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Eye Surgery (Ophthalmoplasty)

La Foret Eye Clinic
Like how the trends for beauty changes, the trends for an ideal eye changes as well. However, despite the changes, a common factor among all ideal eyes are the distance between the eyes and the position of the eyes.
La Foret Eye Clinic Ideal Eye The distance between an ideal eye should be the same length as the width of the nose and the medial canthus of the eyes (the inner side point of the eyes). They should line up with the edge of the nose in a straight line. Many patients, male and female, visit La Foret Clinic to get a consultation for their ideal eyes.
As eyes are known to be the window to one’s soul, the eyes are one of the most important features that can change a person' s overall image. Therefore blepharoplasty is performed meticulously and artistically.

La Foret Eye Clinic Plant

Types of Eye Surgery

Double Eyelid Surgery (Blepharoplasty)

The double eyelid blepharoplasty surgery is one of the most common blepharoplasty performed in Asia. The double eyelid blepharoplasty can be performed alone or incorporated into another blepharoplasty procedure. Whether it is reshaping one’s eyes for cosmetic reasons or repositioning one’s eyelashes for aesthetic reasons, there are many reasons for wanting to undergo the double eyelid blepharoplasty procedure.

Double Eyelid Surgery Methods

5-Point Non-Incision (Suture) Method

La Foret offers the 5-point non-incision method. This process involves a consecutive non-incision method. One suture is passed through the eyelid multiple times to prevent the eyelid from being loose after the blepharoplasty procedure. The 5-point non-incision method tends to stay tight unless an accident occurs. This blepharoplasty procedure doesn’t leave any scars and has a short recovery time. Most patients that undergo the process over the weekend are able to return to their daily activities right away. The 5-point non-incision method is ideal for patients with a thin upper eyelid, have no caruncle, has a very light creased upper eyelid, multiple upper eyelids, and can easily create upper eyelids with tape. The 5-point non-incision blepharoplasty leaves no scars

because it is performed with a very small incision. There is very little bleeding and no bruising. The procedure lasts only 30 min and is ideal for busy patients. The eyelid crease is fixed and won’t loosen over time and the eyelid crease can be corrected without undergoing another surgery. La Foret Eye Clinic 5 Point Non-Incision Method
5-Point Non-Incision Post-Surgery Care
After receiving the 5-point non-incision blepharoplasty, place your head higher than your body when lying down, make sure the eyes do not come in contact with water on the day of the surgery and don’t worry when you feel uncomfortable when blinking. The uncomfortable feeling is a natural response when recovering from the blepharoplasty.

Incision Method

During the blepharoplasty procedure, a small incision is made on the levator muscle and the orbital fat in the eyelid is extracted to form the crease line for the double eyelid. This incision method is a common method for the double eyelid blepharoplasty procedure. There are a variety of double eyelid
La Foret Eye Clinic Incision Method
shapes that are possible with this incision method to bring out the patient’s ideal eyes. The eyes may remain swollen for a while and a scar may be present. However, they will both disappear with time. The incision method takes about an hour to an hour and a half and the sutures are removed 4~7 days after the blepharoplasty. This incision method is ideal for patients with thick eyelids, a lot of fat in the eyes and with blepharoptosis (droopy eyes). There are subtle differences between the incision and non-incision methods.

  Non-Incision Incision
Duration 10~30 min About an hour
Anesthetic Application
Method
Both general and local anesthetics performed
Recovery Time 1-2 days 4-5 days
Suture Removal About 1-2 days after the surgery About 4-5 days after the surgery
Outpatient
Treatment
Once About 2-3 days

Semi-Incision Method

The semi-incision method can be seen as a combination of both the non-incision and incision method blepharoplasty. Recovery from the blepharoplasty is short without long term swelling and the orbital fat is removed. The eyelid crease can be created in the middle or at the end of the eyes. The creased formed looks very natural and the fact that surgery was performed is hardly noticeable. The operation time for the semi-incision method blepharoplasty is 30~40min and the sutures are removed after 3~5 days. The swelling in the eyes go down 3~4 days after the procedure and the creases won’t become loose and the crease will stay vivid. However, the semi-incision method is not recommended for patients with thick eyelids or blepharoptosis and possible shapes of the double eyelids are limited.
Semi-Incision Method Post-Surgery Care
Once the sutures are removed 3~5 days after the semi-incision method blepharoplasty, make up may be applied 2~3 days or 1~2 weeks after the suture removal depending on the situation due to possible infection or side effects. It is recommended to apply ice packs wrapped in a towel, and after removing the sutures to apply both ice and hot packs. After applying an ice pack, there may be multiple eyelid creases. If this occurs, try to open your eyes widely or use cotton buds to remove the multiple creases. If the multiple creases won’t disappear, visit La Foret Clinic as a re-operation may be needed. If blood clots form on the eyes, blood clot removal procedures are available at La Foret Clinic. An edema may occur after the surgery. The edema will disappear with time. 80~90% of time, the edema may cause one eye to look larger than the other. However, this will be regulated as the edema disappears. For those who have undergone the incision method blepharoplasty, the sutures may be visible along with the creases. Once the sutures are removed, this won’t be a problem. However, please do consult with La Foret’s doctor if this happens.

Double Eyelid Surgery Methods

There may be times when a patient who has undergone double eyelid blepharoplasty may want to or need to re-operate on their double eyelids. For patients who choose to undergo blepharoplasty re-operations, La Foret Clinic offers double eyelid blepharoplasty re-operation procedures.

When Double Eyelids Weaken

Double eyelids may weaken after a non-incision method blepharoplasty. Normally, when this occurs, an incision method is used for re-operation, but non-incision methods can be used for patients who don’t want to leave any scars. Usually, the double eyelid does not weaken after a non-incision method re-operation. However, in the case that the double eyelid does get loose, the crease can be replaced in the exact location it was in before or can be relocated to fit the patient’s eyes. Because the non-incision method does not leave any scars, the eyelid crease can be located anywhere the patient wants without having to worry of leaving any scars or traces of the previous eyelid crease. When a double eyelid weakens after an incision method blepharoplasty, the crease in the eyelid is recreated through another incision blepharoplasty operation. If the scar from the previous blepharoplasty is unnoticeable, it is possible to place the crease in another location. However, if the scar is noticeable, it is recommended to place the crease in the same location. A weakened double eyelid after a semi-incision method blepharoplasty can be corrected by another semi-incision operation. However, depending on the amount of muscles present around the eyes, an incision method blepharoplasty may be recommended.

When Double Eyelids are Asymmetrical

A double eyelid blepharoplasty resulting in asymmetry may be due to a faulty design or the skin stretching too far on one side in comparison to the other. In the case of a faulty design, a re-operation will be performed to match the favoring eyelid crease. If the double eyelid is loose, an incision method blepharoplasty must be performed in the same location as the previous crease.

When Double Eyelid Crease is too Thick

When a double eyelid crease is too thick, the tissue around the eyelid is re-positioned through an incision. The existing crease is removed and the new crease is created by re-positioning the fat tissue and muscle to create a natural look.

When Double Eyelid Scar is Severely Visible

Though a non-incision method blepharoplasty doesn’t leave any scars, an incision method blepharoplasty leaves scars and that may cause a problem for the patient. Normally, scars left by the incision method blepharoplasty are covered by the crease from the double eyelid. However, the crease may not be able to cover the scar if the crease is too thick. A re-operation is recommended.

Droopy Eyes Blepharoplasty (Upper/Lower Eyelid Surgery)

Upper Eyelid Blepharoplasty

In a droopy upper eyelid, the skin on the eyelid droops down and creates wrinkles that hide the double eyelid line. The eyelid may even droop low enough to cover the eyelashes which may hinder the patient’s sight. If the droopy eyelid is only due to the skin on the eyelid, then blepharoplasty can be performed to remove the skin covering the double eyelids and the eyelash resulting in a younger and livelier looking eye. The incision created to perform the blepharoplasty is nearly invisible and double eyelids can be created if the patient desires to do so. However, if the drooping skin is caused by the skin on the forehead, a forehead lift may be required for a satisfying result.

Upper Eyelid Blepharoplasty Procedure La Foret Eye Clinic Upper Eyelid Blepharoplasty
In an upper eyelid blepharoplasty procedure, the main purpose is to bring the eyelids back to its younger state. The method of surgery depends on how much the eyelid has aged. During the consultation before the blepharoplasty, the amount of eyelid skin to be removed is determined. Once the skin has been removed, the fat tissues causing the droopiness are removed. Because the eye may seem sunken, special attention is paid to the amount of fat removed during the blepharoplasty. The scar resulting from the upper eyelid blepharoplasty is less visible than the scar from a double eyelid surgery.

Lower Eyelid Blepharoplasty Procedure

The lower eyelid usually ages quicker than the upper eyelid due to the fat tissues in the lower eyelid being formed with a weaker structure than the upper eyelid. This causes the skin to droop down faster. It is common for even younger patients to have fat tissues protruding outwards resulting in dark circles. If the protrusion is caused only by the fat tissues, a simple procedure of removing the fat tissues from the inner eyes will suffice. However, if the skin has also been affected by the aging process, a blepharoplasty is strongly recommended to reshape the lower eyelids by removing the droopy skin and protruding fat tissues and flattening out the lower eyelid for younger and livelier eyes.

Lower Eyelid Blepharoplasty Procedure La Foret Eye Clinic Lower Eyelid Blepharoplasty
Before the lower eyelid blepharoplasty, the ratio of the muscles and fat tissues in the lower eyelids and the patient’s age are taken into consideration. The lower eyelid blepharoplasty is performed along the lines of the eyelashes and the fat tissues that are drooping down are removed and repositioned to restructure the eyelids to its intended location. The excess skin is then removed. The incision is made on the line of the eyelashes and the scar from the lower eyelid blepharoplasty is nearly invisible.

Upper/Lower Eyelid Blepharoplasty Post-Surgery Care

Special care must be taken to help the swelling from the blepharoplasty settle down. It is strongly recommended to apply ice packs to the top of the eyelids for 2~3 days after the blepharoplasty surgery since that is the period when the eyelids swell the most. After applying the ice packs, it is recommended to apply hot packs on the eyelids for about 1 week. It is also recommended to stay upright as much as possible to reduce the amount of swelling.

Front/Back Eye Incision Ophthalmoplasty

Front Eye Incision (Epicanthic Fold Removal)

By removing the epicanthic fold and exposing the inner skin through a frontal incision in the eyes, the eye can appear larger than before. The front eye incision ophthalmoplasty is ideal for those who have a large amount of space between small eyes or for those whose eyes look intense due to severe epicanthic folds. The space between the eyes may narrow down and appear to be longer if the front incision ophthalmoplasty is performed along with a double eyelid blepharoplasty, creating a more sensual eye.
La Foret Eye Clinic Front eye Incision Ophthalmoplasty
Front Eye Incision (Epicanthic Fold Removal) Procedure
There are many methods that can be applied to the front eye incision ophthalmoplasty. The method is chosen by considering which method will minimize the scars left after the ophthalmoplasty. Since the eyes are where people look at the most during an encounter, special attention is paid to scars that may be left near the eyes. The most effective method of minimizing the scars is the Hiraga method. The Hiraga method is relatively simple and the amount of incisions made during the front eye incision ophthalmoplasty is minimal, which results in very little scars. The Hiraga method also allows for the scars from the incisions to be hidden below the double eyelid crease resulting in a nearly invisible scar. The incision is placed in a straight line on top of the epicanthic fold and the excess skin around the eyes are removed to expose the front of the eyes. 2~3mm or more of the eyes can get exposed through the Hiraga front eye incision ophthalmoplasty.
Front Eye Incision (Epicanthic Fold Remove) Post-Surgery Care
The swelling from the ophthalmoplasty stops around 3 days after the surgery and should settle down by the time the sutures are taken out, which is on the 5~6th day. It is important to clean around the eyes with disinfectant and apply the ointments near the scar. Washing and applying makeup is possible once the sutures are taken out. Scars from the ophthalmoplasty will weaken within 2~3weeks after the surgery.

Back Eye Incision Ophthalmoplasty

The back eye incision ophthalmoplasty expands the tail of the eyes. This ophthalmoplasty procedure is often applied to those with eyes that are short in length. The back eye incision procedure can also be used to correct the eye line that slants too far up or too far down.
Back Eye Incision Ophthalmoplasty Procedure
Careful consultation and pre-surgery examinations is recommended before performing the back eye incision ophthalmoplasty. The appropriate amount of incision, removal and repositioning must be made or the ophthalmoplasty may result in severe scaring and non-satisfactory eye shape. During the back eye incision ophthalmoplasty, an incision is made in the tail of the eye and the skin and conjunctiva are removed and repositioned. The rear incision can be made up to 2mm and the amount of incision depends on the patient’s eye and desired shape.
Back Eye Incision Ophthalmoplasty Post-Surgery Care
Resuming normal everyday activities is possible right after the surgery. However, there are chances of swelling in the eyes or hyperemia. The scars from the ophthalmoplasty should be minimal and nearly invisible and the sutures are taken out 5~7 days after the procedure. The swelling can be reduced by applying ice packs for about 1~2 days after the ophthalmoplasty.

Dark Circle Blepharoplasty

Just like the upper eyelids, the lower eyelids protrude outwards when there are unusual amounts of fat tissues. The periorbital membrane holding the fat tissues around the lower eyelid is attached to the bone and creates a puffy look right above the cheeks. The skin loses its color easily which creates dark circles. On the other hand, dark circles can appear when there are too little fat tissues around the lower eyelids. This lack of fat tissues will get worse as a person ages and creates an image of tiredness.

Dark Circle Blepharoplasty Procedures

There are a variety of blepharoplasty methods to rid of dark circles. The first blepharoplasty method involves the fat tissues being extracted through an incision on the inner eyelid. The procedure offers a quick recovery period and no need to remove the sutures. This allows the patients to resume their normal everyday life. This blepharoplasty procedure is ideal for patients who only have fat tissues in their lower eyelid with little wrinkles and those who prefer not to have any scars left after the surgery. However, since the skin is not removed, those with droopy skin may not be satisfied.

Another dark circle blepharoplasty procedure consists of removing the fat tissue through an incision along the eyelashes. The fat tissues causing the shadow on the lower eyelid are removed, which will give the eye a younger look, and is sewn back together. An appropriate amount of fat must be removed since removing too much may not allow the patient to close their eyes completely. During the blepharoplasty, topical or sleep anesthetics will be applied. The surgery lasts about 20min in the case where the procedure is performed through the conjunctiva and 40min in the case the blepharoplasty is performed through an incision. If the surgery is performed through the conjunctiva, there is no need to remove any sutures. However, if the blepharoplasty is performed through an incision, the sutures can be removed in about 4~5 days after the surgery.

Fat Tissue Insertion Ophthalmoplasty

The right amount of fat below the eyes can give off an image of cuteness. The fat tissue insertion ophthalmoplasty is popular among many women due to the ability to change a person’s image. Filler substances are normally used to be implanted below the eye. However, fat transplants can be used from the patient’s body as well and is recommended since they last longer.

Fat Tissue Insertion Ophthalmoplasty Procedure

If the fat tissue is to be inserted through a transplant, the fat tissues are normally extracted from the thighs and transplanted directly into the skin below the eyes. At first, the transplant may look swollen, but after 5~7 days the swelling will go down and look natural. In the case a filler substance is used for the insertion, the procedure can be completed within 10min. This method is recommended for those who do not have much time or needs to be able to resume their everyday activities quickly. However, the filler substances are not permanent.

Eye Enlargement/Ptosis (Blepharoptosis) Blepharoplasty

Cause and Necessity

The upper eyelids are connected to the muscles that move the eyelids up and down. Droopy eyelids, or blepharoptosis, occur when those muscles are weakened and the upper eyelid droops down to make the eyes look smaller. Those with droopy eyelids tend to raise the muscle on their forehead to open their eyes and raise their chin when they look straight ahead creating wrinkles. Droopy eyelids may occur to one or both eyes and a person may be diagnosed with blepharoptosis when drooping eyelids and wrinkles to the forehead occurs at the same time since the droopy eyes cause wrinkles to the forehead. Blepharoptosis is usually passed down through genes, but aging may also cause blepharoptosis. Those born with blepharoptosis can’t open their eyes easily and open their eyes later than others. Once the baby learns to control their movement, they also tend to learn to lift up the muscles on their forehead. Those who develop blepharoptosis later tend to be caused by sudden weakening or sudden paralysis of the muscles on their upper eyelids. They tend to develop a habit of lifting their chin to look straight ahead.
La Foret Eye Clinic Eye Enlargement/Ptosis Blepharoplasty

Eye Enlargement/Ptosis (Blepharoptosis) Blepharoplasty Procedure

There are two methods used during the eye enlargement/ptosis blepharoplasty procedure. One method is for patients who are still able to use the muscles in their upper eyelids. In the case that the muscles still function, an incision is made on the muscles to place the upper eyelids in their correct position. This procedure is the most commonly used procedure for the eye enlargement/ptosis blepharoplasty.

The muller muscle crease method is a method in which the muller muscles are rolled up into the upper eyelids, allowing for natural correction of the eyes. The muller muscle crease method is a method that is frequently used in La Foret Clinic and is the most recently developed method that is currently being used frequently for eye enlargement/ptosis blepharoplasty.

Eye Shape Correction Ophthalmoplasty

Eye shape correction ophthalmoplasty is performed on patients whose pupils aren’t revealed completely or for patients with droopy eyes. During the ophthalmoplasty, the height of the eyes is raised to create a set of clear and visible eyes. This procedure is recommended for those who can’t achieve their desired eyes through limitations of the double eyelid blepharoplasty procedure.

For patients who can’t open their eyes completely, eyes are partially opened or use their eyebrows to open their eyes, the eye shape correction ophthalmoplasty procedure can be used to remove muscles that are used to open the eyes through an incision to make the eyes look bigger. This method allows the pupil to be completely visible and create bigger eyes.

Patients who have blepharoptosis and are undergoing double eyelid blepharoplasty may result in asymmetrical eyelids or experience unusual weakening of the eyelid crease. This is due to heavy eyelids from blepharoptosis which droops down to cover the double eyelid crease. Therefore, those with blepharoptosis must undergo eye shape correction ophthalmoplasty along with the double eyelid blepharoplasty.

Patients without blepharoptosis may choose to undergo eye shape correction ophthalmoplasty for bigger eyes. If those patients already have a double eyelid, only eye shape correction ophthalmoplasty is needed, but if the patient lacks a double eyelid, they will have to undergo double eyelid blepharoplasty as well. The reason for the double eyelid crease is to hide the scar from the incision in the eye shape correction ophthalmoplasty within the crease. When combining the double eyelid blepharoplasty with the eye shape correction ophthalmoplasty, the double eyelid surgery method will be done through the incision method since the eye shape correction surgery involves an incision. In the case where the blepharoptosis is severe with the patient, the patient may experience discomfort with the disability to open their eyes after the procedure since the eye shape correction opthalmoplasty consists of removing muscles and sewing the skin back together. This is a temporary and common side effect and the patient shouldn’t worry.

Eye Shape Correction Ophthalmoplasty Post-Surgery Care

The recovery period from the eye shape correction ophthalmoplasty is about 5 days. However, the patient should visit the clinic for additional treatment every other day after the ophthalmoplasty. The entire process ends after the sutures are removed on the 5th day after the surgery. The swelling should stop within the 1st week but 2~3 weeks are necessary for the eyes to look natural. The final results of the ophthalmoplasty can be seen around 1~2 months after the procedure at the latest. Patients should avoid saunas or staying in heated areas for 2~3 weeks after the surgery. Do not scratch or rubs scars from the ophthalmoplasty surgery and don’t smoke or consume alcohol for 2 weeks after the surgery. Applying makeup is strongly discouraged for 2 weeks after the surgery due to possible infection. Patients should consume the prescribed medication and avoid touching the tape. However, gently wiping with a wet towel is allowed. After the ophthalmoplasty, apply ice packs for 3 days then heat packs for 5~6 days to reduce the swelling. Patients should sleep facing up and the head should be positioned above the heart while sleeping. Avoid intense activities such as sports for 2 weeks after the eye shape correction ophthalmoplasty.
La Foret Eye Clinic Before & After