For upper blepharoplasty, the following procedures are performed after consultation with the patient.
- Double Eyelid Surgery - Suture method
- Double Eyelid Surgery - Incision method
- Incision - Medial Epicanthoplasty
- Sagging Upper Eyelid
Upper Eyelid Incision
Sub-brow Lift
Temporal Lift
Forehead Lift, Brow Lift
Double Eyelid Surgery
Suture method
Double eyelid surgery is performed with a needle thread without cutting away the skin
In the suture method, the skin is incised just enough to allow the needle hole to pass through and a needle thread is used to create a double fold by passing the thread through the back of the eyelid, the levator muscle, and the skin and tying it. This double eyelid surgery is less invasive than the incision method, which involves cutting through the skin and manipulating the tissue inside the eyelid and has a shorter operative time and downtime. Since no large incisions are made with a scalpel, scars are less noticeable. We prefer to use the three-point fixation method with surgical threads for implantation.
We design the desired double eyelids folds in consultation with the patient. In cases where the overhang of the mongolian folds is strong, we may recommend a combined use of an eyelid incision.
Double Eyelid Surgery
Incision method
When implantation is performed on a patient with a weak elevator muscle, the double fold may not follow the movement of the eye, resulting in an unnatural eyelid appearance. In addition, the threads may gradually loosen after implantation, blurring the double-lid line. For these patients, we recommend incisional double-lid surgery. Our incisional double-layer surgery is a surgical procedure in which a skin excision is made at the desired double-layer line, and the orbital fat barrier protecting the eyeball is incised and inverted and sewn to the upper eyelid muscles and skin to form a natural double-layer when the eyelid is opened. If the eye opening is not expected to improve after incision of the septa, an additional blepharoplasty may be suggested. In cases where the overhang of the mongolian folds is strong, a blepharoplasty may be recommended.
Progress
For incisions, stitches are removed one week after surgery. The patient will come to the hospital the day after surgery for wound care and to check the wound. Postoperative swelling is often strong until the time of suture removal. After that, the swelling will improve over the next month. Because the skin of the eyelid is very thin, swelling may persist for several months in rare cases. The procedure is completed approximately six months after surgery.
Incision
Medial Epicanthoplasty
If the overhang of the mongolian folds is strong and obstructive to the formation of a double fold, we recommend an incision at the inner corner of the eye (internal eye angle formation). In this incision, the overhanging Mongolian folds are incised like a skin valve and moved toward the nasal side. The inner skin is moved to the nasal side to increase the size of the eye opening and to make the double line look more beautiful. The size of the skin valve is used to adjust the opening of the eye. If too large, the scar may be noticeable.
Sagging Upper Eyelid
This is a surgical procedure to improve sagging by excising the upper eyelid skin that is heavily covered by aging.
There are 4areas to remove the skin
1. Upper Eyelid Incision where incision is made by the folds
2. Sub-brow Lift where skin is removed from under the eyebrows
3. Temporal Lift where skin is removed from the temple area
4. Forehead lift and blow lift with skin incision within the hair of the head
1.Upper Eyelid Incision
This is a method of excision of the upper eyelid skin at the eyelid line. This is often indicated when there is a large amount of excess skin, mainly on the temporal side of the eye. Ptosis surgery may be recommended when the muscles to raise the eyelid are diminished.
2.Sub-brow Lift
In cases with thick, heavy eyelids and a large amount of excess skin on the outside, a lower brow incision can improve sagging of the upper eyelid. In addition to excision of the lower brow skin, manipulation of the orbital fat and orbicularis oculi muscle may be expected to improve mild ptosis. Since the lower brow incision does not involve any surgical manipulation of the double eyelid line, sagging can be corrected without altering the original double fold.
3.Temporal Lift
This surgery improves the sagging of the outer corner of the eye by incising the skin at the temple hairline and pulling the facial fascia (SMAS). This procedure is effective for improving sagging skin at the temples that has not been improved by upper eyelid dermabrasion or submental incision.
4.Forehead Lift, Brow Lift
This surgery is performed by incising the skin within the hair of the head and endoscopically detaching the subcutaneous tissue to elevate the forehead area, thereby elevating the eyebrows and improving the sagging of the upper eyelids.