Correcting Extreme Eye Asymmetry (feat. Severe Mucosal Exposure and Asymmetrical Double Eyelids)

It has been a while since my last post.

Correcting Extreme Eye Asymmetry (feat. Severe Mucosal Exposure and Asymmetrical Double Eyelids)

Today, I will be posting about extreme eye asymmetry.

Looking at the photo of one eye, the line is very thick and the mucosa is exposed (flipped upward).

When looking at both eyes, the asymmetry is quite severe, isn’t it?

In particular, due to facial asymmetry, the outer corner of the right eye appears more elevated. The shape of the eye corner follows the direction of the arrows.

The double eyelid also appears very high as an ‘out-fold’ line.

However, in reality, the line itself is not necessarily high. What I mean is that the line appears high because there is a significant lack of skin. Because the skin was so deficient, it was pulled upward, causing the mucosa to be exposed as well.

If you watch the pre-operative video, you can see severe scarring, significant skin deficiency, and mucosal exposure.

Why does mucosal exposure occur?

Please refer to my previous post: ‘Mucosal exposure after double eyelid surgery, eyelash eversion, and upper eyelid ectropion’.

I have shared similar content in previous posts.

In cases where there is a severe lack of skin, attempting to fully correct mucosal exposure can sometimes lead to functional side effects. Even after providing thorough explanations to patients before surgery, if the underlying condition is poor, some degree of mucosal exposure may inevitably remain.

Nevertheless, significant improvement can still be achieved.

This is the appearance one week after surgery. While it is difficult to make it look like an eye that has never had surgery, it looks much better than before.

I believe there has been a great deal of improvement after the surgery.

However, looking at the pre-operative shape, the patient’s right side (left side in the photo) had an elevated eye corner and a high line, giving it a ‘triangular’ appearance.

Understanding the pre-operative state is the most important factor. This is because the original skeletal structure cannot be changed. It is crucial to receive a full explanation before surgery and undergo the procedure while recognizing the inherent limitations.

It is difficult for ‘extreme’ cases to look like eyes that have never been touched. The goal is improvement.

I will do my best to ensure everyone can find happiness through their results.