Improving Sunken Eyelids and Multiple Folds (Achieving Defined Eyes with Incisional Ptosis Correction + Upper Eyelid Fat Grafting) by Dr. Young Moon Yoo, VIBE Plastic Surgery

Hello.

I am Dr. Young Moon Yoo, Director of VIBE Plastic Surgery.

Today, I would like to introduce a case where we simultaneously addressed three major concerns through incisional ptosis correction and upper eyelid fat grafting:

✔ Sunken upper eyelids

✔ Multiple eyelid folds

✔ A sleepy appearance due to weak eye-opening muscles

👀 Concerns at the Time of Visit

Although this patient appeared to have double eyelids, their primary concerns were:

A tired and aged appearance caused by sunken upper eyelids.

Sleepy-looking eyes due to a lack of strength when opening the eyes.

Unstable, multiple folds that formed every time they opened their eyes.

These factors combined to make the patient look more exhausted and frustrated than their actual age. In such cases, simple double eyelid surgery has its limits. A surgical plan that considers eye-opening strength, upper eyelid volume, and the structure of the folds is essential.

🧠 Surgical Point ① Incisional Ptosis Correction

When the strength to open the eyes is weak, simply creating a double eyelid line can actually make the eyes look sleepier or the line appear too thick.

✔ Incisional Ptosis Correction:

Corrects the strength of the eye-opening muscle (levator palpebrae superioris) to create defined eyes.

Reduces reliance on forehead muscles, leading to more comfortable eye-opening.

In this case, we focused on improving the sleepy impression itself through ptosis correction.

🧠 Surgical Point ② Upper Eyelid Fat Grafting/Repositioning

When there is eyelid hollowing, it is necessary to preserve and reposition the fat located deep inside.

✔ For this patient:

We organized unnecessarily displaced fat and repositioned it into the sunken areas to naturally restore volume to the upper eyelids.

As a result, we achieved:

👉 Smooth upper eyelids without hollowing

👉 Stable double eyelids with multiple folds resolved

👉 Soft yet defined eyes

🧠 Procedure Point: Aegyo-sal Filler

A lack of volume under the eyes (aegyo-sal) can result in a flat and aged appearance. By using filler to create natural under-eye volume, we completed a more youthful and vibrant look :)

✨ Post-Surgical Changes

After the surgery, the overall impression became much brighter and cleaner, as evidenced by:

Improved sleepy appearance as the eyes open more clearly.

Vibrant eyes with the sunken upper eyelids filled in.

A neat double eyelid line without multiple folds.

Most importantly, the patient expressed high satisfaction, noting that ‘it is much easier to open my eyes’ and ‘I no longer look tired.’

📌 Recommended for those who:

✔ Look older due to sunken upper eyelids.

✔ Have messy-looking double eyelids due to multiple folds.

✔ Are concerned about a sleepy look caused by weak eye-opening strength.

✔ Want fundamental eye improvement rather than just a simple double eyelid line.

💬 Closing Remarks

Eye surgery is not just about creating a line; it is most important to accurately identify the cause of eye-opening strength, eyelid volume, and wrinkles. At VIBE Plastic Surgery, we pursue a defined yet natural look that remains timeless through customized ptosis correction tailored to each individual’s eye condition. If you are struggling with sunken eyelids, multiple folds, or sleepy eyes, I recommend seeking a consultation for a precise diagnosis and a surgical method that fits you. Thank you.

Dr. Young Moon Yoo, Director of VIBE Plastic Surgery

Consultations and surgeries should be performed by a board-certified plastic surgeon!

VIBE comes from rich experience.

Young Moon Yoo, Representative Director of VIBE Plastic Surgery

VIBE Plastic Surgery complies with medical laws. These before-and-after photos were taken under the same conditions with the patient’s consent. Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery and vary by individual; caution is required.