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Why a High Fold Eyelid May Actually Be Ptosis | Real Case (Day 7 Results)

Before and After

postoperative day 7 upper eyelid revision with ptosis and high fold correction showing improved eye opening without forehead compensation
Postoperative Day 7 after upper eyelid revision with ptosis and high fold correction. The improvement is not only in the crease, but in how the eye opens naturally without using the forehead.

A Functional Problem

At first glance, the issue appears to be a high and deep eyelid crease.

However, the more important problem in this case was not simply the height of the fold, but how the eye was being opened.

Before surgery, the patient showed signs of ptosis. The eyelid did not open fully, and the forehead was actively used to compensate. This created tension, making the crease appear thicker, deeper, and more unnatural.

Why We Did Not Focus on Lowering the Fold

Many patients assume that a high crease should be lowered.

But in this case, lowering the crease alone would not have addressed the underlying issue.

The problem was not just the height of the crease.
The eye was being opened with the forehead.

Without correcting ptosis, the heaviness and unnatural appearance would persist regardless of crease position.

Structural Correction

The primary focus of surgery was to correct ptosis and restore natural eyelid function.

By allowing the eye to open properly without compensation, the tension in the forehead was eliminated.

This change directly affected how the crease appeared.

Results

At postoperative day 7, the improvement is already visible.

The eye opens more naturally.
The forehead remains relaxed.
The crease appears softer and less heavy.

The key change is not just aesthetic, but functional.

Surgical Approach

Revision eyelid surgery performed with a focus on structure, restraint, and long-term stability.


Seeing the Eye as a Whole, Not in Parts
A Clinic Dedicated to Eyelid Revision Surgery in Korea
Ahnsungmin Plastic Surgery

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