Consultation
Plastic Surgical Clinic
Case Analysis
Consultation > Case Analysis
Case Analysis
If you wish to make a reservation at Teuim Plastic Surgery Clinic, you can make a reservation for your consultation, surgery. You can make a full reservation via this online consultation or email. If you have any difficulty in making online reservation, please contact us via e-mail:paris85@naver.com
Understanding about Asian double eyelid(1)
- auther
- teuim
- date
- 2012-08-06 10:53:14
- view
- 13546
The double eyelid
1.Understanding about the double eyelid
What is double eyelid surgery?
Although the eyelid is very thin, various tissues (skin, muscle, fat, eyelahes, the conjunctiva) are composed in it. The elevator muscles are the ones that help open the eyes and it is usually attached to the eyelid board. The parts of the muscle tissues are attached to the back of the skin of the eyelid and the skin attached is raised, then a double eyelid is made.
For most Westerners, parts of the elevator muscle of the upper eyelid are attached to the back skin, While for Asians, it is not and the natural double eyelid is rare. Typical Asian eyes have no double eyelid, but a small height with strong tension of Mongolian folds. So this makes the eyes look stuffy compared with the eyes of the Westerner’s eyes.
There are three general methods, the complete incision method (incision), partly cutting (partial incision), and cutting for only the needle to enter(buried suture method). From any among them, we must connect a part of the elevator muscle of the upper eyelid to the eyelid. There are merits and demerits respectively and it should be determined by enough consultation through considering the length and size of the eyes, thickness of the skin, power to open eyes, quantity of fat, Mongolian folds and so on. Recently, the complex operation, Magic epicanthoplasty combined with double eyelid surgery, dramatically improves the Mongolian folds and connects the eyelid with the levator muscle of the upper eyelid.
This must be the fundamental step for plastic surgery of the eyes. If considering the correlation between the Mongolian fold and the double eyelid, it can make effective and dramatic results..
Example) Structural double eyelid surgery combined with the Magic epicanthoplasty and double eyelid surgery
2. Anatomical elements when forming a double eyelid
The principles when forming a double eyelid is determined by whether the muscle pulling up eyelid is raised by holding skin at the same time. For Westerners, the muscle raising the eyelid holds the skin and the skin is raised as they open their eyes and forms a double eyelid.
While for Asians, most have no connection between the muscle and the skin and also, the thick fat and the muscle raising the skin is blocked. Therefore, a double eyelid operation creates not only this connection, but also eliminates the Mongolian fold, muscle, or the fat of eyes and finally creates beautiful eyes.
Structural factors for a beautiful eyelid are needed when:
-The width of the eyes is long and the tails of the eyes are not so pointed upwards. -The distance between the eyes and eyebrow is not to be short. -The skin of the eyelid is tense and not hung down. -The eyelid skin is thin -Proper amount of fat exists but not too much. -There’s no severe existence of the Mongolian fold. -The function of the muscle to open the eyes is normal and the exposure of pupil is good. -Both eyes are symmetric -The position of the eyebrow is not hung down and is symmetric. * In cases where a lot of these conditions are satisfied, the operation can give you very good results without any difficulties. But actually, most of cases are not like that. If you don’t meet any or only a few of these conditions, there may be a chance that undesirable results may be shown.
3. Functional meaning of a double eyelid in respect of having a field of vision
A single eyelid of Asians is likely to cover a pupil and when it is severe, eyelashes can prickle the pupil and it can cause visual obstructions. And because of this, patients take the forehead lifting actions, but this in fact causes wrinkled forehead to appear. In this case, a double eyelid incision removing parts of an eyelid and forming a double eyelid and extending exposure or pupil, will brighten the patients’ vision.
Therefore, a double eyelid has an important effect to create a better vision as the basic function of the eyes. After the operation the eyes are expressed as more clear and bright.
Example) An excisional double eyelid surgery has an important effect on providing a better vision (exposure of pupil)
Example) Forming a clear double eyelid and more exposure of pupil by ptosis correction and revisional double eyelid surgery
Example) Forming an inner type of double eyelid and increased exposure of pupil by ptosis correction and a double eyelid surgery. After surgery, the position of eyebrow previously lifted has been brought down significantly.
4. Modern meaning of a double eyelid
According to a survey from the human resource team of major companies, people preferred an egg-shaped face with big eyes in both of women and men. According to research, it is said that people who have an attractive face are known to be considered as better workers. Plastic surgery is now not an extravagance, it is actually another way of self-development.
Classification of the double eyelid - In folder& Out folder
What is in folder, in-out folder, and out folder?
1. In-folder eyelid
An in-fold is a shape of a natural double eyelid, which is most general for Koreans in respect of the anatomical structure around the eyes. The eyelid line is started by a slight coverage of the Mongolian fold and looks very thin and natural.
You are able to achieve an infolder line only if you don’t have severe Mongolian folds. If the Mongolian fold is severe, the epicanthoplasty may be needed.
Example) Performing only double eyelid surgery on these kinds of eyes renders them have in-folder type eyelids
Example) Slight improving of an inner corner opening by Magic epicanthoplasty in severe in-folder type eyelids.
2. Out-folder
An out-folder is an eyelid line that starts from the heads of eyes without touching the inner corner. Westerns mainly have this structure and they have an eye socket structure that’s depressed inside more than their forehead and nose.
In Asians, it can be made only by undertaking proper epicanthoplasty. But it can look unnatural even after proper combined operations because of the structural differences of eyes. When only the double eyelid operation is performed, swelling will be severe and may last for a long time. This will lead to unnatural eyes.
Example) High and unnatural double eyelid line without the improvement of Mongolian folds
Example) An out-folder line in an Asian eyes with Mogolian fold lookss them unnatural. Magic epicanthiplasty was performed to correct them.
Example) Out-folder of a Westerner 3. In-out-folder
An in-out-folder is the middle form of an in-folder and an out-folder. The line starts from the tip of the corner of the eye and is extended beautifully to the end of the eye. It is a very clear and natural look for he Asian's structure of eyes and is a line that’s preferable by everyone. This line does not look unnatural and only looks splendid and attractive. In most cases, it can be formed only when Magic epicanthoplasty is done together.
Example) Combination of Magic epicanthoplasty and non-incisional double eyelid surgery to make an in-out-folder line.
Example) Magic epicanthoplasty can change an in-folder to an in-out-folder line.
The reason why the in-folder double eyelid gets smaller in terms on width Generally, all double eyelids become small as time passes. But only except when the Mongolian fold is weak, when there’s small amount of fat in the eyelid, and when the eyelid is depressed. When a person with Mongolian fold at some degree takes the in-folder operation, the eyelid will become narrower more quickly. The Mongolian fold is connected to the skin above the eyelid and it makes the skin in eyelid hang down whenever the eyes are blinking. To maintain the best double eyelids, it is recommended to take the in-out folder or the out-folder after removing the Mongolian folds by epicanthoplasty.
|
