[18-year-old Female Eye Surgery] Simple Double Eyelid Surgery Alone Can Look Unnatural – A Case Requiring Ptosis Correction + Epicanthoplasty

I thought I would become prettier with just double eyelids. But…

An 18-year-old female patient visited our clinic, desiring double eyelid surgery.

Initially, she planned for a simple buried suture double eyelid surgery, but upon examination, the situation was different.

🔍 Examination Results

Her eyelid skin was thick,

She had a lot of eyelid fat, and

Her levator muscle strength (the muscle that lifts the eyelid) was very weak.

In particular, she had a habit of raising her forehead and eyebrows significantly when opening her eyes, which led to deep forehead wrinkles, a typical symptom of ptosis.

Additionally, her epicanthal folds were well-developed, causing the double eyelid line to appear obstructed at the inner corner.

🛠️ Surgical Plan

Incisional ptosis correction

Epicanthoplasty was also performed.

The total surgery time was approximately 2 hours, and careful adjustment was particularly needed to match the asymmetry between the left and right eyes.

After the surgery, the patient was satisfied, and we were able to achieve a clearer and more natural eye shape.

💡 Specialist Tip

Many people who plan double eyelid surgery simply think, ‘I’ll look prettier if I just create a line,’ but overlooking the structural or functional issues of the eyes can lead to unnatural and awkward results.

Especially in cases with weak eye-opening strength (ptosis), epicanthal folds, or asymmetry, an accurate diagnosis and a comprehensive surgical plan are essential.

👩‍⚕️ We recommend thorough consultation with a board-certified plastic surgeon to create the most natural and harmonious eye shape.

True beauty in eye surgery comes not from a simple line, but from considering overall harmony and function.

Faceplus Plastic Surgery

02 541 8500

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Frequently Asked Questions

Can simple double eyelid surgery alone create beautiful eyes?

No, not always. Overlooking the structural or functional issues of the eyes can lead to unnatural or awkward results. Therefore, it is crucial to consult with a specialist for an accurate diagnosis and a comprehensive surgical plan.

What is ptosis?

Ptosis is a condition where the eyelid droops due to weak eye-opening strength (the muscle that lifts the eyelid). This often leads to a habit of raising the forehead and eyebrows significantly when opening the eyes, which can result in deeper forehead wrinkles.

What problems can arise during double eyelid surgery if epicanthal folds are present?

If epicanthal folds are well-developed, the double eyelid line may appear obstructed at the inner corner, leading to unnatural results. Therefore, if you have epicanthal folds, it is advisable to consider epicanthoplasty along with double eyelid surgery.

How long does eye surgery usually take?

In this case, incisional ptosis correction and epicanthoplasty were performed together, taking approximately 2 hours in total. The duration may vary depending on the specific surgical procedures.

Are there any tips for achieving natural results after eye surgery?

Yes, there are. It is essential not just to create a line, but to accurately diagnose structural and functional issues such as eye-opening strength, epicanthal folds, and asymmetry, and to develop a comprehensive surgical plan. This is crucial for creating a natural and harmonious eye shape.