These slides are from a talk I gave on hidden double-fold ptosis correction in male patients at the Korean Society for Aesthetic Plastic Surgery (KSAPS) meeting in April 2017. More men, and certain women as well, want a bigger, more open eye without a visible double-eyelid crease. But here is the key point: a no-fold appearance does not actually mean we eliminate the fold.
This patient had surgery elsewhere. To avoid creating a visible crease, the previous surgeon excised a large amount of skin. The result is lagophthalmos, or incomplete eye closure.
In the next photo the eye does close, but the contour is uneven and choppy.
There is a heavy, hooded look that does not feel right. The technique I use creates the shape you see below: the crease is tucked down inside the lid where it stays hidden.
Where women typically want a visible fold, like this,
for men we hide the fold under the lid skin so it stays out of view. This material is
from my presentation at the Korean Society for Aesthetic Plastic Surgery on April 2, 2017.
The talk became the basis for the SCI paper published in Aesthetic Plastic Surgery (the ASAPS journal) in September 2018.
I will write up a separate post on the published paper.