgery.
![[Lari Plastic Surgery] Forehead and Glabella Botox, and Short-Term Progress Photos Before and After Incisional Ptosis Correction Surgery image 5](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/tgzuf37zyh/naver_blog/laree2345/assets/by_hash/27f25ecdb0e53bbf6b6290c3f67e9dadfe033cc4e0a01321e28f84071a411b29.jpg)
Before the Botox procedure, the patient generally opened their eyes using the forehead muscles,
so the eyes did not feel extremely small or tight,
but after receiving forehead and glabella Botox and the muscles became restricted and stabilized,
the patient was able to confirm their natural eye size.
After strengthening the force used to open the eyes through incisional ptosis correction surgery in this state,
compared with before the Botox procedure, the eyes became much larger,
and without any canthoplasty, it is clear from the photo above
that the eyes changed to look larger and less constricted.
If you use the forehead muscles a lot, the effect of ptosis correction surgery may be reduced,
so before and after surgery, you should receive supportive procedures such as forehead Botox
and continue practicing opening your eyes straight without using the forehead muscles.^^
![[Lari Plastic Surgery] Forehead and Glabella Botox, and Short-Term Progress Photos Before and After Incisional Ptosis Correction Surgery image 6](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/tgzuf37zyh/naver_blog/laree2345/assets/by_hash/e33a4345b16e7fcdeda2d72c720347d71f323a4fce594761fc4533c39c0d23d4.jpg)
![[Lari Plastic Surgery] Forehead and Glabella Botox, and Short-Term Progress Photos Before and After Incisional Ptosis Correction Surgery image 7](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/tgzuf37zyh/naver_blog/laree2345/assets/by_hash/9a4aff7a2248f4286c1c8edb3050d016ba3aa5cd548db633dc8de62fe3cce68f.jpg)