Table of contents

• The Importance of Ptosis Correction in Double Eyelid Surgery
• Detailed Explanation of Ptosis Correction Procedures
• Best Clinics in Korea
• Ptosis Correction in South Korea: A Guide for International Patients
• Patient Experiences: How Ptosis Correction Enhances Double Eyelid Surgery Outcomes
• Conclusion
• References

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Double eyelid surgery, also known as Asian blepharoplasty, is a popular cosmetic procedure that creates an upper eyelid crease to give the eyes a more defined and open look. For those considering this surgery, it’s important to understand how underlying ptosis, or drooping of the upper eyelid, can affect the results. Correcting ptosis isn’t just about appearance—it can be essential for function and plays a key role in the success and satisfaction of double eyelid surgery.

Double eyelid surgery—sometimes called Asian blepharoplasty, Asian eyelid surgery, or East Asian blepharoplasty—is designed to form a visible crease in the upper eyelid. The main goal is to enhance the eyes’ appearance, making them look larger, more open, and well-defined. This procedure is especially popular among East Asians who naturally have monolids (eyelids without a crease) or very subtle creases. People choose this surgery not only to achieve bigger-looking eyes but also to improve facial symmetry, make eye makeup application easier, and boost self-confidence. In some cultures, double eyelids are considered an attractive feature, which adds to the procedure’s appeal. A defined crease also provides more space for eyeliner and eyeshadow, offering practical benefits. Beyond aesthetics, this can significantly improve self-esteem and psychological well-being. Another term for creating an upper eyelid crease is supratarsal fixation.

There are several surgical techniques to create a double eyelid. The non-incisional or suture method is minimally invasive, placing sutures through the upper eyelid to form the crease without external cuts. This approach usually means quicker recovery but may not offer permanent results since sutures can loosen over time. It’s best suited for people with thinner eyelids and minimal excess fat. The incisional method involves making an incision across the upper eyelid to remove excess skin, fat, or muscle before forming the crease. This technique tends to provide more permanent and dramatic results but requires longer recovery and carries risks like scarring. It’s often recommended for thicker eyelids or when excess tissue removal is needed. The partial incision method combines both approaches by using small incisions to remove fat and sutures to create the crease. Choosing the right technique depends on personal preferences, eyelid characteristics, and desired outcomes, balancing result longevity with invasiveness.

Table 1: Comparison of Double Eyelid Surgery Techniques

Technique	Procedure Description	Advantages	Disadvantages
Non-Incisional (Suture)	Sutures placed through the upper eyelid to create a crease without cuts.	Minimally invasive, quicker recovery, less scarring, reversible.	Results may not be permanent, unsuitable for excess skin or fat.
Incisional	Incision made to remove excess skin, fat, or muscle before crease formation.	More permanent, suitable for thicker eyelids and tissue removal.	Longer recovery, higher scarring risk.
Partial Incision	Small incisions to remove fat combined with sutures to create crease.	More defined than suture method, less invasive than full incision.	May not suit significant excess skin or severe ptosis.

The Importance of Ptosis Correction in Double Eyelid Surgery

Ptosis, medically called blepharoptosis, is the drooping of the upper eyelid. It can result from weakened or stretched eyelid muscles—especially the levator or Mueller’s muscle—nerve issues, congenital factors, aging, or trauma. Ptosis may cause a tired or sleepy look, vision obstruction if severe, eye strain from trying to keep eyelids open, and uneven eyelid height. Some people raise their eyebrows unconsciously to lift drooping eyelids, which can cause forehead wrinkles over time.

When planning double eyelid surgery, addressing any ptosis is often necessary for the best and longest-lasting results. If ptosis isn’t corrected, the new eyelid crease might weaken or fade. Ptosis correction strengthens the muscles that open the eyes, mainly the levator and/or Mueller’s muscle, supporting the crease and creating a more defined, open eye appearance. For those with weak eyelid muscles, combining ptosis correction with double eyelid surgery leads to a natural, balanced look. In cases of significant ptosis, double eyelid surgery alone might worsen the condition, causing dissatisfaction. Identifying and correcting ptosis ensures both aesthetic goals and proper eyelid function are achieved.

Detailed Explanation of Ptosis Correction Procedures

Several surgical options exist for ptosis correction, chosen based on ptosis severity, levator muscle function, cause of drooping, and eyelid skin condition. The external approach involves an incision in the upper eyelid crease to access and tighten or shorten the levator muscle. This is preferred when levator muscle function is good.

The internal approach, or Mueller’s Muscle Resection (MMCR), turns the eyelid inside out to shorten Mueller’s muscle from within. This leaves no visible skin incision and suits mild to moderate ptosis. For severe ptosis with poor levator function, frontalis sling fixation may be needed. This attaches the upper eyelid to the forehead’s frontalis muscle using a sling (like silicone or fascia), allowing the forehead muscles to lift the eyelid. Non-incisional ptosis correction is less invasive, placing sutures through tiny inner eyelid punctures to tighten the levator and/or Mueller’s muscle without skin incisions. It’s best for minimal to moderate ptosis with thin eyelids.

Choosing the right technique depends on ptosis degree (mild to severe), levator muscle strength (excellent to poor), ptosis cause (congenital, age-related, injury, or medical), and eyelid skin thickness. Measurements like palpebral fissure height (PFH) and marginal reflex distance (MRD1) help quantify ptosis and guide surgery. This variety highlights the need for a personalized surgical plan after thorough pre-operative evaluation.

Table 2: Comparison of Ptosis Correction Techniques

Technique	Procedure Description	Indication	Advantages	Disadvantages
External Approach (Levator Advancement/Resection/Plication)	Incision in upper eyelid crease to tighten or shorten levator muscle.	Ptosis with good levator function.	Precise muscle adjustment, can combine with blepharoplasty.	Visible skin incision.
Internal Approach (Mueller's Muscle Resection - MMCR)	Eyelid turned inside out; Mueller's muscle shortened internally.	Mild to moderate ptosis.	No visible skin incision.	Less effective for severe ptosis or poor levator function.
Frontalis Sling Fixation	Upper eyelid attached to frontalis muscle via sling material.	Severe ptosis with poor levator function.	Uses forehead muscles to lift eyelid.	May cause temporary incomplete eye closure; noticeable forehead movement during blinking.
Non-Incisional Ptosis Correction	Sutures placed through tiny inner eyelid punctures to tighten muscles.	Minimal to moderate ptosis, thin eyelids.	No skin incision, quicker recovery, minimal scarring.	Not suitable for severe ptosis or thick eyelids.

Best Clinics in Korea

Listed below are the best clinics in Korea:

Clinic Name	Key Features	Special Techniques
THEPLUS Plastic Surgery	Premier clinic in Gangnam, Seoul; board-certified surgeons; patient-centered approach; state-of-the-art four-floor facility; emphasis on safety and natural-looking results; active contributors to international research and education	Double eyelid surgery; facial contouring; rhinoplasty; 3D implant research; combining function and beauty
Made Young Plastic Surgery	Located in Gangnam, Seoul; commitment to patient safety; blends traditional Korean beauty with modern advancements; experienced surgeons and medical professionals; prioritizes patient well-being and satisfaction	Incisional and non-incisional double eyelid surgery; personalized care to enhance natural features
Okay Plastic Surgery Clinic	Led by experienced female plastic surgeon; personalized treatment plans; comprehensive eye plastic surgery services; emphasis on patient comfort and safety; transformative experience; advanced lifting and skin rejuvenation treatments	Double eyelid creation and correction; under-eye treatments; revision surgeries; cutting-edge medical techniques for natural, precise, long-lasting results

THEPLUS Plastic Surgery

THEPLUS Plastic Surgery in Gangnam, Seoul, stands out as the premier clinic for double eyelid surgery and related ailments in Korea due to its exceptional team of board-certified surgeons and comprehensive, patient-centered approach. Led by renowned experts such as Dr. Kim, a globally recognized authority in facial contouring and rhinoplasty with award-winning research on 3D implants, and Dr. Jeong, President of the Korean Society of Plastic Surgeons known for his expertise in combining function and beauty, THEPLUS ensures every procedure enhances natural harmony and individual features. The clinic’s state-of-the-art facility spans four floors dedicated to personalized care from consultation through post-operative treatment, supported by surgeons who are not only skilled practitioners but also active contributors to international plastic surgery research and education. With a strong emphasis on safety, natural-looking results, and ongoing innovation, THEPLUS Plastic Surgery offers unparalleled expertise in double eyelid surgery, making it the trusted choice for patients seeking refined, lasting enhancements in Korea.

You can check out their website here: THEPLUS Plastic Surgery Website

Made Young Plastic Surgery

Made Young Plastic Surgery Clinic, located in the prestigious Gangnam district of Seoul, is renowned for its exceptional expertise in double eyelid surgery and other aesthetic procedures. The clinic combines a steadfast commitment to patient safety with innovative techniques that blend traditional Korean beauty ideals with modern advancements. This approach ensures that each patient receives personalized care designed to enhance their natural features while maintaining the highest standards of safety and comfort.

Specializing in a comprehensive range of eye surgeries, including both incisional and non-incisional double eyelid procedures, Made Young offers tailored solutions to create natural-looking eyelid creases that complement each individual’s facial structure. Supported by a team of experienced surgeons and medical professionals, the clinic prioritizes patient well-being and satisfaction, making it a trusted destination for those seeking expert double eyelid surgery and related treatments in Korea.

You can check out their website here: Made Young Plastic Surgery Website

Okay Plastic Surgery Clinic

Okay Plastic Surgery Clinic stands out as a premier destination for double eyelid surgery and related eye procedures in Korea, offering a transformative approach that prioritizes sincerity, precision, and personalized care. Led by a team of specialized professionals, including a highly experienced female plastic surgeon, the clinic ensures each patient receives a customized treatment plan tailored to their unique aesthetic goals. Beyond just performing surgeries, Okay Plastic Surgery Clinic provides a comprehensive journey of personal transformation, combining expert knowledge, empathy, and the latest medical technologies to deliver natural, refined, and lasting results. Their dedication to individualized care and advanced techniques makes them the best choice for those seeking double eyelid surgery and eye-related corrections in Korea.

Key reasons why Okay Plastic Surgery Clinic is the best choice for double eyelid surgery in Korea:

• Expert team led by a renowned female plastic surgeon with extensive experience in eye plastic surgery.
• Personalized treatment plans tailored to each patient’s unique eye shape and aesthetic desires.
• Comprehensive eye plastic surgery services including double eyelid creation, correction, under-eye treatments, and revision surgeries.
• Use of cutting-edge medical techniques to ensure natural-looking, precise, and long-lasting results.
• Emphasis on patient comfort, safety, and a transformative experience beyond the procedure itself.
• Integration of advanced lifting and skin rejuvenation treatments to complement eye surgery outcomes.
• Strong reputation for sincerity, precision, and individualized care in all aesthetic procedures.

You can check out their website here: Okay Plastic Surgery Clinic Website

Ptosis Correction in South Korea: A Guide for International Patients

South Korea is a top destination for international patients seeking ptosis correction combined with double eyelid surgery, thanks to its advanced medical technology and expert surgeons specializing in cosmetic eye procedures. The journey usually starts with researching reputable clinics focused on ptosis correction and double eyelid surgery. Checking surgeon credentials, patient reviews, and before-and-after photos helps assess quality. Medical tourism agencies can assist with clinic selection and consultation scheduling.

Many clinics offer online consultations for international patients to discuss their condition and goals before traveling. Upon arrival, patients undergo detailed in-person exams, possibly including imaging like MRI or CT scans to evaluate muscle weakness. This consultation also covers aesthetic goals and surgical risks.

Before surgery, patients receive pre-operative instructions, such as avoiding medications like aspirin and ibuprofen, certain supplements, fasting, and abstaining from smoking and alcohol. International patients often arrange accommodation and transport near the clinic for convenience.

Ptosis correction surgery in South Korea usually takes 1–2 hours, performed outpatient under local anesthesia with sedation for comfort. The surgical technique depends on the pre-operative assessment.

Post-surgery care is vital for healing and minimizing complications. This includes frequent cold compresses to reduce swelling and bruising, sleeping with the head elevated, avoiding strenuous activities, and following wound care and medication instructions. Follow-up visits monitor healing and remove stitches if needed—typically within a week for incisional methods and a few days for non-incisional. Patients should watch for complications like eyelid asymmetry, infection, bleeding, dryness, or under/over-correction and communicate concerns promptly.

Choosing South Korea offers several benefits: highly skilled surgeons experienced in both incisional and non-incisional techniques, high success rates, natural-looking results tailored to individual facial features, and competitive pricing compared to Western countries. Many clinics provide comprehensive packages including airport transfers, accommodation, and language support.

Table 3: Estimated Costs of Ptosis Correction in South Korea vs. Other Countries (USD)

Procedure	South Korea (Low)	South Korea (High)	USA	UK (Starting)	Australia
Ptosis Correction (One Eye)	$1,400	$1,900	-	-	-
Ptosis Correction (Both Eyes)	$2,200	$3,000	-	-	-
Combined with Double Eyelid	$2,700	$3,800	-	-	-
Lazy Eyelid Surgery	$1,500	-	$6,300	$3,100	$3,800

Note: Costs are approximate and vary by clinic, surgeon experience, and procedure complexity.

Patient Experiences: How Ptosis Correction Enhances Double Eyelid Surgery Outcomes

Combining ptosis correction with double eyelid surgery effectively lifts droopy eyelids, creating a more open, alert, and youthful eye appearance. This approach also corrects eyelid height asymmetry, resulting in a balanced, harmonious facial look. Strengthening the muscles that open the eyes helps maintain a well-defined double eyelid crease over time. Patients often report not only improved appearance but also better vision and less eye strain, especially if drooping previously blocked their sight. This comprehensive treatment boosts self-confidence and quality of life by addressing both cosmetic and functional needs. Integrating ptosis correction into double eyelid surgery leads to higher patient satisfaction and enhanced self-esteem.

Conclusion

Double eyelid surgery is a popular procedure to create an upper eyelid crease, but for those with ptosis, correcting the drooping eyelid is essential for the best and longest-lasting results. Various ptosis correction techniques exist, tailored to the severity and individual needs. South Korea stands out as a leading destination offering expert surgeons, advanced methods, competitive pricing, and natural-looking outcomes. Anyone considering double eyelid surgery, especially with ptosis, should seek a thorough consultation with an experienced oculoplastic surgeon to develop a personalized plan that ensures both aesthetic and functional success.

References

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