The 3D ST procedure involves Dream Medical Group’s most advanced non-incisional technique for creating a flawless double eyelid crease. The 3D ST procedure involves a novel suture technique that is part of the so-called “new generation” of suture techniques for its use of dynamic, biomechanically controlled technology. Prior to the improvements, the traditional suture method was often criticized for a couple reasons; it was often limited to patients with eyelids with thin skin or adequate strength in the eye elevating muscle, and sutures were frequently prone to loosening in the eyelid skin. Furthermore, the traditional method implemented very static, 2-dimensional methods which only gave control of where to place the crease. Obviously, every eye is unique in that it has its ideal type of crease – the height of the crease alone cannot achieve the best eye shape for a patient. In this sense, the new technique gives control over several other important factors that achieve a higher balance between one’s eyes and overall face shape.

The 3D ST procedure was devised and perfected after years of intense research conducted by Dr. Kim (Dream Medical Group’s Director of Technology and Scientific Advancement) and Seoul National University graduates of Dream Medical Group. Together, they analyzed the underlying eyelid tissue, and determined the maximum stress tolerable for each individual tissue. This method, coined VPM3 for Vector Per Millimeter3 as a scientific measuring unit for force per volume, contributed greatly to the 3D ST procedure. The 3D ST procedure is truly state-of-the-art, as it involves an unprecedented engineering application and sound scientific analysis. Furthermore, it uses minimally invasive operations to avoid visible scarring, per tradition of Dr. Kim and other members of Dream Medical Group.

It has become a very popular procedure in the Korean media, and has also been performed on many Korean celebrities. The 3D ST procedure has become proprietary to Dr. Kim and Dream Medical Group.

Dynamic, Natural Results

The 3D ST procedure is renowned in South Korea for its dynamic results that mimic the natural double eyelid crease. The muscle tightening combined with a complementary crease results in refined eyes that exude alertness, femininity, and unique character. Figures 1 and 2 represent a patient who received a 3D ST procedure from Dr. Kim. Prior to the operation, this patient had weak eyelid muscles that could not bear the load formed by a traditionally made crease. If she had undergone a traditional suture technique, her eyelids would have drooped due to the physical burden, putting her eyes off proportion and aesthetic balance.


Figure 1. Before operation. Outer eyelids are depressed, and the eyelashes point visibly downward, obstructing the white aspect (sclera) of the eyes. The color aspect (iris) is also obstructed, making the eyes appear crowded and flat.


Figure 2. After operation. Outer eyelids are subtly lifted due to the double eyelid crease, and the eyelashes obstruct less of the white aspect. The color aspect is more visible as well, due to the strengthened eye-elevating muscles. The tightened muscles literally open the eyelid past its original capacity, exposing more of the sclera and iris.

Figure 3 shows a patient who had undergone an unsuccessful traditional suture technique with a different surgeon (outside of Dream Medical Group) prior to a 3D ST procedure. The patient’s eyes appear heavy and misshapen, due to a lack of strength in the eye-elevating muscles.


Figures 3 – 6 show the results of a patient who underwent corrective surgery via the 3D ST procedure with Dr. Kim. This patient had undergone a traditional suture technique with another surgeon prior to the 3D ST procedure, and was seeking revision. The patient’s eye-elevating muscles were too weak to bear the load created by extra fold of skin; chronic swelling caused excessive fullness in the eyelid skin, and weak definition in the crease. This patient’s right eye consequently manifested ptosis on the outer aspect as well. A 3D ST procedure was completed to tighten the patient’s eye-elevating muscles, and to recreate a suitable crease according to the eyelid skin thickness.

Figure 3. Before operation, frontal view. The outer eyelid is depressed due to the excess load of the crease. This was a result of a traditional suture technique performed on a patient with insufficient power in the eye-elevating muscles. The 3D ST procedure was subsequently performed, which included eyelid muscle tightening procedures.


Figure 4. After operation, frontal view. The 3D ST procedure was performed to tighten the patient’s eye-elevating muscles, and place new sutures. The eyes appear much more alert and feminine. The outer eyelid is no longer excessively depressed, and the crease is much more balanced in its depth and fullness.


Figure 5. Before operation, side view. The upper eyelashes droop downward due to the excessive load placed on the eye-elevating muscles. The eyes appear downcast and only partially open, yielding a tired, dull character to the patient. The crease is visibly thick and full, and the skin protrudes outward.


Figure 6. After operation, side view. The upper eyelashes no longer droop, and the eyelid skin is much more uplifted. There is no visible burden of excess load that used to protrude outward. The crease is much more defined, and yields a sharper, more alert demeanor to the patient.

These results demonstrate the power of the 3D ST procedure – its ability to lift the eyelid by muscle tightening rather than simple suture fixation, and create the ideal eye shape and size. The double eyelid crease possesses a recoiling effect as the eye opens and closes, appearing realistic and dynamic. Its speed of formation increases as the eye opens, which emulates the movement of a natural crease. Although subtle, this dynamic movement of the crease is significant – it is the main distinction between just a crease, and a crease that is complemented with the correct eyelid shape and muscle function.

As described, the 3D ST procedure applies advanced technique and scientific innovation to deliver supreme results. The double eyelid fold appears more natural, and has a decreased likelihood of loosening, compared to other suture techniques. The 3D ST procedure has yielded surpassing results for patients with a diverse range of eye shapes and conditions.