Double Eyelid Surgery: Aesthetic & Structural Considerations

 611.<Double Eyelid Surgery: Aesthetic & Structural Considerations>

Double eyelid surgery creates a defined eyelid crease, transforming monolids into double eyelids. While naturally common in Westerners, East Asians often seek this procedure due to aesthetic preferences.

Western eyelids have thinner fat layers and a direct connection between the levator muscle and skin, allowing a natural crease. In contrast, East Asians typically have thicker fat layers and a levator muscle separated from the skin by fat, preventing crease formation.

The retro-orbicularis oculi fat (ROOF), which fuels the eyelid-closing muscle, is less developed in Westerners, while the preaponeurotic fat pad, aiding eyelid opening, is also minimal. East Asians have larger fat reserves to support stronger eye movement due to more exposed eyeballs, influencing their unique eyelid structure.

Surgical Techniques & Considerations

Double eyelid surgery includes non-incisional, partial-incisional, and full-incisional methods. Korea, being a hub for eyelid surgery, offers advanced techniques, though no single approach guarantees perfect symmetry. Orbital structure, muscle thickness, and dominant eye function all affect results.

Since eyelids are always visible, careful consideration is crucial. Unlike surgery on concealed areas, eyelid modifications impact facial harmony. Pursuing beauty should not lead to long-term dissatisfaction.

"Double eyelid surgery creates an artificial crease on the delicate veil of the eyes, the windows to the soul."
— 611mm Growth Pine

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