How to determine the double width

Counseling.
I want a double width that doesn't narrow when I open my eyes tightly."
It may be said.

They would like to have a wider double fold because the width of the double fold is too narrow when having their picture taken, for example. Suppose that, as requested, a double fold is created that is not a deep double fold with the eyes wide open. Then, you may feel that the double fold is wider than you had imagined.

It is possible to avoid a backward double fold with the eyes firmly open wide. However, a pitfall may lurk here.

The width of the double fold depends on the expression.

Remember that the double width can be wider or narrower depending on the expression.

Take a hand mirror and look at your own eyes as a test.
Hold the mirror downward and lightly raise your chin to widen the double width when looking in the mirror.
Conversely, if you hold the mirror upward and look up, the double width will be narrower.
Lifting the eyebrows with the fingers will widen the double width.
Conversely, lowering the eyebrows with the fingers narrows the double width.

In the case of a false double-exposed eyelid, the skin is fixed and the width of the double-exposed eyelid does not change with facial expression. If the eyes are opened wide, the width of the double fold will become narrower.

Wide open eyes are a limited situation.

You may consciously open your eyes wide when taking pictures or looking in the mirror, but you cannot keep your eyes wide open all the time because you are too tired to do so.

If the double width is determined according to when the eyes are opened wide, the double width will feel much wider when the eyes are open normally. The less open a person's eyes are, the more likely they are to fall into this pitfall because of the difference between consciously opening their eyes wide and their normal state.

Double width is determined with eyes normally open.

Basically, it is best to decide on the double width that looks best with the eyes normally open.

What if the patient still consciously wishes to have a double fold that does not narrow with the eyes wide open?

For those with good eye opening and thin eyelid skin, a wide double fold will look good and can be made as wide as desired. The problem arises when the eye opening is not so good or when the eyelid skin is thicker.

For those who do not have very good eye opening, blepharoplasty can improve the normal eye opening, making it easier to create the desired double width because the difference between the wide-open eyes and the open eyes will be reduced.

People with thick eyelids should consider a subglabellar incision or an anterior forehead lift, as the thicker eyelids will become more pronounced when created at the desired width.

In any case, the risk increases, so it is still important to choose a natural double width that is not unreasonable.

Assistant Director Daiki Kuroda

#Cosmetic Surgery Yoyamatogatari Series

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