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Published in: Aesthetic Plastic Surgery 1/2019

01-02-2019 | Original Article

Incisional Ptosis Correction with Hidden Double Fold in Asian Patients

Authors: Tae-Yul Lee, Ki-Bum Kim, Dong-il Choi

Published in: Aesthetic Plastic Surgery | Issue 1/2019

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Abstract

Background

Korean males and a few females desire to have larger eyes; however, they often wish to enlarge their eyes and conceal their double eyelids. This paper attempts to describe how to make the eyes bigger and brighter without showing double-fold eyelids.

Methods

The authors performed cosmetic ptosis correction in 121 cases from April 2013 to December 2017. All patients enrolled in this retrospective study underwent surgical procedures at the author’s institutions. Patients were included that had mild-to-moderate degrees of ptosis and levator function greater than 5 mm, ages greater than 16 years, and no prior ptosis surgery.

Results

A successful outcome was achieved with this surgical approach in 113 (93.4%) patients. Complications potentially associated with ptosis surgery were not observed.

Discussion

A refined method of preoperative evaluation for incisional ptosis correction to conceal a double fold with no visible signs of surgery is described. Ptosis correction without the formation of double eyelids will result in skin hooding and visible scarring, and thus, it is recommended to lower the height of the double eyelids. The lower height of double eyelids can cover the incisional scar and make it appear there are no double eyelids.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
Appendix
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Metadata
Title
Incisional Ptosis Correction with Hidden Double Fold in Asian Patients
Authors
Tae-Yul Lee
Ki-Bum Kim
Dong-il Choi
Publication date
01-02-2019
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 1/2019
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-018-1214-y

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