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Today, to help answer your questions about double eyelid surgery,
we've prepared a post that gathers and answers the questions we hear most often about double eyelid surgery.
If you have any further questions about double eyelid surgery, feel free to leave them on the Gangnam Seoyon Naver Café :)
To avoid complications from eye surgery, there are things you should know —
and we'll walk you through these 9 points.
First, the double eyelid line should not be too high.
The higher the line, the more it takes on a 'sausage' look.
A high line can cause several problems.
First, a 'sausage' bulge can form, and multiple folds may appear along the incision line, below the double eyelid line.
A higher line can also make the eyes look sleepy.
That said, a high line doesn't always produce a 'sausage' look.
Even a low line can look like a 'sausage' if the skin itself is thick.
You might tense your eyes during surgery, but don't worry.
Some people frown when the anesthesia is given, and taking that into account,
we give the injection first, and once it no longer hurts, most people stop tensing their eyes.
That said, the surgery is not performed under full sleep sedation.
Of course, the approach differs from doctor to doctor, but at Gangnam Seoyon, during the surgery
you need to open and close your eyes, and sometimes sit up to check, so the surgery is done while you are conscious.
Instead, we can use light sleep sedation only during the eye injections to make it less painful.
As a rule, when the original surgery was done by the incision method, we generally perform revision surgery by incision as well.
Of course, there are cases where revision by the buried-suture (non-incision) method is possible, but we don't recommend it.
The buried-suture method requires the tissue to be soft.
If you want revision by the buried-suture method after an incision surgery, it's fine as long as the scarring isn't severe,
but the more severe the scarring, the more the line can look pinched and uneven, or it may come undone over time.
So for revision after an incision surgery, we usually recommend the incision method again.
First, in a normal eye, the eyelid should cover about 1–2 mm of the iris.
If it droops further than that, this can be called ptosis.
Ptosis can be divided into pseudo-ptosis and true ptosis.
Pseudo-ptosis refers to a case where the eye is actually large but skin has drooped over it.
With true ptosis, however, the eyes look small even when you raise your forehead.
Such patients have true ptosis and may need procedures such as eye-shape (ptosis) correction surgery.
There's a common misconception that eye-shape correction causes complications.
If everyone who had the surgery developed complications, the government would have banned it.
But that's not the case, is it?
Complications seem common because the few people who do experience them tend to write about it online.
People who experienced complications were understandably upset, and it's only natural that they would.
Reading these posts can create the mistaken impression that many people suffer complications.
Problems can arise when surgery is pushed too far, or when eye-shape correction is done on someone who didn't need it.
But usually, that's not the case.
If you feel a pulling sensation or develop headaches after eye-shape correction, it should be released quickly.
Releasing it right away usually resolves it, whereas releasing it later often doesn't help.
Double eyelid tape is essentially a type of glue, so it can damage the skin.
So if dermatitis develops and the skin becomes rough, it hardens and no longer folds.
And a double eyelid needs to be able to fold.
So if you're planning surgery, it's best to stop using the tape at least right up until the surgery.
Also, some people mistakenly believe that double eyelid tape makes the skin sag.
When the tape is applied, the skin folds and the eyes appear larger.
By contrast, when it's removed, the skin comes back down, which some people mistake for sagging.
However, double eyelid tape does not actually stretch the skin.
It can, though, cause atopic dermatitis or other skin inflammation, so those planning surgery are advised to avoid using it.
Yes, the result comes out very similar.
A number of variables can come into play, but the result usually turns out similar.
As for the variables — for example, in a case where eye-shape correction was done because of ptosis, over time
if the correction settles downward, the shape can change.
In most cases, the double eyelid line comes out just as planned before surgery.
Our eyes have a muscle called the orbicularis oculi.
Its name comes from the characters for 'eye' (眼) and 'ring/wheel' (輪).
It refers to the ring-shaped muscle that encircles the eye.
Its role is to contract and close the eye.
As long as the orbicularis oculi is intact, there's no problem closing the eyes.
Most of the time there's no issue, but if the orbicularis oculi is injured, the eyes may not close.
If facial paralysis occurs and the related muscles are paralyzed, the eyes may also fail to close.
Or if the orbicularis oculi is damaged, the eyes may not close either.
Independent of the orbicularis oculi, removing too much skin can also keep the eyes from closing.
In such cases, additional procedures such as a skin graft may be needed.
Double eyelid surgery has little to do with your eyesight.
However, astigmatism can occur right after surgery.
And because the eyes don't close well right after eye surgery, dry eye syndrome can develop.
This leads some people to mistakenly think their eyesight has worsened in the early stage.
In reality, though, double eyelid surgery has little bearing on eyesight.
If your eyesight really has declined, rather than blaming the eye surgery, it's best to visit an ophthalmologist for a diagnosis.
There may be another cause that simply happened to coincide in timing, leading you to mistakenly blame the surgery.
So you should be sure to see an ophthalmologist.
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For more on the eye surgery Q&A,
you can find more detailed information in the video below.
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