Eyelid Surgery

Comprehensive solutions for both aesthetic concerns and functional issues of the eyelids and eye muscles, performed with specialized surgical techniques by the expert surgeons at WIH Hospital.

Double Eyelid Surgery Ptosis Correction Upper Blepharoplasty Lower Blepharoplasty High-Fold Correction Epicanthoplasty

Double Eyelid Surgery

Double eyelid surgery is a procedure that creates a visible crease on the upper eyelid — a feature many desire for a more attractive appearance. It helps the eyes appear larger, brighter, and more alert. At WIH Hospital, we offer three primary techniques tailored to each individual’s eyelid type and aesthetic goals:

Partial Incision

A small incision (less than 1 cm) is made at the center of the upper eyelid to remove excess fat and create a new eyelid crease by suturing the skin to the eyelid muscle.

Highlights: Small incision, fast recovery, minimal scarring
Limitations: Limited ability to remove excess skin or fat; not ideal for patients with significant eyelid drooping, thick eyelid skin, or excessive fat
Recovery Time: 7–10 days

Full Incision

This method involves making a long incision along the upper eyelid from the inner to the outer corner. It allows for the removal of excess skin, fat, and muscle, and enables precise reshaping of the eyelid crease.

Highlights: Comprehensive correction, effective removal of excess tissue, suitable for patients with deep-set eyes or those requiring revision surgery
Limitations: Longer recovery time and a longer incision that may be more visible initially
Recovery Time: 10–14 days

Non-Incision Method

This technique involves creating a double eyelid without making a significant incision. Instead, sutures are passed through tiny punctures in the upper eyelid to form a connection between the skin and the levator muscle or the tarsal plate.

Highlights: No skin cutting, resulting in minimal to no visible scarring. Recovery is faster with less swelling and bruising compared to incision techniques.
Limitations: The eyelid crease may not be as long-lasting as with incision methods. Over time, the crease may loosen or fade.
Recovery Time: 5–7 days

Ptosis Correction (Weak Eyelid Muscle Repair)

Ptosis correction is a surgical procedure designed to lift drooping upper eyelids (ptosis), which can impair vision and create a tired or fatigued appearance. The goal of the surgery is to reposition the eyelid to a normal height, improving both the visual field and the symmetry of the eyes.

The choice of surgical technique depends on the severity of the ptosis and the individual’s eyelid anatomy. At WIH Hospital, our team of experienced specialists will provide a personalized consultation and treatment plan to ensure the most suitable and effective outcome for each patient.

Ptosis Correction Technique: Levator Advancement

The Levator Advancement technique strengthens the Levator Palpebrae Superioris muscle — the primary muscle responsible for lifting the upper eyelid. In this procedure, the surgeon repositions and sutures the levator muscle to an optimal location, enhancing its lifting ability. This results in brighter, more alert-looking eyes with improved eyelid tightness.

Benefits of This Technique:

✅ Provides natural and long-lasting results
✅ Reduces the risk of complications such as eyelid asymmetry when opening or closing the eyes
✅ Involves a small incision, quick recovery, and allows for precise eyelid positioning

Who Is It Suitable For?

✅ Individuals with moderate to severe ptosis
✅ Those experiencing droopy eyelids that interfere with vision
✅ Anyone seeking to improve their appearance and boost daily confidence

Upper Blepharoplasty (Upper Eyelid Surgery)

Upper blepharoplasty is a surgical procedure that removes excess skin, muscle, and sometimes fat from the upper eyelids to correct drooping eyelids. It can improve both the appearance of the eyes and visual function if the sagging skin obstructs vision.

Causes of Drooping Upper Eyelids

Upper eyelid drooping can result from various factors, including aging (which reduces skin elasticity), genetics, previous eye trauma, or certain medical conditions. It may also be associated with brow ptosis (drooping eyebrows).

Surgical Procedure

The surgeon marks the natural eyelid crease (or the desired crease line), ensuring symmetry is carefully planned.
Local anesthesia is administered to numb the eyelid area. Sedation or general anesthesia may also be used.
An incision is made along the marked crease — typically hidden within the natural fold when the eyes are open. The incision often extends slightly outward to remove excess skin.
Excess skin and fat are carefully removed. In some cases, muscle tissue is also adjusted or repositioned. A conservative approach is often preferred to maintain a natural fullness.
The incision is closed using fine sutures.
The procedure usually takes about 45 minutes to one hour.

Expected Results

The surgery results in a more youthful and refreshed appearance with smoother upper eyelids and a more defined crease. It may also enhance vision if drooping skin previously blocked the field of view. Patients typically experience increased self-confidence. The results often last between 5 to 7 years — and in some cases, even longer.

Patient Testimonial

Lower Blepharoplasty (Under-Eye Bag Removal)

Lower blepharoplasty is a surgical procedure designed to improve the appearance of the lower eyelids by reducing puffiness (under-eye bags), excess skin, and fine lines. It helps restore a more refreshed and youthful look to the under-eye area.

Causes of Under-Eye Bags

Under-eye bags are primarily caused by the weakening of tissues and muscles supporting the lower eyelids as we age. This allows fat that normally cushions the eyes to descend and accumulate in the lower eyelid, creating a puffy appearance. Fluid retention, especially after waking up or consuming salty foods, can also contribute. Other contributing factors include lack of sleep, allergies, smoking, genetics, and certain medical conditions such as thyroid disorders.

Correction Techniques

✅ Fat Removal – Suitable for patients with excess fat deposits under the eyes
✅ Fat Repositioning – Helps redistribute fat evenly for a smoother, more natural look
✅ Skin Excision – Ideal for those with sagging skin under the eyes to achieve a firmer, tighter appearance

The choice of technique depends on individual needs, including the amount of excess skin and fat, as well as the surgeon’s recommendation. The procedure typically takes 1 to 2 hours and can be performed alone or in combination with upper eyelid surgery.

At WIH Hospital, we use modern, safe surgical methods that minimize bruising and swelling while delivering natural-looking, long-lasting results.

Lower Blepharoplasty Incision Techniques

External Incision (Subciliary Approach)

This technique involves making a small incision just below the lower lash line. It allows for the removal of both excess skin and fat, and tightening of the lower eyelid skin. In some cases, the “pinch” method may be used to precisely remove a minimal amount of skin, or a skin-muscle flap may be created for more extensive correction.

Best suited for patients with under-eye bags combined with loose or excess skin
The scar is hidden along the lower lash line and becomes virtually invisible once healed
Allows for simultaneous fat removal and skin tightening

Internal Incision (Transconjunctival Approach)

This method involves making an incision inside the lower eyelid (within the conjunctiva), providing access to the fat pads without any visible external scarring. Fat can be removed or repositioned (fat transposition) to fill hollow areas under the eyes.

Ideal for patients with under-eye fat but no excess skin
The incision is hidden inside the eyelid, leaving no visible scar
Results in less swelling and faster recovery time

High Fold Correction

Refining the Eyelid Crease for a More Natural and Balanced Look

“High Fold” refers to a condition where the double eyelid crease is positioned too high, a common issue following previous double eyelid surgery. When the crease is placed above the ideal level, it can result in a thick-looking eyelid, harsh or unnatural eye appearance, and in some cases, make the eyes appear smaller, sleepy, or asymmetrical.

At WIH Hospital, our High Fold Correction service is performed by oculoplastic surgeons with specialized expertise in eyelid surgery. Using personalized techniques, we reduce the height of the existing crease and refine it to create a softer, more natural look that harmonizes with your eye shape and facial features.

Who Is This Procedure Suitable For?

Individuals who previously underwent double eyelid surgery and received a crease that is too high
Those who feel their eyes look harsh, unnatural, or not in harmony with their facial features
Patients looking to correct and refine the eyelid crease for better balance and a more natural appearance
Those with uneven or asymmetrical eyelid creases from a prior surgery

High Fold Correction Technique
(Step-by-Step Procedure to Restore a Natural Eyelid Crease)

1. Assessment of the Original Eyelid Fold and Individual Concerns
Before surgery, the surgeon carefully evaluates the height and characteristics of the original crease. This includes measuring the MRD1 (marginal reflex distance), analyzing the depth of the fold, skin thickness, and any existing adhesion points between the levator muscle, dermis, or scar tissue.

2. Releasing the Old Fold and Adhesions
High folds are often caused by tight adhesions between the levator muscle and the skin or dermis. The surgeon gently separates these adhesions to release the old crease, preventing future tension or misdirection of the eyelid fold.

3. Repositioning the New Crease Attachment
Once the previous structure is released, a new, lower crease line is designed to match the patient’s natural eyelid contour. The surgeon sutures the levator muscle or tarsal plate to the dermis at the new, lower level using meticulous stitching techniques. This creates a soft, seamless fold that blends naturally with the skin.

4. Removal of Excess Fat or Skin (If Necessary)
If the upper eyelid remains thick or has excess fat and skin, the surgeon may conservatively trim these tissues to prevent the new crease from appearing bulky or swollen post-surgery.

5. Real-Time Symmetry Check
Throughout the procedure, tools such as mirrors or symmetry-measuring devices are used to ensure both eyelids are balanced and symmetrical — a critical step that directly affects both patient satisfaction and long-term results.

Epicanthoplasty

Epicanthoplasty is a cosmetic surgical procedure designed to improve the appearance of the eyes by modifying the epicanthal fold (also known as the Mongolian fold) at the inner corner of the eyes. This surgery helps the eyes appear larger, wider, and more open. It is often performed alongside double eyelid surgery for a more balanced and harmonious look.

Surgical Techniques

Medial Epicanthoplasty (Inner Corner Release)

This technique focuses on reshaping the inner corner of the eye by releasing or altering the epicanthal fold. A small incision is made near the inner eye area to remove or reposition excess skin, thereby opening up the inner canthus. Various advanced methods are used, such as V-Y plasty, W-plasty, Z-plasty, or skin redraping techniques, depending on the patient’s anatomy.

Goal: To elongate the inner part of the eye and create a larger, brighter appearance
Commonly Combined With: Double eyelid surgery for enhanced symmetry and eye definition

Lateral Epicanthoplasty (Outer Corner Extension)

This approach targets the outer eye corner (lateral canthus) to increase the horizontal width of the eyes and soften the angle of the palpebral fissure. The procedure involves a small incision at the outer eye corner, followed by tissue adjustment to extend the lateral canthus. It is also referred to as lateral canthoplasty, where the surgeon adjusts the position of the lateral canthal tendon to refine the outer eye shape.

Goal: To lengthen the eyes horizontally and create a more almond-shaped, elongated appearance
Ideal For: Patients seeking a more defined, elongated eye shape or those with upturned outer eye corners

These techniques, when customized to the patient’s anatomy and aesthetic goals, can significantly enhance the overall harmony of the eyes and face.

Before & After Surgery Gallery

Double Eyelid (Korean)

Double Eyelid / Epicanthoplasty

Ptosis / Epicanthoplasty

Double Eyelid (Male)

Upper & Lower Eyelid

Who Is a Good Candidate for Eyelid Surgery?

Double Eyelid Surgery:

Ideal for individuals who want a more defined eyelid crease, especially those with monolids or an unclear fold. Candidates should be in good overall health, have realistic expectations, and understand the potential risks. Specific techniques may require additional considerations such as eyelid thickness, excess skin/fat, and the desired outcome.

Upper Blepharoplasty (Upper Eyelid Surgery):

Recommended for healthy individuals with excess upper eyelid skin, puffiness, or sagging that affects appearance or vision. Non-smokers with realistic expectations are ideal candidates.

Lower Blepharoplasty (Under-Eye Bag Removal):

Suitable for those in good health who have under-eye bags, excess lower eyelid skin, or fine wrinkles. Candidates should be non-smokers and have realistic expectations regarding results.

Epicanthoplasty (Inner Corner Eye Surgery):

Best for individuals with prominent inner epicanthal folds who want to enlarge and open up the appearance of their eyes. This procedure is often combined with double eyelid surgery. Good overall health and realistic expectations are essential.

Ptosis Correction (Droopy Eyelid Repair):

Recommended for individuals with upper eyelid drooping that affects vision or appearance, whether congenital or acquired. Candidates should be in good health. The specific surgical approach will depend on the severity and cause of ptosis, as well as the strength of the levator muscle.