[Real Patient Case Review] Natural Adhesion + Ptosis Correction + Medial & Upper Epicanthoplasty

#NaturalAdhesion #DermalAdhesion #PtosisCorrection #MedialUpperEpicanthoplasty #MedialEpicanthoplasty #UpperEpicanthoplasty #DermalAdhesion #IncisionalDoubleEyelid #DoubleEyelid #IncisionalEyeSurgery #GangnamNaturalAdhesion #Uverse #SeoSeungJo #ShimJungHwan

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Hello~

💎your beauty universe! I am Dr. Shim Jung-hwan, head director of Uverse Plastic Surgery :)💎

Today, I would like to review a case involving natural adhesion and medial & upper epicanthoplasty.

Pre-operative Analysis

This is a 19-year-old patient with monolids. The skin was slightly sagging, covering the roots of the eyelashes.

The epicanthal fold was not the type where a lot of skin covers the area, but rather the fold itself was firm

and tight, and the distance between the eyes was on the narrower side.

The ptosis was not severe, but

when we used a tool to simulate the actual line, the eye-opening strength weakened,

and since the patient frequently used their forehead muscles to open their eyes, ptosis correction would be helpful.

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Consultation and Surgical Process

The patient had very clear preferences:

1) It must be a non-incisional method,

2) A semi-out line, or if impossible, a high in-out line,

3) Wanted to resolve the epicanthal fold.

First, we simulated the lines and checked each point with the patient.

Since the tissue above the eyes was not overly heavy, the non-incisional method was possible.

As the line gets higher, there could be a slight feeling of sagging skin below the line,

but it could actually look more natural + because the patient is young,

considering there is plenty of time before the skin sags further,

we proceeded with the non-incisional method + ptosis correction rather than an incision.

For the line, if epicanthoplasty was performed, both a semi-out and a high in-out line were possible, so we decided on a semi-out line.

For the medial epicanthoplasty, we focused on releasing the tight epicanthal fold at the front.

Of course, resolving the skin covering the diagonal area, commonly referred to as upper epicanthoplasty, is also important.

The patient was worried that her eyes might look too close together since the distance between them was already narrow,

but because her face itself is small, rather than focusing on the numerical distance,

looking at the overall balance, we determined that opening the front an appropriate amount

would result in a prettier shape than just doing an upper epicanthoplasty alone.

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Post-operative Progress

When the double eyelid width is large, such as with a semi-out line,

ptosis correction must be done together to prevent the eyes from looking sleepier after surgery

and to help the swelling subside faster.

In the photo taken immediately after, the line looks quite thick due to the effects of anesthesia,

but you can see that the major swelling has somewhat settled after just about 1 week.

Previously, the forehead was heavily used when trying to open the eyes wide,

but after natural adhesion + ptosis correction, the eyes can be opened clearly without using the forehead.

Looking at the 1-month photo, only minor swelling remains,

the differences caused by bruising & swelling in the early stages of surgery have disappeared,

and you can see a natural-looking double eyelid.

The medial + upper epicanthoplasty also opened up the eyes refreshingly,

and you can see it pairs very well with the semi-out line.

In cases where the fibrous tissue around the epicanthal fold is tight like this patient,

during surgery, rather than simply opening the skin,

a portion of the inner fibrous tissue and orbicularis oculi muscle must be excised

to achieve a smooth medial epicanthoplasty result

that does not interfere with the double eyelid line.

This effect is even more clearly visible when the eyes are closed.

Because a fair amount of manipulation was done, the scar is somewhat noticeable up to 1 month post-op,

but usually, the scar will gradually soften from now until about 6 months, so you don't need to worry too much.

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If you are curious about more information or want to see more cases,

please contact Uverse Plastic Surgery via Kakao consultation, and we will guide you in detail.

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Want a quick consultation?

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Frequently Asked Questions

Is ptosis correction essential for semi-outline double eyelid surgery?

Yes, it is recommended to combine ptosis correction when creating a semi-outline with a large double eyelid crease. Performing ptosis correction together can prevent the eyes from appearing more tired after surgery, and swelling also subsides relatively quickly.

Can a semi-outline be created with the non-incisional method (natural adhesion)?

Yes, if the tissue above the eye is not too heavy, it is possible with the non-incisional method. However, as the line gets larger, the skin below may feel slightly saggy, but if you are young and have time for skin sagging, you can achieve natural results.

How is epicanthoplasty performed when the Mongolian fold is tight?

It is performed by not simply opening the skin, but by partially excising the inner fibrous tissue and orbicularis oculi muscle. Releasing these tissues allows for smooth and natural epicanthoplasty and upper canthoplasty results without interfering with the double eyelid line.

My eyes are close together, is it okay to have epicanthoplasty?

Yes, it is possible depending on the overall balance of your face. The numerical distance between the eyes is important, but if your overall face size is small, opening a moderate amount towards the front, rather than just upper canthoplasty, can result in a prettier shape.

When do scars become natural after surgery?

Scars usually become softer after about 6 months post-surgery. For areas with extensive manipulation, such as epicanthoplasty, scars are noticeable from immediately after surgery until about 1 month, but they gradually fade over time, so you don't need to worry too much.