[Lari Plastic Surgery] A Collection of Various Surgeries for Double Eyelids

What we commonly think of as double eyelid surgery is often understood by the public as a procedure that creates double eyelids in monolids, but medically, it is a concept that includes surgeries that correct various problems related to the double eyelid line. People usually think only of creating double eyelids from monolids or making an existing eyelid crease much higher, but in reality, lowering an unsuitable double eyelid line, removing an overly heavy crease, and correcting asymmetry between the two eyes are also all included in the scope of double eyelid surgery. What determines these details is the current condition of the eyes and the desired aesthetic outcome. Rather than being a simple partial change to the eyes, the surgery should be planned and performed by comprehensively considering how the post-surgery eye shape will affect the overall image of the face. Today, let’s look at several photos and talk about the surgeries performed on double eyelids.

The representative double eyelid surgery is, as shown here, a procedure that creates double eyelids, and it is often chosen by students and younger people in their early to mid-20s. Depending on the eye structure and condition, double eyelid surgery can be performed using either an incision method or a non-incision method. This surgery brings about a major change in the eye shape after surgery, but if the eye-opening strength is weak or the pupil is heavily covered by sagging skin, eye correction surgery may be performed together with double eyelid surgery. In general, a clear impression is given when about 80–90% of the pupil is visible, so if it falls short of that, it is recommended to consider eye correction as well.

Even if you had double eyelid surgery in the past, if the crease is too thin, has come undone, or if sagging skin makes the line hard to see, revision double eyelid surgery can be performed for a more stable and distinct line. Women who enjoy makeup often want a more noticeable result when they apply makeup, so rather than eyes that look too natural, it can be a good idea to make the double eyelid line a little higher. To raise the line, the adhesion of the existing double eyelid line is released and the crease is recreated at a new position. If there is sagging skin at this time, the degree must be judged precisely and removed as needed. However, if the double eyelid line is raised too much, the crease may look like a sausage, or the eyes may even appear sleepy, so it is important not to be greedy and to find a height that suits your own eyes.

If the double eyelid line is uneven or the outer end is overly pointed upward, the eyes may look unrefined and the overall impression may not be good. Correcting the shape of the double eyelid line into a natural rounded form that suits the eye shape can create a much more stable and softer impression. The eyes are a smaller area than other parts of the face, so even a slight difference of 0.5 mm or 1 mm can greatly change the impression. As in the patient above, simply lowering the line slightly and refining the shape delicately makes the difference before and after surgery clearly visible. Also, if the outer corner of the eye is sharply lifted and looks harsh, performing outer corner lowering and revision for the back corner together can improve the red tissue scar at the back and change the overall image to a gentler one.

If you can create double eyelids, you can also remove them. Double eyelids are formed by adhesion between the levator palpebrae superioris muscle, which opens the eyes, and the tissue beneath the skin in the double eyelid line area. Therefore, if this adhesion is carefully released and re-adhesion is prevented, the double eyelid can be removed. Whether the crease is a natural one or a surgically created one, the principle of how it forms is the same, so the principle of removing it is the same as well. Wrinkles that form in multiple layers can also be corrected with the same principle, and after removing the double eyelid, the heavy-looking eye shape often changes to a more natural and neat impression.

More important than whether there is a double eyelid or not is the strength of eye opening, meaning the degree to which the pupil is exposed. It is not just about the crease itself; if the levator palpebrae superioris muscle is weak or the muscle has stretched, the eyes may appear less open. When this condition becomes severe, it is called ptosis. Ptosis can appear on one side or both sides differently, and the severity can range from severe to mild. Since asymmetry in eye size disrupts facial balance, it is better to regulate eye-opening strength through eye correction surgery and make both eyes as similar as possible.

These surgeries are all included within the broad category of double eyelid surgery, and from the same perspective, double eyelid surgery is not simply eye cosmetic surgery, but a range of methods that reconstruct the shape and condition of the eyes as needed. In addition, there are various eye surgeries depending on the condition of each person’s eyes, so if you want a more in-depth and detailed consultation about your own eyes, we recommend visiting the clinic and consulting with the doctor. Lari Plastic Surgery, based on extensive experience and a wide range of cases, has the doctor personally examine the patient’s eyes and recommends only the surgeries that are truly necessary, without unnecessary overtreatment.