A common request at cosmetic clinics is for bigger, brighter eyes. The common correctable causes for small eyes include ptosis, epicanthal fold and hooding. We speak to plastic surgeons to learn more about eye-opening surgeries and what to expect.
Ptosis, or droopy eyelids, is a condition where the eyelid muscles are not able to lift the upper eyelids effectively. This may be due to an inborn defect in the eyelid muscles, or due to wear-and-tear with age, leading to muscle weakness.
Apart from being a cosmetic concern, ptosis can lead to a number of health concern, such as visual obstruction, eye strain, headaches and neckaches.
Ptosis correction surgery treats the defective eyelid muscle by repairing the defective or worn out eyelid muscles. Incision is placed along the double eyelid fold and downtime is around 1-2 weeks.
Oriental eyes are commonly smaller and have an epicanthal fold, the extra skin that folds over the inner corner of the eye and makes the eye look shorter.
An epicanthoplasty surgery lifts and remove the epicanthal fold to uncover the inner corner of the eyes, widening the eyes,” explains Dr Chia Hui Ling, Consultant Plastic Surgeon from SW1 Plastic Surgery Clinic. Dr Chia added that with the latest technique, the surgical scars, rather than visible, are hidden along inner edges of the eyes. An epicanthoplasty is commonly combined with an eye-lift (ptosis correction) to enlarge the eyes.
The eyelid skin, being the thinnest skin in the body, is prone to sagging, a condition more commonly known as hooding. Hooded eyes may appear smaller as the eyes are partially covered by the loose skin. Upper eyelids are prone to puffiness due to excess fat or water retention, which also “shrink” the eyes.
During an upper eyelid surgery (or blepharoplasty), excess skin and fat are removed to improve the upper eyelid contour and open up the eyes. Like ptosis correction, the scar is concealed as the upper eyelid fold.
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