홍진주성형외과

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[ Shape of double eyelid ]

designing double eyelid line
Skin crease lines are the result of a complex interaction between internal and external factors involving the skin. Generally, they are perpendicular to the underlying muscles of the face. In the upper eyelid, the eye-opening moves in vertical dimension, the crease lines are created horizontally.

A natural double eyelid line is folded along the natural skin crease. Therefore, when designing the double eyelid line, it should follow this skin crease or those parallel to the crease.
design along the natural skin crease
Two important points in making double eyelids naturally.

:: Proper height of the double eyelid line
:: Design along natural skin crease
It is the most natural line when designing according to proper height of the skin crease at an adequate height.
Irregular lines due to scarring
Occasionally, the uneven location of depressed scarring can cause a line irregularity. It is because the muscles and soft tissues removal or the depth of the skin fixation is not consistent along the incision.
In this case, it can be resolved by removing the scarred skin like a normal scar revision and fixing the depth consistently
Inside and Outside Folds
Three types of double fold. The lid margin may be closed (“inside” fold) or open (“outside” fold) at the medial end according to whether or not the two upper outlines of the eye, the edge of the skin fold and the true lid margin with the eyelashes, join together medially. (c) In the “in/out” or “neutral” fold, the medial side is open with a small gap, but the height of the lid margin is gradually increasing laterally
In-fold out-fold in/out-fold
Three types of double fold. The lid margin may be closed (“inside” fold) or open (“outside” fold) at the medial end according to whether or not the two upper outlines of the eye, the edge of the skin fold and the true lid margin with the eyelashes, join together medially. (c) In the “in/out” or “neutral” fold, the medial side is open with a small gap, but the height of the lid margin is gradually increasing laterally

'Appropriate line height' is more important than in/out shape'

Too vertical and strong Epicanthal fold
Inout-fold impossible, In-fold operation is recommended
However, even in the in-fold shape, the double eyelid fold should begin as early as possible from the innermost side. If the inner line is too low, it looks narrow and smaller palpebral aperture.
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