I want to write up a topic I presented at the Korean Society for Aesthetic Plastic Surgery (KSAPS) meeting in April 2019.
The official title was "Reducing Complications in Double-Eyelid Surgery," with a focus on multiple upper eyelid creases.
I am only now getting around to summarizing what I presented in April.
I structured the talk around three plans.
Pre-operative, intra-operative, and post-operative strategies for minimizing complications.
For triple folds in particular, prevention is divided into the same three phases.
When the patient already has multiple upper eyelid creases before surgery, primary double-eyelid surgery, with or without ptosis correction, generally resolves it.
Sometimes ptosis correction alone can also improve both the triple-fold appearance and the upper-lid hollow.
For this patient, I added fat grafting at the same time.
When upper-lid hollowing is severe, more substantial fat grafting may be needed, and in some cases I use a dermofat graft.
When triple folds appear after surgery, the underlying issue is usually a recurrence of ptosis or loosening of the original double-eyelid fixation.
A clean re-do operation handles it.
This is the title slide of the presentation.
And this is Brian Mendelson, the well-known plastic surgeon from Australia.
