The double eyelid

What is double eyelid surgery?

Although the eyelid is very thin, various tissues (skin, muscle, fat, eyelahes, the conjunctiva) are composed in it. The elevator muscles are the ones that help open the eyes and it is usually attached to the eyelid board. The parts of the muscle tissues are attached to the back of the skin of the eyelid and the skin attached is raised, then a double eyelid is made.
For most Westerners, parts of the elevator muscle of the upper eyelid are attached to the back skin, While for Asians, it is not and the natural double eyelid is rare. Typical Asian eyes have no double eyelid, but a small height with strong tension of Mongolian folds. So this makes the eyes look stuffy compared with the eyes of the Westerner’s eyes.
There are three general methods, the complete incision method (incision), partly cutting (partial incision), and cutting for only the needle to enter(buried suture method). From any among them, we must connect a part of the elevator muscle of the upper eyelid to the eyelid. There are merits and demerits respectively and it should be determined by enough consultation through considering the length and size of the eyes, thickness of the skin, power to open eyes, quantity of fat, Mongolian folds and so on. Recently, the complex operation, Magic epicanthoplasty combined with double eyelid surgery, dramatically improves the Mongolian folds and connects the eyelid with the levator muscle of the upper eyelid. This must be the fundamental step for plastic surgery of the eyes. If considering the correlation between the Mongolian fold and the double eyelid, it can make effective and dramatic results. 

Examples) Structural double eyelid surgery combined with the Magic epicanthoplasty and double eyelid surgery

Anatomical elements when forming a double eyelid

The principles when forming a double eyelid is determined by whether the muscle pulling up eyelid is raised by holding skin at the same time. For Westerners, the muscle raising the eyelid holds the skin and the skin is raised as they open their eyes and forms a double eyelid.

While for Asians, most have no connection between the muscle and the skin and also, the thick fat and the muscle raising the skin is blocked. Therefore, a double eyelid operation creates not only this connection, but also eliminates the Mongolian fold, muscle, or the fat of eyes and finally creates beautiful eyes. 

Structural factors for a beautiful eyelid are needed when :

>The width of the eyes is long and the tails of the eyes are not so pointed upwards.

>The distance between the eyes and eyebrow is not to be short.

>The skin of the eyelid is tense and not hung down.

>The eyelid skin is thin

>Proper amount of fat exists but not too much.

>There’s no severe existence of the Mongolian fold.

>The function of the muscle to open the eyes is normal and the exposure of pupil is good.

>Both eyes are symmetric

>The position of the eyebrow is not hung down and is symmetric.

* In cases where a lot of these conditions are satisfied, the operation can give you very good results without any difficulties. But actually, most of cases are not like that. If you don’t meet any or only a few of these conditions, there may be a chance that undesirable results may be shown.

Functional meaning of a double eyelid in respect of having a field of vision

A single eyelid of Asians is likely to cover a pupil and when it is severe, eyelashes can prickle the pupil and it can cause visual obstructions. And because of this, patients take the forehead lifting actions, but this in fact causes wrinkled forehead to appear. In this case, a double eyelid incision removing parts of an eyelid and forming a double eyelid and extending exposure or pupil, will brighten the patients’ vision.
Therefore, a double eyelid has an important effect to create a better vision as the basic function of the eyes. After the operation the eyes are expressed as more clear and bright.

Examples) An excisional double eyelid surgery has an important effect on providing a better vision (exposure of pupil)

 Examples) Cases showing depressed type of dark circle treated by dual plane fat graft.

 Examples) Forming an inner type of double eyelid and increased exposure of pupil by ptosis correction and a double eyelid surgery. After surgery, the position of eyebrow previously lifted has been brought down significantly.

Examples) Forming an parallel type of double eyelid and increased exposure of pupil by ptosis correction and double eyelid surgery.

Teuims complex enlargement surgery.

If your eyes are small, or if you are a person who wants to extend and enlarge your eyes, a complex operation with the Magic epicanthoplasty, lateral canthoplasty, eye enlargement and an extension of the height of your eyes can help your eyes dramatically.

Examples) Magic epicanthoplasty combined with an excisional double eyelid surgery and lateral canthoplasty

Examples) Magic epicanthoplasty combined with an excisional double eyelid surgery and lateral canthoplasty

 Teuim  Aesthetic plastic surgical clinic - Dr.Kwon

 http://english.teuimps.co.kr