The patient presented after previous ptosis surgery and revision.
The patient came to us following prior ptosis surgery and revision performed elsewhere.
Despite treatment, asymmetry persisted and the result remained unresolved.
Given the surgical history and existing scarring, it was understandable that further correction had been considered difficult.
Our role was to reassess the cause, not accept the conclusion.
Our responsibility was not to accept that assessment at face value,
but to determine whether the underlying problem had been accurately identified.
At first glance, the most prominent feature was a high and thick double eyelid crease.
In revision ptosis cases, however, the crease itself is rarely the primary issue.
The procedure was performed with a focus on balance and restraint rather than further correction.
The crease reflected compensation, not the cause.
When ptosis is asymmetric, patients often rely on the forehead to lift the eyelids.
Over time, this compensation makes the crease appear higher and thicker than it truly is.
In such cases, the crease is not the cause.
It is the result of how the eye is being opened.
Structural evaluation showed remaining potential.
Evaluation revealed preserved levator function without fixation from severe fibrosis.
The asymmetry originated from unequal ptosis rather than irreversible tissue damage.
This distinction defined the case.
Correction focused on balance, not surface change.
Lowering the crease alone would not have addressed the problem.
Without correcting the ptosis imbalance, compensatory forces would have persisted.
Correction was possible by restoring balance to eyelid mechanics,
while avoiding unnecessary intervention.
The outcome reflected stability.
Postoperatively, eyelid opening improved and asymmetry was reduced.
As reliance on the forehead diminished, the crease settled into a more stable position over time.
This case was treated not for dramatic change,
but because the cause of the problem was clearly identifiable.
Seeing the Eye as a Whole, Not in Parts
A Clinic Dedicated to Eyelid Revision Surgery in Korea
Ahnsungmin Plastic Surgery