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Today we'd like to look at various cases of lowering the double-eyelid line, which is done when overcorrection occurs after eye-shape (ptosis) correction.
Since we'll be covering several different cases today,
we've put this together in the hope that it will help those who fall into these categories.
The photos below have had no retouching whatsoever,
aside from brightness adjustment :)
In this patient's case, the existing double-eyelid line sits high and looks wrinkled.
As you can see, the double eyelid also appears to have slightly come undone, and the line is very high.
This is a case where the line was lowered like this.
In this patient's case, the line was lowered using the scar-preserving high fold correction.
If you look at the pre-op photo with the eyes closed, the existing scar is up here,
when we lower the line, we commonly set the new line below,
and then, after trimming some of the tissue between the skin scars in the upper part,
lowering the line this way is the best method,
but when done this way, the line often does not come down very much.
For example, in cases where the line is very high like this patient's, if you cut all of this out (the yellow area),
side effects may occur, such as the eyes not closing, or severe lifting of the eyelashes and mucous membrane,
or the double eyelid not coming down; because there are various such possibilities,
this patient underwent line lowering that preserves the existing scar,
the scar-preserving high fold correction, the method commonly known as the "two-line" technique.
As a result, the existing scar cannot be removed.
You can find a detailed explanation of the scar-preserving high fold correction in the post below.
https://blog.naver.com/knsy8889/222666326745
This structure means the existing scar inevitably shows above the new line,
but when the eyes are open, the scar is not very visible.
It only shows faintly when the eyes are closed.
People often ask about this scar,
and the more severe the scar is, the more the upper part of it can appear to protrude slightly,
in some cases.
When the scar was not severe to begin with and the skin is thin,
it tends to smooth out somewhat,
but when the skin is thick and the existing scar was somewhat hard,
a slight protrusion at the top may be visible.
In this patient's case, the double-eyelid line was too high,
giving a 'sausage' look.
These are the before and roughly six-months-after photos.
The line was very high at the front as well, giving a sausage look,
so the lower line was lowered as much as possible,
to make it look more natural.
When the eyes are closed, you can see the existing scar in this way,
with the upper part depressed,
and the scar at the front of the right eye in the photo is especially hard to remove.
We smooth out the tissue in this area from the inside as much as possible,
but the scar does not disappear.
The part that protruded before surgery can still be seen remaining if you look closely after surgery,
but when the eyes are open, that scar is not visible.
This patient's line itself was high, with asymmetry and a slightly sleepy look.
Because there was mild ptosis,
this is a case where eye-shape (ptosis) correction was done to make the eyes clearer and the line was lowered.
When the double eyelid is thick, even eye-shape correction alone has the effect of slightly lowering the line.
When the eyes are opened a bit drowsily the double eyelid looks thick, and if you then put strength into the eyes,
the eyes get bigger; this principle is used, and by using it to make the eyes clearer,
there is also an effect of the line becoming lower,
but if you want to lower it even more than that, you can perform the scar-preserving high fold correction mentioned earlier,
or excise the scar; such methods can be performed.
This is how it looks six months after double-eyelid line lowering surgery.
In this patient's case, the line was very high,
and there was ptosis, so eye-shape (ptosis) correction was done together.
This patient also underwent the scar-preserving high fold correction.
Looking at the front of the eye in the pre-op photo, there was a depressed scar like this, and it will never disappear.
But we make every effort to smooth it out as much as possible so that it improves.
Still, this scar does not disappear.
This patient was a complex, combined case:
the degree of eye opening was asymmetric on both sides, there was a multiple-fold (double-crease) eyelid in the upper part,
and the mucous membrane was significantly lifted as well.
The line was then lowered like this, and if you look closely, before surgery there was, at the front,
a depressed scar like this; as mentioned earlier with the other cases,
a depressed scar at the front does not disappear.
This does not improve with time, so it's something you should be well aware of,
and you should not undergo a surgery that leaves it dented like this in the first place.
This is extremely difficult to improve.
Regarding double-eyelid line lowering,
you can find more detailed information in the video below.
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