BK’s “Producing big eyes” Program
1. Operations to Lengthen the Height of Eyes
(1) Double Eyelid Surgery
Double eyelid surgery has been reported to be the most common aesthetic procedure in Asia. This procedure may seem simple, but it is actually one of the most complicated cosmetic surgeries out there, for there are a number of anatomic differences in the upper eyelids.
Several methods can be used to create double eyelids; including full-incision, partial incision, and non incisional methods. Each method has its advantages, but it does largely depend on the patient’s anatomy and aesthetic desires.
 Incisional Method
The full Incision technique is recommended for eyelids with an ample amount of fat, thick skin, and/or severely lowered eyelids. In comparison to the non-incisional technique, the full incision method causes prolonged swelling. However, this procedure is the best technique for the thinning and slimming of the eyelid skin. The full-incision method permits the greatest ability to contour and modify the eyelid, according to the shape which you desire. The results from this method, provides a permanent double eyelid in almost all cases.
Non-Incisional Method
For the young patients with thin skinned eyelids, double eyelid surgery can be accomplished with no incisions or cutting. Sutures are passed inside the eyelid to create a new crease. This method is relatively simple, and is a worry-free procedure for creating double eyelids in Asian patients. It is also virtually scar free, since there are no incisions involved, and the swelling is very minimal compared to the other techniques. However, not all patients have the such favorable physiological adaptability for this procedure.
Partial-Incisional Method
The partial incision technique is used to create double eyelids by removing adipose tissue (fat tissue) with a 2 to 3-mm incision. It is performed on those patients with an abundant amount of adipose tissue above their eyes. This procedure is for those who want double eyelids with a simple incision. The level of swelling is similar to that of the non-incisional double eyelid surgery. |
(2) Ptosis Correction
Ptosis is the medical term used to describe droopy upper eyelids. This droopiness of the eyelid is caused by a defective levator muscle system. In this condition, the upper eyelid falls to a position that is lower than normal. This can give your eyes a "sleepy" or tired appearance.
Ptosis is described as either congenital (present from birth) or acquired.
Some patients seeking double eyelid surgery may be unaware of the simultaneous presence of ptosis, and surprised by the necessity for additional and more specialized treatment. However, double eyelid surgery performed alone will not correct ptosis. It is highly important to recognize and discuss this disorder before surgery.
(3) Mongolian Fold Modification
This procedure is to lower the outer corner of the eyelids downwards. By doing so, the excessive elevated lateral slant is descended, and the eyes become larger in appearance. This procedure is performed through the conjunctiva, so there are no external scars. You will not be required to come back to the hospital for stitches removal because the sutures are dissolvable, and located underneath the skin. This procedure is usually performed in conjunction with outer corner extension.
2. Operations to Lengthen the Width of Eyes.
(1) Inner Corner Fold Removal
Inner corner fold of eyes is located in the inner most portion of the upper eyelid. There are several different variations of this fold. An epicanthoplasty is a surgical procedure performed to change the shape of the epicanthal fold. This procedure is usually performed in conjunction with double eyelid surgery.
This procedure increases the overall length of the eye, and creates more defined and bigger appearance of a more open eye.
(2) Outer Corner Extension
Outer corner extension is a procedure in which the outer part of the eye (the opposite side of the inner corners) is slightly lengthened by a 1 to 2 mm incision, to create the appearance of a wider eye.
For optimal aesthetic results, this procedure is usually combined with inner corner fold removal and/or "double-eyelid" procedures.
Revisional & Reconstructive Program
• Revisional Double Eyelid Surgery
Common concerns patients who undergo revision Asian eyelid surgery include:
- Asymmetry (eyelid mismatch)
- "Sausage" deformity
- Too high of a crease
- Shallow crease
- Severe scar
- Inability to fully close the eyes when asleep
Technically, revision surgery is more challenging for surgeons, since new scar tissue has formed, and the normal anatomy was changed with the prior surgery.
• Inner Corner Reconstruction
This is a reconstructive procedure for the reconstruction inner corners..
The reasons for inner corner reconstruction are;
- unnatural shape of epicanthic fold after the prior epicanthoplasty
- scar is too obvious
- shape of epicanthic fold is too sharp
This procedure is not an easy one, especially for those who lack the proper anatomical experience.
• Lateral canthus reconstruction
If you are not satisfied with the prior outer corner extension, it can be easily returned to the original state by reconstructive surgery.
The reasons for outer corner reconstruction are;
- change of one’s taste(This is the majority)
- unnatural result of outer corner extension
- welling up of tears
- eversion of the eyelid
- lashes pointed downward into the field of vision
• Dark Circles
Generally, dark circles underneath the eyes is a shadow affect caused by protruding fat located in and around the eyeball socket. There is also an increase in pigmentation to the lower eyelids that accentuates the tired appearance. There are a number of factors that predispose baggy eyelids; including persistent allergies, genetic predisposition, sinusitis, and recurrent swelling to the lower eyelids. In and around the eyes themselves, is a layer and coating of fatty tissues, called adipose tissue. This fatty layer is kept in place by a membrane. As time passes the fatty tissue bulges forward through the support membrane, causing protrusion of fat which is due to the laxity of the lower eyelid septum.
• Eyelid Lift
The eyes are generally the first area of the face to exhibit signs of aging. It can be easily corrected through cosmetic surgery.
Upper Eyelid Lift
Upper eyelid lift involves the removal of excess skin and fat around the eyes. This surgery is designed to rejuvenate the eye area and eliminate the tired appearance of aging eyes. The procedure can also address functional problems posed by extremely droopy eyelids, such as impaired vision.
Lower Eyelid Lift
As a person ages, he or she starts loosing tissue elasticity in and around the eyes, as a result, sagging formulates and creates an unpleasant tired appearance. Lower eyelid lift helps tighten the regions under the eyes. It also creates a more youthful look by removing the excessive fat and skin around the eyes.
This surgery is usually combined with upper eyelid lift, which provides much more satisfying results.
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• Alloderm Graft
Alloderm is inserted under the surface of the skin to enhance soft tissues. Alloderm grafting is performed to make the area beneath the lower eyelashes bulge, and is recommended for patients who want a younger and brighter look. It is popular among many entertainers. Alloderm is grafted through an incision line of 2-3 mm, followed by a suture removal after 3 days. Fortunately, there is a short swelling period, and it can go unnoticed if you wear glasses. This procedure seldom affects daily lives.
When transplanted to a patient, the alloderm gradually becomes a natural part of the patient's own tissue, and performs like normal, healthy tissue thereafter.
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