Eye-Face Surgery

 

696. <Eye-Face Surgery>

Eye-face surgery goes beyond basic eye procedures—it's a comprehensive approach that considers the entire facial structure and proportions when correcting or enhancing the eye area.

Double eyelid surgery simply creates creases, and canthoplasty (epicanthoplasty, lateral, and lower) enlarges the eye. However, these can affect facial harmony—for instance, inner corner surgery can make the eyes look too close together, unintentionally making the nose look taller and the midface appear wider. Eye-face surgery offers proportion-based solutions, not just desired changes.

For patients with protruding eyes, it’s essential to first correct the asymmetry and wait for swelling to subside before performing eyelid surgery. This reduces the risk of asymmetry or relapse.

In cases of ptosis (droopy eyelid) with facial asymmetry, correcting eye protrusion first allows for more accurate and balanced ptosis correction.

A prominent brow bone can make the eyes look deep-set and the nose flatter. Reducing the brow bone can reveal the actual eye depth, helping plan the most suitable eyelid design through 3D CT and photo analysis.

If the forehead is asymmetric, correcting it with fat grafting or implants first helps assess true eye symmetry.

Ultimately, eyelid surgery should follow careful analysis—and, if necessary, correction—of the forehead, brow bone, and orbital bone asymmetry. Otherwise, repeat surgeries are more likely.

Many patients seek under-eye fat repositioning, but if the eye is protruded, correcting the protrusion alone often improves the bulge without touching the fat.

The best eye surgery is not needing one—but if you're going to do it, do it right. Analyze the full face, understand what caused the eye issue, and fix the underlying cause first to avoid recurrence.

[Eye-face surgery means correcting facial causes behind eye problems.]
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