Approaches to Double Eyelid Surgery with Ptosis Correction
SUTURE TECHNIQUE
For younger patients or those with only mild cases of ptosis, Dr. Kim can avoid other more invasive techniques through a complex suturing technique that is performed on the underside of the eyelid, the conjunctiva.
This incision-free procedure uses a carefully calibrated continuous suture that runs underneath the skin, connecting the tissues to create a fold in the skin and muscle. By creating this tuck, excess skin is tightened, and the muscle is shortened, allowing the eyelid to open wider. (2) This procedure is popular among our younger patients who don’t need large amounts of extra skin or fat removed. It also features a shorter recovery time. However, this technique is not appropriate for all patients.
OPEN TECHNIQUE
Also known as an incisional technique, this approach has longer-lasting, more dramatic results. This allows for the ability to reinforce the muscles that open and close the upper eyelid as well as to create a double eyelid crease. This approach is recommended for patients with more severe cases of ptosis. Dr. Kim will make an incision that follows the contour of the lash line at the desired crease height. Excess skin and fatty tissue can be removed, and he can have direct access to the muscles and connective tissue in order to improve the function of the eyelid. (3)
When performing an incisional blepharoplasty, Dr. Kim is able to employ techniques that result in less tissue injury than other commonly used blepharoplasty techniques. While other approaches involve the separation of the delicate muscles that open the eyelid, Dr. Kim and his team have spent many years developing groundbreaking surgical approaches that in fact reinforce and strengthen the entire sheath of muscles that pulls the eyelid upwards. Carefully placed plication sutures secure the muscular tissue to the surrounding connective tissue for a wider-opening eyelid. (4)
The incised skin is then sutured strategically in relation to the underlying tendon and cartilage, creating the desired crease.
By using strategic incision and/or suturing techniques, double eyelid surgery can reduce ptosis and form a permanent fold above the upper eyelid, creating the appearance of bigger, more defined eyes. Dr. Kenneth Kim of Dream Medical Group specializes in this procedure and has given patients in Seoul and Beverly Hills a more youthful-looking pair of eyes, and a wider field of vision.