Large Double Eyelids, High Double Eyelids, High Fold (Part 1: The Beginning of Disaster)

Hello!

I am Kim Seong-hoon, a board-certified plastic surgeon and facial designer.

Today, I will discuss ‘large double eyelids,’ ‘high double eyelids,’ and ‘high fold.’

Many clients who visit us often say, ‘Please make my double eyelids big.’ However, in most cases, large or high double eyelids (high fold) are the beginning of disaster. In Part 1, we will explore why it's the beginning of disaster, and in Part 2, we will look at good ways to naturally create larger double eyelids without complications.

First, let me explain why high double eyelids are the beginning of disaster.

1) Strain on eyelid function / Aesthetic disadvantage

Let me explain by first showing a cross-section of the eyelid.

Unlike Westerners, East Asians often have less developed eye-opening muscles and thicker, heavier eyelids to lift, which is why many have monolids or faint inner double eyelids. Since it's already difficult to open the eyes, creating ‘large double eyelids’ or ‘high double eyelids’ places an even greater burden on the eye-opening muscles.

In other words, excessively high double eyelids strain the function of the eyelids. Furthermore, aesthetically, they can lead to undesirable results such as appearing sleepy or tired.

2) Double eyelids become distorted due to asymmetrical skin sagging

Everyone experiences aging over time. If you have double eyelid surgery at 20, changes due to aging will certainly occur by 30. At this point, because skin sagging is slower near the front (nose) and more pronounced near the back (temple), the double eyelid becomes a triangular, distorted shape.

3) Surgical correction is not easy.

You might ask if the double eyelid can simply be lowered, but surgery to lower the double eyelid height is not easy. The reason is that adhesion (scarring) from the existing double eyelid line interferes with the new double eyelid. There are even academic papers on how to successfully lower high double eyelids, which proves how challenging it is.

This is a schematic diagram of lowering the double eyelid line. The key is to prevent re-adhesion of the existing double eyelid line's adhesion (scar) from interfering with the newly created double eyelid, but the results are not always guaranteed to be good.

The photo above is a successful case published in a paper. By lowering the double eyelid line, the eyes became larger and returned to a much more natural appearance. However, even with successful surgery, existing scars inevitably remain. No one knows when the existing scar might re-adhere and become multiple folds (triple fold, quadruple fold, pinched line).

To summarize:

1) Strain on eyelid function / Aesthetic disadvantage

2) Double eyelids become distorted due to asymmetrical skin sagging

3) Surgical correction is not easy.

For these reasons, high double eyelids are referred to as ‘the beginning of disaster.’

In Part 2, I will discuss good ways to naturally create larger double eyelids without complications.

I will always strive to be a plastic surgeon who is honest and does not exaggerate.

Thank you.

Hello!

I'm Korean plastic surgeon ‘Severus Kim’ also called ‘Seonghun Kim’.

Today I would like to talk about ‘High double fold of upper eyelid’. Many patients who visit my office for double fold surgery want to have big & high double fold. But high fold is the ‘beginning of disaster’. Because high fold loads intensive work to eye opening muscle. It can result in ptosis & sad or tired looking. After surgery aging process make fold line thrawart. Furthermore, high fold reduction surgery is very skillful and the result is not being satisfactory as patient expected.

Next clipping is about how to make big double fold without high fold.

If you have any question about plastic surgery, contact me anytime, please!

http://www.ksh-ps.com/index.php

ps-severus@naver.com