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Case Analysis

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  • Case Analysis

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Various types of single eyelids or incomplete double eyelid in Asians.

A single eyelid as a type of skin line

The eyes of the majority of Korean women are the types that the skin of an eyelid is drooped down to the eyeline. This makes the eyes look smaller and stuffier.
This is easily found in people who have thick skin and sunken eyeballs as well as brow ptosis.
When it is accompanied with severe Mongolian folds, the situation may get worse after all.

 

 

Example) A single eyelid covering the pupil by the excess skin drooping.

 

 

 

Example) Excisional double eyelid surgery combined with Magic epicanthoplasty

A single eyelid that shows an incomplete wrinkle line

When women pass their mid-20s, the elasticity of skin gradually gets weaker, and unexpected fine wrinkles are formed at one or more locations on the eyelid skin. It is a kind of aging process occurring in the eyes with a single eyelid. Sometimes they delude themselves to have an acquried crease that looks similar to that of an innate crease, Most of these people usually misunderstand that they have acquired a double eyelid, and they sometimes ask the surgeon to make them more clear and fix the firmness on that false line.The lines are not the real line forming the double eyelid, but they are in fact wrinkles.
When the surgery is planned, those wrinkles must be ignored and properly designed again at a new point.

 

 

 Example) Non-incisional double eyelid surgery (buried suture method) combined with Magic epicanthoplasty

An incomplete double eyelid using liquid glue or adhesives

In young women, random skin foldings can be found occasionally because their skins are thin.
And when they apply Eye-charm tape or some skin adhesives on it (adhesives that make fake eyelids),it gets folded more easily. But, when the adhesives get used repeatedly, the skin will lose its elasticity,and unfavorable foldings or creases are made when the eyes open. These are incomplete wrinkled double eyelids caused by Eye-charm. These kinds of actions promote aging process on the eyelids but most women do not realize its bad effects. Although it helps the skin to fold easily and may seem like a double eyelid line,
it is basically different from a proper double eyelid.
They are just wrinkles.

 

 

 

 

Example) Double eyelid surgery combined with Magic epicanthoplasty in eyes with incomplete double eyelid lines

A single eyelid crumpled at thin skin

Among protruded eyes, it can be easily observed that the skin can become crumpled at a certain point
by the repetitive eye-blinking action. In this case, the wrinkles become deeper and darker because skin is crumpled and unfolded every time the eyes blink. It is impossible to restore it back when the wrinkles are deepened to some degree.

 

Example) Non-incisional double eyelid surgery combined with Magic epicanthoplasty in thin skin type eyelids.

A single eyelid with slight visibility of the eyeline in thin skin

These pictures show the eyes with thin skin, weak Mongolian folds, and small amount of fat above the eye. These eyes are easy for the eyes to open and close, and there is no significant drooping of skin either.
The skin having a good elasticity leads to good results which can be obtained only by applying the buried methods.

 

 

Example) Non-incisional double eyelid surgery combined with Magic epicanthoplasty and lateral canthoplasty

 

Example) Non-incisional double eyelid surgery in thin skin type eyelids

 

Cases where the eyes get poked by your own lashes (Entropion)

In case of an eye with a single eyelid, the eyelashes are pointed toward the eyeball sometimes because the lashes are pressed down by the skin of the eyelid. The more one tries to open his/her eyes,the more the eyelashes head down toward the eyeball. In severe cases, it can give damage to the cornea and this process continues as people grow older. When a double eyelid is created surgically,this phenomenon will miraculously disappear immediately.

 

Example) Direction of eyelashes of a Westerner

 

Example) double eyelid surgeries of the patient with entropions

 

 

Example) Structural double eyelid surgeries combined with Magic epicanthoplasty among the patients with entropions

 

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