eyes surgery

What constitutes the most ideal eyes

Making the eyes larger is only a small part of achieving attractive eyes. Fat and muscles surrounding the eyes are manipulated and partly excised along with the adjacent skin to give the customers the most ideal eyes of their lifetime.
As “the window to the mind”, the eyes play a significant role for your first impression with others. Eye surgery is not always about making the eyes larger. You will never be satisfied after the surgery unless the eyes are well balanced in harmony with your face.

The most ideal eye shape for myself

• What is the most suitable eye surgery for me?
• Since everyone has different eye shapes, the surgery should beperformed different from individual to individual. 
  We determine the method ofoperationdepending onpatient’s individual eye shapes.

Small eyes

• Vertically small eyes
• To enlarge the eyes vertically, the surgeon performs a corrective surgery of the eyelids or a surgery that makes the lower eyelid descended downward.
• Horizontally small eyes
• You can have the eyes widened at either side of an eye. The surgeon opens the Mongolian fold and pulls the foldposteriorly making it wider near the nose (medially).

Eyes that are too wide apart

Most Asians have an extra excess amount of skin and tissue overlying the medial aspect (near the nose) of their eyes. This is called the “Epicanthal fold” =”Mongolian fold”, creating an erroneously appearance of the eyes (an illusion of “hypertelorism”or eyes that are abnormally wide apart. )
For such eyes, it is often recommende d by Plastic Surgeons to release and reorientate the Mongolian fold. However, you mayachieve even better results if you undergo additional procedures designed to increase the vertical dimension of your eyes such as Double eyelidplasty whether it be by incisional approach or non-incisional approach (buried suture technique)

Oriental Eyelids with Thin Skin

In this case, you can choosefrom 2 different techniques : the incision-techniqueorthenon-incisiontechnique (the buried suture technique) . However, with the burying, you will hardly have scars after the surgery and you can go back to your routine in a short period of time.

Oriental Eyelids with Thick Skin

In this case, you can choosefrom 2 different techniques : the incision-technique or the non-incisiontechnique (the buried suture technique) while the fat is removed. For those who have too much of a muscle mass or have bulky eyes, the non-incisoinal technique (=buried suture technique)is not feasible.But, there is no need to worry. You can still have beautiful eyes

 through the incisional technique .

Asymmetric eyes(Eyes that are not symmetrical)

The eyes could be corrected through the normal double eyelid surgery. If you have one sleepy eye on either side, you need to receive the corrective surgeryof the eyelid.
Usually, people receive the eye corrective surgery for both eyes but sometimes, some patients are allowed to have the burying for one eye only.

Sleepy eyes

For those who have sleepy eyes, the surgeon will work on the eye-opening muscle (LPS :levatorpalpabraesuperioris) and the eye-closing muscle (OOM: Orbicularis oculi muscle) during the double eyelidplastyto make the most attractiveeyes .
People tend to erroneously equate sleepy eyes as blepharoptosis. However, the latter makes the eyes hard to closetherefore, it should be separated with sleepy eyes. To address sleepy eyes, you need to receive the aesthetic surgery.

Angry eyes

Angry looking eyes often creates uncomfortable atmosphere between people especially during first confrontation. This is because people interpret a person with angry looking eyes to be really angry which is absolutely not true. Whether innate to that particular person or not, angry looking eyes can be evident even throughnatural aging process. This is because the lateral part (near the sides) of the eyelids descendslateral hooding) more with time when compared with the middleand the medial side (near the nose) due to the relative absence of muscle fibers (frontalis) in the lateral aspect. With lateral canthoplasty or canthopexy, the hooding can be addressed and at the same time, a more augmented lateral area can be achieved exposing more percentage of the white part of the eyeball (sclera) resulting in more natural looking eyes.

Sad eyes

Dark circle refers to the lower eyelid dark shadowing and hyperpigmentation just below the lower eyelashes. There are several factors contributing to the formation of the dark circle: these include hyperpigmentation, poor circulation, loss of skin tonicity, and excess fat underlying the skin. Moreover, with natural aging, the hyperpigmented area may even appear irregular on its surface. To make situation worse, the ligament structure called the CPF (Capsulopalpebralfasica) becomesloose by wear and tear mechanism as the person ages. This may create a protrusion of the lower eyelid called the “ baggy eyelid” .

Dark circle

Dark circle refers to the lower eyelid dark shadowing and hyperpigmentation just below the lower eyelashes. There are several factors contributing to the formation of the dark circle: these include hyperpigmentation, poor circulation, loss of skin tonicity, and excess fat underlying the skin. Moreover, with natural aging, the hyperpigmented area may even appear irregular on its surface. To make situation worse, the ligament structure called the CPF (Capsulopalpebralfasica) becomesloose by wear and tear mechanism as the person ages. This may create a protrusion of the lower eyelid called the “ baggy eyelid” . Through Lower blepharoplasty, the surgeoncan address all of these problems: skin excess, baggy lower eyelid, and irregularities of theskin. Lower blepharoplasty can be categorized into 2 different techniques : the incision technique and the non-incision technique. The formercan address all of these problems by making incision below the eyelashes and reorientating fat or removing some excess fat and finally lifting and anchoring tissue upward and excising some excess skin. The latterapproach address the baggy eyelid and irregularities of the skin surface by reorientating orbital fat downward to the cheek area or excising some excess orbital fat. This procedure however cannot address skin excess since skin is never incised in the first place. Depending on the problem, the surgeon can recommend the surgical technique necessary to each individual patient.

Eyes with poking eyelashes

When you have eyelashes poking your eyes, you will be likely to suffer from bruises which would cause irritation and eye sight decrease. The symptoms are usually referred as “introvertedeyelashes” and “palpebra inversion”.
For those eyes, you can have either the burying or the incision.

Man’s eyes

Unlike women, when a man has too big eyes, people consider him an overly romantic guy. Therefore, for those men who want to have natural double eyelid eyes, the surgeon performs the double eyelid surgery as much carefully as possible.

What is the [non-incison] buried suture technique double eyelidplasty?

This non-incisional buried suture technique allows for the surgeon to perform double eyelidplasty without making large incisions. Instead, small pin holes are made barely large enough for the needles to pass through.Sutures are repeatedly passed from one hole to another underneath the skin so as to have its name “buried” under the skin and finally comes out of the hole where it started to make a knot. The knot is also buried under the skin. Therefore, bleeding or swelling is minimal immediately after surgery. The operation is so simple that surgery itself takes only about 10 minutes. The sutures can either be left inside permanently or removed later. It is the natural fibrosis around the suture that maintains the form of the double fold. The main advantage of this technique is rapid recovery after the operation and technical ease.
Excellent candidates of this operation are those who are in their teens or in their twenties with good skin elasticity. They must also have moderate amount of muscle and fat volume around the eyes because this operation cannot remove skin, muscle or fat if they are in excess amount.

Benefits of Pitangui buried suture technique

• - Quick operation time
• - Naturally-shaped double eyelid as if you have not received any operation.
• - Minimum damage to the tissue. Quick recovery.
• - Naturally-shaped double eyelid
• - Easy to receive a re-operation since the operation would not damage the tissue much.
• - You can go back to the normal routines as soon as possible.

How to conduct the burying

Information about the buried suture technique

What is the [incision] technique double eyelidplasty ?kind of incision used

The incision technique double eyelidplasty entails a horizontal incision on the double fold that is about to be created. Therefore, scar is hidden right at the double fold. This inconspicuous incision at the upper eyelid allows the surgeon to manipulate fat surrounding the eyeball,(orbital fat), the eye-closing muscle (OOM: Orbicularis oculi muscle), the eye-opening muscle (LPS : Levatorpalpabraesuperioris) and the skin to make the most ideal double eyelid.Although double-eyelidplasty is a rather simple operation, the entire procedure is all about sculpturing: some of the OOM and the orbital fat will be removed if theseare in excess amount. The LPS can be plicated (partly folded onto itself and sutured) to shorten if necessary. If you have eyes with thick skin including muscles and fat around the eyes, you are definitely recommended for the incision technique.

Benefits of Pitangui incision

• - The most basic but at the same time, the most difficult
• - You can have the clearest double eyelid.
• - You can have different double eyelids as you like.
• - Suitable for all eye shapes
• - More suitable for eye with fat
• - You should receive the incision technique performed by a surgeon who have both the skills and sense of beauty as well.

How to perform the incision

Information about the incision-technique double eyelidplasty

What is the partial incision-technique double eyelidplasty?

This technique is a combination of the incision-technique and the non-incision buried suture technique of double eyelidplasty.Advantages of the each technique are As an operation which would require only the minimum incision, it keeps the double eyelid placed tightly on the skin. You will hardly have scars after the operation.

Benefits of Pitangui partial incision technique

• - The minimum incision operation which have worked both on the burying and the incision
• - You will hardly have scars.
• - You will have double eyelids with long lasting durability The minimum incision technique makes incision less than 2mm

How to perform the incision

Information about the incision-technique double eyelidplasty

What is the side-opening operation?

For those who have eyes which look too distant apart from each other that can lookboring because of Mongolian line, the side-opening operation is performed to make the eyes look elegant and natural.giving an overall pleasant impression.
The surgeon manipulates the Mongolian fold by calculating the ratio mostsuitable to your facial proportions to give eye shapes as natural as possible.

Advantages of theME(Medial Epicanthoplasty)front side-opening operation)

• - Ellimination of Mongolian lines (excess skin and soft tissue overlying the medial aspect of the eyes common among the Asian population)
• - Refreshing, soft eyes
• - The benefits would be maximized if you receive the double eyelid operation at the same time.

How to perform the Medial –Epicanthoplaty(nose side-opening operation)

Information on the front side-opening operation

What is theLC(Lateral Canthoplasty) rear side-opening operation?

If you have narrow eyes horizontally , the eyes will look as if they are gathered in the middle, toward the nose. In that case, you need the lateral canthoplastymore than the normal double eyelid operation.
When the eyes are gathered towards the nose, you need to receive the rear side-opening operation which would have the border of the eyes expanded to the sides.

Advantages of the rear side-opening operation

• - Quick operation
• - Quick recovery
• - Suitable for the eyes gathered in the middle
• - Suitable for the eyes narrow externally than internally
• - Suitable for both the angry and the sad eyes

How to perform the LC (Lateral Canthoplasty) rear side-opening operation

Information on the rear side-opening operation

What is the eye corrective operation?

If your iris (colored part of your eyes: dark brown for Asians and blue or green to gray for Caucasians) are covered by the upper eyelid, you might look sleepy. It is believed to be caused because the LPS (Levatorpalpabraesuperioris) eye-opening muscle is weak. For those who have the symptom, wrinkles appear on the forehead because they inadvertently try to open the eyes by using their forehead muscle as a compensatory mechanism. With the eye corrective operation, you will have clear, bigger, refreshing eyes.

Advantages of the eye corrective operation

• - The most ideal operation for blepharoptosis.
• - Prevention of forehead wrinkles
• - Suitable for loosened double eyelid
• - Your personal impression will change in a positive way with the bigger, clearer eyes.
• - You will feel softer in person after the operation.
• - Suitable for multilayer eyelid

How to conduct the eye corrective operation

What is the eye corrective operation?

If your iris (colored part of your eyes: dark brown for Asians and blue or green to gray for Caucasians) are covered by the upper eyelid, you might look sleepy. It is believed to be caused because the LPS (Levatorpalpabraesuperioris) eye-opening muscle is weak. For those who have the symptom, wrinkles appear on the forehead because they inadvertently try to open the eyes by using their forehead muscle as a compensatory mechanism. With the eye corrective operation, you will have clear, bigger, refreshing eyes.

Advantages of the eye corrective operation

• - The most ideal operation for blepharoptosis.
• - Prevention of forehead wrinkles
• - Suitable for loosened double eyelid
• - Your personal impression will change in a positive way with the bigger, clearer eyes.
• - You will feel softer in person after the operation.
• - Suitable for multilayer eyelid

How to conduct the eye corrective operation

What is the Sub-Brow Excision Eyelid Surgery ?

As a natural aging process, the skin looses elasticity and tone resulting in excess skin and gravitational descent. The over-redundant skin The loosened skin around the eyes blocks your view, making you look older and tired. 
Too many wrinkles require you to receive more than a simple beauty care treatment. With the supraorbital plastic surgery to cut some unnecessary tissue, your loosened skin will get elastic again which would also give you the most attractive eyes.

Advantages of the Sub-Brow Excision Eyelid Surgery

• - You will have better view.
• - You should receive operation from an experienced plastic surgeon
• - The double eyelid should be as naturally as possible.
• - You should consider the distance between the eyebrow and the eye.

How to conduct the Sub-Brow Skin Excision Eyelid Surgery

Under-eye fat and wrinkles plastic surgery

As a natural aging process, not only the skin looses elasticity but also sustaining ligaments give in as a wear and tear mechanism. The once tight fat holded and fixed by this ligament structure moves forward and downward by gravity and constant blinking of the eyelids. Hence the overall “baggy” lower eyelid or the “puffy”“protruding”lower eyelid. This makes the skin under the eyes plumped and the so called ”dark circle “appears.

ADVANTAGES of theTrans-conjunctival approach

• - No visible scars .
• - As the loosened skin is pulled upwards, the dark circle will be diminished.
• - smooths out the skin (wrinkle- freesurface)
• - Long lasting effect

Removal of fat under the eyes

We do not cut the skin. We work only on the fat through conjunctiva inside the eye. 
You will not see any scars outside. You can wash the face and wear the makeup right after the operation.

How to conduct the under-eye fat removal operation

Under-eye fat realignment

Cuts are made through the conjunctiva and the fat under the eye is removed. The rest of the under-eye fat is divided into three groups and realigned to near the periosteum
For those who have many wrinkles, the fat is removed as the skin loosened through the incision is pulled into the opposite direction.

DVANTAGESoftheTrans-conjunctivalapproach

• - No visible scars .
• - As the loosened skin is pulled upwards, the dark circle will be diminished.
• - smooths out the skin (wrinkle- freesurface)
• - Long lasting effect

Revision of the double eyelid

No one would want to undergo double eyelid operation more than once. However, unfortunately, for several reasons, some of them are suggested to have reconstruction.
In that case, you should get it done by a skillful specialist.

Candidates Indications for the double eyelid reconstruction

• - Unclear double eyelid
• - Two different double eyelids in size
• - Two different double eyelids in height
• - To make the double eyelids get corrected in a way of In -> Out and out -> In.
• - When you want the double eyelids to get disappeared.
• - When you have double eyelids get loosened.
• - When you have the double eyelids swollen too long.
• - When you have sleepy double eyelids.

Pictures before and after an operation