홍진주성형외과

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  • Ophthalmo plasty
  • Blepharoptosis Correction/Eye opening enhancement
[ Blepharoptosis Correction/
Eye opening enhancement ]

Blepharoptosis?
If the muscle that is used to open your eyes (levator palpebrae muscle) is not fully functioning, your eyelids may cover more than half of your pupils. This condition is called blepharoptosis. The treatment methods differ by the intensity of the condition. In most cases (non-severe blepharoptosis), the muscle is tightened to help open your eyes widely.
Eye opening enhancement?
This procedure adjusts the muscle in the eye that controls the opening and closing motion. When tension of this muscle is loose, the eyes look sleepy or droopy. Furthermore, since it droops, many people try to open their eyes wider which deepens the wrinkles on the forehead. The procedures can be done for a normal small eye patient, as well as a normal small eye cases as well as a ptosis patient.
Before Surgery After double eyelid surgery Double eyelid + Ptosis Correction
Incision VS Non-incision suture method
Incision VS Non-incision suture method
For all patients Who Patients with thin eyelids
Possible Fat Removal Near impossible
Can correct severe cases Correction Level Cannot correct severe cases
Yes Post-OP Swelling Yes
Minimal Scar Barely noticeable
Incision method
This procedure is done simultaneously with double eyelid incision method. The eye muscle is adjusted through the incision which allows for a more detailed repair and clearer looking eye line
  1. For eyes that are congenitally weak or asymmetrical, looks very droopy (extreme blepharoptosis)
  2. Thick eyelids with excess fat
  3. Extremely sagging eyes
Ptosis Correction with Non-incision Suture method
Transconjunctival Müller Tucking
In the unilateral or bilateral mild ptosis case, transconjunc¬tival Müller tucking can be done with the double-eyelid operation. The preoperative design of the dou¬ble fold line should be performed along the natural skin crease. The locations of Müller tucking sutures are marked on the vertical line of the medial and lateral limbi. Everting the upper lid, a traction suture is made on the upper margin of the tarsus.
For Müller muscle tucking, 7–0 nylon thread is intro¬duced through the skin to the upper margin of the tarsus. The suture is passed through the tarsus to the point of the conjunctiva near the superior fornix and returned through the same point on the conjunctiva to the tarsus, tucking the Müller muscle. The suture exits through the tarsus to the skin and is knotted to tighten the thread. The same proce¬dure should be performed at other sites of Müller muscle tucking. Next, the common procedure for the double fold is performed. The knots of the threads should be buried within the skin so that they are not exposed. This procedure adjusts the muscle length by putting a thread inside the eyelid and tying a knot. Because no incisions are made, bruising or swelling is minimal. However, this procedure is not suitable for thick eyelids and extreme blepharoptosis.
Eye opening enhancement with hidden double fold
Is it possible to enlarge the eye opening without double fold? Eye opening enlargement means widening a distance between the upper and lower lid margin by tightening the upper eyelid levator muscle tension to lift the lid wider than before. Therefore eye opening enhancement is an independent matter with the double eyelid formation. However, without a double eyelid fold, the skin might hide the upper part of the eye opening aperture with skin loosening. Without double eyelid fold, the eyelashes usually collide with the drooping skin fold. The eyelashes touch the cornea and conjuctival surface frequently. So, forming lower double fold hidden within the upper skin can prevent skin and eyelashes interference. Finally, the eye opening enhancement can be done without unnatural double eyelid formation.

"Do I have a ptosis, if my forehead brow muscles move when opening my eyes?"

Forehead muscle movement when eye opening is most important feature of blepharoptosis patient, but it can be also found in an Asian single eyelid, Aging blepharochalasia(only skin drooping by aging) with normal levator muscle function. Forehead eyebrow movement is the common reaction against the disturbance of a visual field(levator muscle dysfunction, mechanical coverage, skin excess etc.) Differential diagnosis for a proper treatment plan should be performed.
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  • Operating hours

    Weekdays
    09:30~19:00
    Tue., Thr.
    09:30~20:00(Night Operations)
    Saturdays
    09:30~16:30
  • Tel.

    (+82)2.544.8807

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