Wrinkles Around the Double Eyelid (Aging Wrinkles, Multiple Folds): Upper Blepharoplasty for Ages 40 and Above

Wrinkles Around the Double Eyelid (Aging Wrinkles, Multiple Folds): Upper Blepharoplasty for Ages 40 and Above

Today, I will be posting about this topic.

Some patients claim that new wrinkles appeared after surgery where there were none before.

Of course, if wrinkles or multiple folds are created as a direct result of the surgery, it is a matter of concern.

However, for patients over the age of 40, pre-existing skin wrinkles often become more prominent after double eyelid surgery.

If you look at this patient, there were already many wrinkles around the eyes before the double eyelid surgery.

This patient is in their 60s.

Do you see the horizontal wrinkles that appeared after surgery?

This is a common scenario where unnecessary misunderstandings occur after surgery.

Patients might say, ‘Wrinkles appeared in the inner corner after surgery...’

Or, ‘I didn’t have these before the double eyelid surgery, but suddenly wrinkles appeared and I have multiple folds. The surgery is ruined...’

That is not the case. These wrinkles were originally there and usually connect all the way to the bridge of the nose.

They occur particularly often in people with thin skin.

As time passes, not only does the skin sag, but the eyebrows also descend.

When the eyebrows drop, people subconsciously use their forehead muscles over a long period to lift them.

Later, when the sagging part is addressed through surgery and the need to use the forehead muscles disappears, the eyebrows may drop to their natural position, which can sometimes make these wrinkles look worse.

A characteristic of these wrinkles is that they look worse when you strain your eyes or open them very wide.

Sometimes, to emphasize to others that the surgery was ‘wrong,’ patients intentionally open their eyes wider than usual. This action actually worsens the appearance of the wrinkles.

As more time passes, you will adapt to your natural wrinkles, and they will transform into natural-looking folds. It is better for your mental well-being not to worry too much about them.

Another reason is that the wrinkles were always there, but the patient didn’t notice them until they started staring intensely at the mirror after surgery.

If wrinkles existed before surgery, they are difficult to improve entirely.

However, if the skin is thin, improvements can sometimes be made through nano-fat grafting.

I hope this helps prevent misunderstandings.

Common traits of these cases: 1. Over 40 years old. 2. Presence of brow ptosis (sagging). 3. Pre-existing wrinkles. 4. Wrinkles worsen when straining or opening eyes wide.

Usually, the wrinkles aren’t severe, but if you become obsessed with them and keep checking them in the mirror while straining your eyes, thinking ‘What do I do about this... what do I do...’ it only makes the situation feel worse.

These types of wrinkles are unrelated to whether a specific procedure (such as the ‘two-line’ method, ptosis correction, or revision surgery) was performed.

https://blog.naver.com/medicdoctor/223051533802

Please refer to the blog post above for information on multiple folds caused by surgical errors.

Rather than stressing over it, it is important to remember that time is the best medicine and to continue with your daily life without undue stress.