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"I'm concerned about my eyes being asymmetrical..."

We frequently hear such comments from patients considering double eyelid surgery.

 

Hello. I'm Toshiyuki Saiga from BIANCA CLINIC.

 

Humans naturally have some degree of asymmetry,

Why does the difference between the left and right eyes occur?

 

This time, we'd like to introduceA woman in her 40s troubled by asymmetry around her eyesThis is a case study.

Causes of Left-Right DifferencesやProgress photosWe have also included it, so please be sure to watch until the very end.

 

 

What causes eyes to become asymmetrical?

The following conditions may cause the eyes to become asymmetrical.

 

Genetics:If either parent has a significant difference in the width of their double eyelids on the left and right sides, it may be hereditary.

Skeletal misalignment:Skeletal misalignment may also be a contributing factor.

Use of eyelid tape:The use of eyelid tape may also be a contributing factor.

Loosening of buried sutures:If you have a habit of rubbing your eyes due to conditions like hay fever, the sutures used in the double eyelid suture method may gradually loosen and become prone to dislodgement, potentially causing asymmetry between the eyes.

Daily habits:Habits such as chewing on one side only or crossing your legs during meals may cause changes in the width of your double eyelids.

Lack of sleep and fatigue:Poor blood circulation caused by sleep deprivation, fatigue, or eye strain can lead to facial puffiness and temporary monolid appearance in one eye.

 

 

Regarding the asymmetry of the double eyelidsHerePlease also see ▼

Goodbye to asymmetry! The symmetry revolution for your eyes.

 

 

 

Case Study | 40s Female: "Concerned About Asymmetrical Double Eyelids"

The cause of this person's asymmetry in their double eyelids isthreeThere is.

 

① Sagging skin of the eyelids

SkinThe degree of sagging varies, resulting in differences in the overlap of the double eyelid lines.

 

②Asymmetry in the double eyelid line

The height at which the double eyelid creases form differs, so they need to be aligned.

 

③ Differences in eye opening

Since the height of the double eyelid lines differs, it's only natural that the eyes appear open differently. Even when simulating aligned double eyelid lines,The right eye does not open fully.We have confirmed the matter.

 

 

Performed an approach using blepharoplasty for bilateral eyelid asymmetry

To improve the above three differencesDifficult with the buried methodis.

So this timeBlepharoplastyWe performed.

 

The details of the surgery are as follows.

 

① Remove excess skin

② Create a new double line

③ Adjusting eye opening through tendon membrane advancement

 

Eyelid ptosis surgery is,Improve drooping eyelidsThis is a surgery performed for the purpose of [specific goal], and for it to be successful, several factors must be met.At key pointsYou need to be careful.

Below are points to keep in mind.

 

1. Patient Assessment

Before surgery, the patient's condition is thoroughly evaluated to identify the cause of ptosis (congenital, age-related, neurogenic, etc.). This enables selection of the appropriate surgical method.

 

2. Choice of Surgical Approach

There are several surgical methods for ptosis (e.g., fascia grafting, levator muscle shortening). It is important to select the optimal method based on the patient's condition and preferences.

 

3. Marking

Preoperative marking is extremely important. Care must be taken to consider the natural line when opening and closing the eyes and to maintain symmetry.

　

※Patient lying down state　　　　　　　　※Patient sitting up state

 

4. Precautions During Surgery

During surgery, the levator muscle and surrounding tissues are handled with care to avoid injury. Maintaining a sterile environment is also crucial to minimize the risk of bleeding and infection.

 

5. Postoperative Care

Postoperative follow-up and care are also important. Swelling and bruising may occur, but proper aftercare promotes recovery.

 

6. Patient Information

It is important to fully explain the risks of surgery and the postoperative course to the patient and obtain their understanding. We also clearly communicate postoperative expectations and precautions.

 

 

Pre- and Post-Operative Comparison｜How Does Asymmetry in the Eyes Change?

One week after surgeryThis is the progress immediately after suture removal.

 

This is a comparison with the preoperative condition.

 

Currently in the midst of recovery, so it's not quite finished yet, but compared to before the procedure,The difference between left and right has become smaller.You can tell, right?

 

Also,Compared to before the procedure, the entire eye area has a softer appearance.

When looking at things, the eyeGoodWhen the eyelids appear droopy and the gaze looks unfriendly, blepharoplasty may be an effective solution.

 

Important Considerations for Eyelid Ptosis Surgery Downtime

The downtime following blepharoplasty surgery is extremely important for promoting recovery and preventing complications.

Below are points to keep in mind during downtime.

 

1. Maintain rest

After surgery, it is important to rest as much as possible. Especially on the day of surgery, avoid strenuous activity and make sure to rest your body.

 

2. Cooling

To reduce swelling and bruising, it is recommended to use a cold pack for several days after surgery. However, do not apply it directly to the skin; wrap it in a towel or similar material before use.

 

3. Keep your head up

When sleeping, elevating your head can help reduce swelling. It's best to rest with your body slightly raised, such as by using a pillow.

 

4. Don't rub your eyes.

After surgery, be careful not to rub or touch your eyes. This will help prevent infection and worsening of the wound.

 

5. Taking prescribed medication

Take pain relievers and antibiotics prescribed by your doctor as directed. Avoid stopping them on your own.

 

6. Restrictions on exercise and strenuous activities

For a while after surgery, you should avoid strenuous exercise and lifting heavy objects. This can cause your blood pressure to rise, increasing the risk of swelling and bleeding.

 

7. Regular follow-up

It is important to follow your doctor's instructions and attend regular check-ups for post-operative follow-up. If you notice any abnormalities, consult your doctor immediately.

 

 

Summary｜Addressing eye asymmetry requires treatment tailored to the underlying cause

The following three points represent future changes:

 

① Swelling subsides, the double eyelid line becomes narrower and more natural.

② The eyes open wider, making the pupils more visible.

③Unnecessary lines are smoothed out, creating a natural arch along the lash line.

 

Completion is in three months.

The patient also said they were looking forward to seeing their friend!

 

The progress is going very well, so I'm looking forward to the completion.

 

If you have concerns about your eyes, we look forward to welcoming you for a consultation at Bianca Clinic.

 

HerePlease also see ▼

 

 

 

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※This article is intended for general informational purposes only and is not intended to diagnose, treat, or prevent any specific disease. If you have health concerns, please consult your physician.