Do Teenagers Need Incisional Ptosis Correction? | How to Create Permanent Double Eyelids for Thick, Fatty Eyes by Dr. Young-moon Yoo of Vibe Plastic Surgery

Hello.

I am Dr. Young-moon Yoo, Director of Vibe Plastic Surgery.

When consulting for eye surgery, there is a question I hear most frequently from teenage students and their parents.

‘Since they are still young, shouldn’t we go with the non-incisional method?’ ‘Isn’t the incisional method something you do later in life?’

Many people believe that 👉 ‘Young age equals non-incisional method,’ but that is not actually the case.

Today, I will explain in detail why incisional ptosis correction was necessary through a case study of a teenager with ‘very thick skin, high fat content, and sagging eyelids.’

🔎 Pre-operative Eye Condition

Although the patient was a female in her teens, her eye conditions were more complex than expected.

✔ Very thick eyelid skin

✔ High amount of eyelid fat

✔ Weak eye-opening strength (levator muscle weakness)

✔ Accompanied by eyelid sagging

While it may look like a simple monolid, these were actually 👉 conditions where the line is very likely to loosen.

In such cases, if a non-incisional method is used, there is a very high probability of revision surgery within a few months to a year.

❗ Non-incisional is not always better just because you are a teenager

Non-incisional methods (suture method, natural adhesion, etc.) have advantages such as:

✔ Almost no scarring

✔ Fast recovery

✔ Simple procedure

However, these become disadvantages for the following types of eyes:

• Eyes with thick skin
• Eyes with a lot of fat
• Eyes with sagging
• Eyes with weak opening strength
• Eyes where the line frequently loosens

In these cases, a pattern of ‘non-incisional method → loosening → revision surgery’ is likely to repeat.

For students in particular, revision surgery can be a significant psychological stressor.

That is why I believe it is more important to 👉 create a ‘structure that does not loosen’ from the very beginning.

🔧 Surgical Method

This case was performed using ‘Incisional Ptosis Correction + Fat Removal + Double Eyelid Fixation.’

Procedure Details:

1️⃣ Removal of thick skin and unnecessary fat through an incision

2️⃣ Strengthening the eye-opening muscle through ptosis correction

3️⃣ Improving sagging eyelids

4️⃣ Firmly fixing a clear line

This is not just a surgery to ‘create a line,’ but a surgery to 👉 improve the structure of the eye itself.

💡 Why Ptosis Correction was Essential

This patient had a habit of using her forehead muscles when opening her eyes.

In such cases, problems occur such as:

• A sleepy appearance
• Eyes looking smaller
• Double eyelid line being covered
• Easy loosening of the fold

After Ptosis Correction:

✔ Improved eye-opening strength

✔ Clearer pupil exposure

✔ Improved sleepy appearance

✔ Reduced risk of line loosening

✔ The entire impression becomes vivid

In short, it is a surgery that improves both function and aesthetics simultaneously.

✨ Post-operative Changes

✔ From stuffy eyes → to cool and clear eyes

✔ From thick eyelids → to a slim line

✔ From a sleepy look → to vibrant eyes

✔ Stable double eyelids with no worry of loosening

This was a case where parental satisfaction was particularly high.

I often hear comments like, ‘I’m glad we went with the incision,’ or ‘The eyes look much larger and clearer.’

🔹 Cases where Incisional Ptosis Correction is needed even for teenagers

✔ Eyes with thick skin

✔ Eyes with a lot of fat

✔ Cases with eyelid sagging

✔ Sleepy eyes/weak eye-opening strength

✔ Cases where the suture method has loosened multiple times

✔ Those who want a definitive and long-lasting line

Under these conditions, the structure of the eye is a more important criterion for judgment than age.

📌 Dr. Young-moon Yoo’s Principles of Eye Surgery

Eye surgery is not about ‘which method is trendy,’ but rather 👉 ‘is this the right method for my eyes.’

Even for a teenager, if it is structurally necessary, the incisional method is the answer; if the conditions are right, the non-incisional method is the answer.

Vibe Plastic Surgery designs with the priority of a successful first surgery without revisions and stable results.