Eyes - SM Plastic Surgery

Broadly, they divide into double-eyelid surgery (buried suture, natural adhesion, incision), ptosis correction, canthoplasty (medial, lateral, lower), under-eye surgery (lower blepharoplasty, fat repositioning) and revision. Which suits varies with the lid, the strength of eye opening and what you want to improve, so the decision follows a detailed assessment.

Where the lid is thin with little fat, the buried-suture method — fixing with thread, no incision — suits; where the lid is thick or fat and skin sag, the incisional method, which refines before fixing the line, suits better. The natural adhesion method (partial incision) sits between the two, and the method is chosen after examining the eye.

Double-eyelid surgery makes the crease; ptosis correction adjusts the strength of the levator so the eye opens more clearly. Where ptosis with weak eye opening is present, a crease alone rarely brings a clear eye area, so ptosis correction is considered alongside.

The inner line is designed low and narrow for a restrained, natural eye area; the outer line high and wide for a clear, open one seen from the front. Which line suits varies with lid thickness, the distance between brow and eye and the strength of eye opening, so it is designed around facial proportion.

Double-eyelid surgery, ptosis correction and canthoplasty are sometimes performed together, depending on the eye. Whether to combine varies with the lid and the goal, so the necessary extent is decided through careful consultation.