Abstract
Background
Korean males and a few females desire to have larger eyes; however, they often wish to enlarge their eyes and conceal their double eyelids. This paper attempts to describe how to make the eyes bigger and brighter without showing double-fold eyelids.
Methods
The authors performed cosmetic ptosis correction in 121 cases from April 2013 to December 2017. All patients enrolled in this retrospective study underwent surgical procedures at the author’s institutions. Patients were included that had mild-to-moderate degrees of ptosis and levator function greater than 5 mm, ages greater than 16 years, and no prior ptosis surgery.
Results
A successful outcome was achieved with this surgical approach in 113 (93.4%) patients. Complications potentially associated with ptosis surgery were not observed.
Discussion
A refined method of preoperative evaluation for incisional ptosis correction to conceal a double fold with no visible signs of surgery is described. Ptosis correction without the formation of double eyelids will result in skin hooding and visible scarring, and thus, it is recommended to lower the height of the double eyelids. The lower height of double eyelids can cover the incisional scar and make it appear there are no double eyelids.
Level of Evidence IV
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
Similar content being viewed by others
References
Kim CY, Lee SY (2015) Distinct features in Koreans with involutional blepharoptosis. Plast Reconstr Surg 135:1693–1699
Fox SA (1980) Surgery of ptosis. Arch Ophthalmol 98:186
Hsu AK, Jen A (2012) Estimation of skin removal in aging Asian blepharoplasty. Laryngoscope 122:762–766
Maegawa J et al (2012) Blepharoplasty in senile blepharoptosis: preoperative measurements and design. Aesthet Surg J 32(4):441–446
Hong SP, Song SY, Cho IC (2014) Under-through levator complex plication for correction of mild to moderate congenital ptosis. Ophthal Plast Reconstr Surg 30:468–472
Few J, Ellis M (2013) Blepharoplasty. In: Neligan PC (ed) Plastic surgery, 3rd edn. Elsevier, London, pp 108–137
Shields M, Putterman A (2003) Blepharoptosis correction. Curr Opin Otolaryngol Head Neck Surg 11:261–266
Cho IC (2013) Aging blepharoplasty. Arch Plast Surg 40:486–491
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors have no conflicts of interest to disclose.
Ethical Approval
The study protocol was approved by the institutional review board (IRB) of our institution (Approval No.: KUGH 15091-001). This study was performed in accordance with the Declaration of Helsinki.
Electronic supplementary material
Below is the link to the electronic supplementary material.
The preoperative marking of the patient
Rights and permissions
About this article
Cite this article
Lee, TY., Kim, KB. & Choi, Di. Incisional Ptosis Correction with Hidden Double Fold in Asian Patients. Aesth Plast Surg 43, 133–138 (2019). https://doi.org/10.1007/s00266-018-1214-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00266-018-1214-y