The Differences Between Eyelid Surgery and Double Eyelid Surgery, and the Limitations of Non-Incisional Methods

Non-incision double eyelid surgery is often misunderstood as “surgery to make the eyes bigger,” which causes a lot of confusion during the consultation stage.

It is very important to distinguish between the concepts, as it can lead to unnecessary correction, especially if recommended even when the eye opening ability is normal.

Double eyelid surgery and eye correction are completely different surgeries.

Double eyelid surgery is a method of making the eyelid skin fold to make the eyes appear larger.

On the other hand, eye correction is a surgery that strengthens the eye opening power in cases where the eye opening power is weak.

in other words,

• Making small eyes look bigger

• What actually strengthens the power of opening one's eyes

These two concepts have structurally different purposes.

Why Non-Incisional Eyelid Surgery is Easy to Perform

Non-incision double eyelid surgery involves folding the Miller muscle from the inside and tying it with thread without making an incision.

However, because the eye is an organ that moves repeatedly, the structure that binds it can be affected by the movement.

Additionally, there is a limitation that long-term maintenance is difficult due to the presence of inter-organizational volume resistance.

This can cause disorientation during repetitive eye movements.

When unnecessary non-incisional double eyelid surgery is a problem

1) Risk of overcorrection when eye opening power is normal

If you have normal eye opening ability and undergo eye correction, side effects such as headaches and dizziness may occur due to overcorrection.

In particular, patients with pseudoptosis often have skin and fat covering their eyes, making them appear smaller than they actually are, which can lead to unnecessary correction.

2) Confusion between pseudoptosis and true ptosis

Self-diagnosis using the forehead can be difficult to distinguish between pseudoptosis and true ptosis.

An accurate assessment should be made by lifting the eyelid skin and checking how much of the pupil is covered.

The exposure of the beginning of the eyelashes and the degree to which the pupils are covered are important criteria for judgment.

3) Structural limitations of surgery for the purpose of enlarging the double eyelid

Some surgical methods

• How to remove only the skin without creating adhesions

• Method of folding and tying only the Miller muscle

The back is also used.

In this case, problems such as scar exposure, minimal effect, and loosening may occur, and there are cases where it leads to reoperation.

When is Non-Incisional Eyelid Surgery Necessary?

The key criterion is “whether or not there is true ptosis.”

If the ability to open the eyes is normal, eye correction itself may not be necessary, and may only result in the possibility of overcorrection side effects.

Additionally, for patients with true ptosis, incisional blepharoplasty may be a more effective option than the non-incisional method, which is more prone to loosening.

The reason why opinions on the necessity of eye correction differ greatly from hospital to hospital is often due to differences in diagnostic criteria.

Therefore, rather than simply approaching it with the goal of “making the eyes look bigger,” it is important to determine the need for surgery based on an accurate diagnosis.

By looking at actual consultation cases and comparing them to your own eye condition, your selection criteria often become clearer.

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