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Why We Prioritized Symmetry Over Creating a Higher Fold.

Before and After

6 months after ptosis asymmetry correction surgery showing improved eyelid balance and natural symmetry
Postoperative Month 6 After Upper Blepharoplasty and Ptosis Correction for Eyelid Asymmetry

Postoperative Month 6 After Upper Blepharoplasty and Ptosis Correction

A Problem of Asymmetry, Not Size

This case was not about making the eyes appear larger.

The patient presented with noticeable asymmetry in eyelid opening, with one side appearing more droopy and restricted than the other. This imbalance affected both the functional aspect of eye opening and the overall facial harmony.

The issue was not insufficient fold height.

It was inconsistency in how the eyes functioned.

Why We Did Not Increase the Fold Height

In cases of asymmetry, raising the fold height on both sides may seem like a simple solution.

However, doing so often leads to further imbalance, especially when the underlying issue is related to muscle function rather than skin or crease design.

Creating a higher fold does not correct asymmetry.

It only changes how the imbalance appears.

Structural Approach to Restoring Balance

Instead of focusing on visual enlargement, the procedure was designed to restore balance between both eyes.

By correcting ptosis and adjusting the functional components of the eyelid, we aimed to achieve:

Consistent eyelid opening on both sides
Improved symmetry without overcorrection
A natural relationship between the eyes and surrounding facial structure

The goal was not to make the eyes look bigger.

It was to make them function evenly.

6 Months After Surgery

At six months postoperatively, the eyelids show stable positioning and improved symmetry.

There is no excessive elevation, no artificial crease formation, and no imbalance caused by overcorrection.

Both eyes open naturally and in coordination with each other.

This is not a case of enlarging the eyes.

It is a case of restoring symmetry through functional correction.

Surgical Approach

Upper Blepharoplasty
Ptosis Correction

Each step was performed with careful consideration of balance and long-term stability, rather than short-term visual impact.

 

Internal References

→ See ptosis correction cases


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