The surgery takes place under local anesthesia, with or without oral sedatives. The duration of the surgery is approximately 60 minutes. The skin stitches will be removed 4-6 days after the surgery at our office. The critical swelling will subside in 1 week, and the remaining swelling will gradually subside over the next 8-12 weeks.
Dynamic Open Technique
The open, or incisional, technique is a very common operation performed on many patients, mainly due to its traditional methods, as well as its compatibility to a wide range of patients. There are two reasons a patient may undergo the open technique double eyelid surgery. The first reason is that a patient may have excess upper eyelid hooding, or very thick-skinned eyelids. The second reason is that he or she may have inadequate eye elevating muscle function, such that a suture technique would not hold the crease effectively. The open technique has made several landmark advancements very recently, all of which were absent in the traditional technique.
About Dynamic Open Technique
This understanding, combined with his aesthetic sensibility on the features that best complement his patients, has enabled Dr. Kim to produce eyes that appear natural and elegant with the new open technique.
TARSAL FIXATION (LOW FOLD FIXATION)
This earlier technique involved suture fixations to the tarsus. The tarsus is a cartilage located between the levator aponeurosis and the eyelashes. As a cartilage, the tarsus is rigid unlike a muscle, and lacks elasticity that is required for a dynamic eyelid crease. Therefore, placement of fixations on the tarsus was problematic as the crease appeared static and unnatural. Static folds are constant and visible even when the eyes are closed; they lack the dynamic eyelid fold movement where the fold forms when the eyes open and becomes relatively faint as the eyes close. Tarsal fixation was the first incisional double eyelid method used due to the simplicity and ease of making a fold. Unfortunately, because of the ease of this technique, it is still being performed despite its unsatisfactory results.