Should large, refreshing eyes undergo double eyelid surgery doing semi-outline or outline?

 

Hello, I am Dr. Lee SangKyun of TS Plastic Surgery.

 

During eye consultations, most patients want their eyes to be bigger and more refreshing than they are now, so when I inquire about the desired eyelid line, they usually say outline. Still, recently, they preferred semi-outline because the outline might look overwhelming. But at the same time that you want semi-outline or outline eyelids, you're also thinking, "Won't I end up with sausage eyelids if I do this?" So, they ask for my advice in their consultation because they are worried that it won't suit them and will be overwhelming.

 

Do you necessarily have to go with a semi-outline or outline for big, refreshing eyes?

The answer is no. Patients bring photos of their favorite celebrities to the consultation, such as Iz One Kim Minjoo, Espa Karina, and Red Velvet Irene, among the actresses Shin Se-Kyung and Kim Yoo-Jung, and Kang Tae-Ri and Im Bora whom I have seen a lot in recent consultations. When you look at their eyes, they all have big, refreshing eyes, and the most important thing is that their double eyelid lines are all in-outline.

Of course, there are also celebrities with large, refreshing eyes who have semi-outline or outline eyes, such as BLACKPINK's Jenny and IVE's Jang Won Young.

Whether you have in-outline, semi-outline, or outline eyes, what makes them look big and cool is determined by other parts of the eye than the eyelid line, so let's look at what parts of the eye make them look big and clear.

 

Common characteristics of celebrities who bring in photos for consultation

1.      Their eyes look clear and bright

The clear appearance of the eyes is related to the exposure of the pupil. Generally, 80-90% or more pupil exposure is considered beautiful. If you look at the picture of celebrities with big, clear eyes, you can see that the pupil is touching the upper eyelid or the upper eyelid is only slightly covering the top of the black eye.

If you have good oculi force, your pupils will be more exposed, and these eyes will look wide open. Bright eyes give the impression of brightness and clarity, which is generally perceived as a positive image.

Natural Adhesion Revision + Ptosis Correction + Upper Canthoplasty

BEFORE > AFTER 3 MONTHS

 

This patient's previously operated eyelids untied, resulting in a reoperation with natural adhesions. Along with the eyelid revision, she also had a blepharoplasty and upper canthoplasty, and you can see that her eyes look more apparent, more prominent, and brighter than before surgery due to the increased exposure of the black pupil.

 

2.    Refreshing Eyes Left and Right

Eyes tend to look more open when they are divided into five sections, usually in a ratio of 1:1:1:1:1:1 horizontally.

 

Even if the proportions aren't exactly right, lengthening the horizontal length of your eyes can make them feel more extensive and more refreshing. To increase the flat size of your eyes, you need a canthoplasty, which is the epicanthoplasty, upper canthoplasty, and dual canthoplasty (back and lower canthoplasty).

Of these, dual canthoplasty can help soften the impression by lowering the raised lateral canthus and enlarging the size of the outer white of pupil. If the lateral canthus is too high, the impression may appear strong, and the eye size may seem small and stuffy. 

 

This patient had natural adhesions and underwent non-incisional ptosis correction, epicanthoplasty, and dual canthoplasty.

You can notice that the non-incisional ptosis has increased the exposure of the pupil, making the eyes appear clearer, and the horizontal length of the eyes has been lengthened due to the epicanthoplasty and dual canthoplasty.

The eye angle created by the inner and outer canthus is called the 'Mongolian slope,' the higher the Mongolian slope, the fiercer the eyes look. After the surgery, the corners of the eyes were lowered by using a dual canthoplasty, reducing the montage's angle and increasing the eyes' horizontal width.

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Dual Canthoplasty is recommended to be performed together rather than separately, as the upper and lower eyelids are attached to the corner of the eye, so it is necessary to release the fusion of the upper and lower eyelids through the canthoplasty while lowering the elastic lower eyelid through the canthoplasty to widen the angle of the corner of the eye and keep the canthoplasty without adhesion.

 

 

 

In addition, if the dual canthoplasty is performed alone, it may still look stuffy after surgery because the canthus angle is narrow, and the area stretched is not wide. Still, if the dual canthoplasty expands the back and bottom simultaneously, the canthus will look refreshing and elongated.

 

The Right Line for You Is Important

Patients think semi-outline or outline eyes are more prominent and refreshing, perhaps because they often mistake the eyelid line's height for the eye's size.

The patient in the picture above has changed the line from semi-outline to in-outline. Along with the incisional double eyelid surgery and ptosis correction, you can see more pupils than before, having the eyes look much more significant, refreshing, and clear. 

This patient also changed the line from outline to in-outline and had an incisional revision and ptosis correction. The sausage eyelids and rather sleepy eyes before surgery transformed into clear and refreshing eyes after surgery.

Due to the structure of the Asian eye, when trying to create an outline or semi-outline, it is sometimes necessary to excessively tear the Mongolian fold or have the line high. It would be best to be careful with a high line, as it can create a sausage-eye look or look awkward.

However, creating an in-outline with a clear line to the front of the eye will give the illusion of the eye's size up to the level of the eyelid, so you can create the illusion of larger eyes without the need for surgery with a semi-outline or outline, and create a natural, unobtrusive look.

 

 

Avoid Revision Surgery with Satisfactory Results

Regarding eyelid surgery, there is a widespread perception that "inline or in-outline is natural, and semi-outline or outline is fanciful. However, semi-outline or outline is only the answer for some patients, and depending on the individual eye structure, in-outline may look fancier and more natural. In contrast, the photos above show that a semi-outline or outline may look more awkward.

It is essential to diagnose the patient's skin thickness, oculi muscle force, Mongolian fold condition, and facial structure in detail to make a surgical plan to meet the patient's needs for 'big and refreshing eyes' and only an accurate surgical procedure according to the diagnosis will increase the patient's satisfaction. A skilled surgeon with years of surgical experience and expertise can perform this series of operations. This detailed process will prevent the patient from undergoing revision surgery due to dissatisfaction.