Eye Surgery

THE 8 DIFFERENT KINDS OF ASIAN EYELID CREASES

You may have one of several types of eyelid creases. Below are examples of the 8 main types of Asian eyelid creases:

1. Absent eyelid crease (Monolid): there is a curve form of skin on the upper eyelid and no distinct eyelid crease

2. Partial eyelid crease: The crease is not well defined and may partially extend across eyelid

3. Multiple eyelid creases

4. Tapering eyelid crease: The eyelid crease becomes increasing narrow toward either medial or lateral corner of the eye. The fold of skin may hang down and conceals the eye corners

5. Tapering eyelid crease with lateral flare: The outer part of the eyelid platform is wider than the central part

6. Parallel eyelid crease: The inner corner of the crease does not narrow as a tapering crease does. The crease runs parallel above upper lash line without meeting at the corners of the eyes

7. Mongolian fold: A fold of skin hangs over and conceal entire upper eyelid

8. Hooded eyelids: An upper eyelid skin that hangs down and covers the median portion of eye

Double eyelid surgery is a common plastic surgery for aesthetically modifying the eyes and restoration of the correct functioning to the affected eyelids. The surgical procedure repairs droopy eyelids that may involve removing excess skin, muscle and fat and tightening the supporting structures. Fine sutures are used to close the incisions. The procedure can be done at the same time as another procedure, such as a brow lift.

At the face plastic surgery, the open technique is performed because of the advantage of being able to firmly suture to skin. This provides strong and longer period of maintain surgical result. There are two incision method apply:

1. Short incision method

The short incision length for creating a new crease at median one third of upper eyelid, the upper eyelid fat is removed or re-positioned according to the condition. The strong fixation and fine skin suture is applied. The scar is almost invisible. This method provides a natural look for your eyes.

  • Duration: 30-60 minutes
  • Local anaesthesia
  • Stitch out: 7 days
  • Downtime: 1 week
  • Recovery: 1 week to 3 months, may vary on individuals
  • Not suitable for:
    • Excess and droopy skin of upper eyelid
Tapering eyelid with lateral flare
Tapering eyelid to medial end
Double eyelid surgery procedure

2. Long incision method

With full incision length of the excess skin to create a new crease. The scar may partially be seen.

  • Duration: 60 minutes
  • Local anaesthesia
  • Stitch out: 7 days
  • Downtime: 1 week
  • Recovery: 1 week to 3 months, may vary on individuals
  • Suitable for:
    • Aging eyelid
the surgical incision area for Upper blepharoplasty with long incision
Double eyelid surgery risk

The risk is minimal with the experience surgeon. There are possible risks of surgery include:

  • Infection and bleeding
  • Dry, irritated eyes
  • Difficulty closing your eyes or other eyelid problems
  • Noticeable scarring
  • Injury to eye muscles
Double eyelid recovery

In a blepharoplasty, the eyelids heal remarkably quickly and scars are usually quite invisible.

There may be some degree of swelling and bruising. Continuous cold compression with head elevation when lying down will enhance healing and relieve discomfort. Your surgeon will prescribe medication for discomfort. Avoid straining, strenuous activities heavy, lifting, smoking and swimming for a few days. Avoid water exposure until stitch off. Avoid using contact lens for two weeks. A prescribed eye ointment to prevent dryness of the eye area may be used.

After stitch removed, gently clean your eyelids with normal saline.

Dr. Thanapan Poomchaivej

Medical Director / Facial Plastic Surgeon

This procedure aims to improve the appearance of the lower eyelids by removes excess fat and tightening of the skin, to reduce lower eyelid wrinkles, skin sagging, and fat bulges. The facial plastic surgeon makes the incision in an inconspicuous site along the lower lash line and smile creases of the lower lid. The excess fat may be removed or re-positioned to restore the apparent volume loss. Excess skin is then trimmed away before the incision is closed with fine sutures.

  • Duration: 60 minutes
  • Local anaesthesia
  • Stitch out: 7 days
  • Downtime: 1 week
  • Recovery: 1 week to 3 months, may vary on individuals
Lower eyelid surgery risk

The risk of surgery is rare. There may be bruising, bleeding, asymmetrical correction, lower eyelid retraction. Infection is rare.

Lower eyelid surgery recovery

A cold pack is applied to the eyes for the first 24 to 36 hours to decrease bruising and swelling. Bruising almost always happens and usually resolves by 2 to 3 weeks. Lubricant eye ointment may be prescribed to help keep the eye moist. Strenuous activity is avoided for a period of days or weeks after surgery.

Dr. Naparat Jirawatthanaphlin

Facial Plastic Surgeon

BEFORE AND AFTER 1 WEEK
What Is Ptosis?

Ptosis is when the upper eyelid droops over the eye. The eyelid may droop and covers the pupil. Ptosis can partially limit or even completely block normal vision. Ptosis is considered to be a cosmetic issue, causing a tired or sleepy appearance.

Children and adults can have Ptosis. The underlying cause of Ptosis should be investigated and prompt treated. And Ptosis can be treated to improve vision as well as appearance.

Ptosis in adults

This cause may be from aging, eye injury, may happen after certain eye surgery, connective tissue diseases, autoimmune disease or tumours which can affect the eyelid muscle and causing Ptosis.

Adult Ptosis plastic surgery

Ptosis repair is a challenging Oculoplastic surgical procedure. It is not performed by most cosmetic and plastic surgeons as Ptosis surgery is a highly specialized and delicate procedure. At The Face Plastic Surgery Center, our surgeon is an ophthalmologist with specialize in Oculoplastic and reconstructive surgery. The surgeon provides you the correct diagnosis and thoughtful planning. Surgeon reviews your ocular, medical, and surgical history which help determine whether the surgery is appropriate for you. And she will discuss with you about the alternative options, limitations, risk and benefit of the procedure.

Our Ptosis repair is not only for functional improvement but also cosmetic enhancement. The goal of Ptosis surgery is to recreate as nearly perfect an anatomic result as possible by elevating the position of the lid, tightening your eyelid muscle and by creating a lid fold and a special attention is given to the contour and symmetry of the lids. Ptosis surgery is done as an outpatient procedure with local anaesthesia. The procedure may take one or two hours.

Ptosis repair risk

The possible side effects are swelling and bruising around the eye and cheek area. Dry eye can happen temporarily after the procedure. It is recommended to have artificial tears to keep the eyes lubricated after surgery.

Ptosis repair recovery

A cold pack is applied to the eyes for the first 24 to 36 hours to decrease bruising and swelling. Bruising almost always happens and usually resolves by 2 to 3 weeks. Lubricant eye ointment may be prescribed to help keep the eye moist. There may be an application of antibiotic ointment, please follow your surgeon recommendation. Strenuous activity is avoided for a period of days or weeks after surgery. Swelling of the eyelid can be present for up to a year, but majority of patients find that within a few weeks of surgery.

Dr. Nattaya Sinprasertkool

Oculoplastic Surgeon

planing and surgical marking  before surgery