Aesthetic Plastic Surgery

, Volume 43, Issue 1, pp 133–138 | Cite as

Incisional Ptosis Correction with Hidden Double Fold in Asian Patients

  • Tae-Yul Lee
  • Ki-Bum Kim
  • Dong-il ChoiEmail author
Original Article Oculoplastic



Korean males and a few females desire to have larger eyes; however, they often wish to enlarge their eyes and conceal their double eyelids. This paper attempts to describe how to make the eyes bigger and brighter without showing double-fold eyelids.


The authors performed cosmetic ptosis correction in 121 cases from April 2013 to December 2017. All patients enrolled in this retrospective study underwent surgical procedures at the author’s institutions. Patients were included that had mild-to-moderate degrees of ptosis and levator function greater than 5 mm, ages greater than 16 years, and no prior ptosis surgery.


A successful outcome was achieved with this surgical approach in 113 (93.4%) patients. Complications potentially associated with ptosis surgery were not observed.


A refined method of preoperative evaluation for incisional ptosis correction to conceal a double fold with no visible signs of surgery is described. Ptosis correction without the formation of double eyelids will result in skin hooding and visible scarring, and thus, it is recommended to lower the height of the double eyelids. The lower height of double eyelids can cover the incisional scar and make it appear there are no double eyelids.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors


Blepharoptosis Hidden double fold Eyelids Blepharoplasty 


Compliance with Ethical Standards

Conflict of interest

The authors have no conflicts of interest to disclose.

Ethical Approval

The study protocol was approved by the institutional review board (IRB) of our institution (Approval No.: KUGH 15091-001). This study was performed in accordance with the Declaration of Helsinki.

Supplementary material

The preoperative marking of the patient

266_2018_1214_MOESM2_ESM.wmv (25.9 mb)
The plication using under-through technique
266_2018_1214_MOESM3_ESM.wmv (15.7 mb)
The fixation of double fold and the prevention of trichiasis


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2018

Authors and Affiliations

  1. 1.Department of Plastic SurgeryKorea University College of MedicineSeoulKorea
  2. 2.Gangnam-Seoyon Plastic Surgery ClinicSeoulRepublic of Korea

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