Looking enviously at other people’s large European-style double eyelids, which are dynamic and compelling, and looking at their own undulating single eyelids, they can’t help but open their cell phones and start selecting the double eyelid surgery of their choice. In the layers of selection, the buried double eyelid surgery stands out with its simple operation, small trauma, no obvious skin scar after surgery, light post-operative swelling reaction and fast recovery.
However, after learning about it, we found that in case of ptosis, the results after buried liner are not good. But what is ptosis? Why does ptosis lead to poor results? And can it still be done? Don’t worry, we will answer you one by one below.
First, what is ptosis?
Ptosis is a drooping upper eyelid that is significantly lower than normal and may obscure the pupil and affect vision. It is one of the common clinical conditions in plastic surgery and is classified as myogenic, tenosynovial, neurogenic, mechanical, and pseudohyperlidosis. Of these, myogenic is subdivided into congenital and acquired. Clinically, patients tend to have unilateral or bilateral ptosis due to congenital upper eyelid levator dysplasia.
Mild ptosis
Ptosis not only affects the patient’s aesthetic appearance, but also affects the patient’s vision by partially or completely obscuring the pupil and can even lead to psychological disorders.
Therefore it is most important to rule out ptosis, especially in some mild cases, and not to leave it unattended.
Secondly, why is it not recommended for people with ptosis to have buried eyelids?
Because there are clear indications for buried eyelids, such as for young people with good elasticity of the upper eyelid skin, eyes without canthus, thin eyelids, and normal eyelid tension.
For patients with mild upper eyelid ptosis with thin eyelids and non-loose skin, although they can undergo buried eyelid surgery, the results may not be good or long-lasting, and the specific maintenance time needs to be determined by the degree of their upper eyelid ptosis.
In addition, with buried eyelid, the upper eyelid dermis and the levator muscle tendon membrane at the upper edge of the lid are fixed using a ligature to form a crease for the purpose of blepharoplasty. Since the skin is not incised, the levator muscle cannot be exposed, so correction of ptosis cannot be performed.
If the eyelid is only done with a submerged eyelid without correcting the levator muscle, the width and beauty of the eyelid is likely to be affected after surgery, and eventually the submerged eyelid may become an internal double.
In this case, a second surgery will be needed to repair the problem, remove the effect of the buried line on the levator muscle, readjust the strength of the upper eyelid levator muscle, and thus adjust the shape and width of the double eyelids.
Can people with ptosis have double eyelid surgery?
Double eyelid surgery can be performed as long as the conditions for the procedure are met, but it is generally more recommended for patients with ptosis to have an incisional double eyelid surgery. This is because when patients with ptosis undergo an incisional double eyelid surgery, they can not only complete the double eyelid surgery, but also correct the ptosis, i.e. shorten the upper eyelid lift, killing two birds with one stone.
But it is also because more treatment has to be done to correct it, so the surgery is more difficult than a normal incisional double eyelid surgery and requires more qualifications from the institution and the surgeon! Therefore, when choosing, you should always take reputation, professionalism and safety as the main points of selection, and never put price first, resulting in losing a lot for little.
References
[1] Wang Yuanbo, Hu Yanuan, Tang Shoukai, Lu Junxu, Yang Biao Bing. High anterior migration of the levator muscle for moderate to severe ptosis [J]. Chinese Journal of Aesthetic Plastic Surgery,2022,33(01):32-34.