[Cosmetic Surgery Chronicles] Make your eyes even more captivating! The enhanced effect of Endoscopic Forehead Lift after double eyelid surgery.
Text by Dr. Wei-Cheng Ching
Image reference/STORY Plastic Surgery Spring and Autumn

Double eyelid surgery is a very common cosmetic procedure. It modifies the shape of the eyes by adjusting the eyelids, making them appear larger and improving situations where eyelashes droop or are covered by the eyelids, while also removing the heaviness of the eyelids. From a doctor's perspective, the most crucial change brought about by double eyelid surgery is actually the "expression in the eyes." After the surgery, the eyes can naturally express emotions without being covered by the eyelids, and there is no need to deliberately raise the eyebrows to make the eyes appear larger. The facial muscles that raise the eyebrows can regain their function as the levator brow muscles.
Beautiful eyes require attention to the gaze and the firmness of the skin around the eyes.
From a professional eye plastic surgery perspective, beautiful eyes emphasize the expression in the eyes and the firmness of the skin around the eyes. Most people prefer thinner eyelids. Thin doesn't mean there's no fat or even that the skin is sunken, but rather that the fat and the skin around the eyes are in balance, meaning they are firm enough. If the skin around the eyes is not firm enough and appears loose or droopy, the eyelids will look thick and make it seem like they are covering the eyes.
Relatively speaking, the crease of the double eyelid is less important in terms of the overall appearance. Although this is a part that many cosmetic surgery consumers care about, the symmetry, shape, and smoothness of the crease, as well as whether the inner corner of the eye is open, closed, or semi-open, are often subjective opinions. After all, everyone has different standards of beauty and different aesthetic views. Double eyelid surgery can easily produce drastically different results due to individual limitations. For example, the expression of the eyes is actually related to the levator palpebrae superioris muscle itself. If the levator palpebrae superioris muscle is weak, the eyes will not open wide enough, and the double eyelid will appear too wide. If double eyelid surgery is performed and the double eyelid line or width is required to be obvious, it is more likely to overwhelm the original expression of the eyes.




▍See moreArsty Clinic double eyelid surgery cases>>
Reasons for dissatisfaction after double eyelid surgery──
Uneven creases, poor width, and aging eyelids
Because cosmetic eye surgery has individual limitations, dissatisfaction with double eyelid surgery is possible. Common scenarios encountered in clinics are listed below:
- Even after getting double eyelid surgery, my eyelids still feel very heavy.
- The creases are too deep or too shallow
- The width of the eyelid crease is too high or too low
- Uneven eyelid crease lines
- The double eyelid shape did not meet the desired requirements.
In addition, there are cases where the postoperative condition is normal, but the width of the eyelid fold shrinks after the swelling subsides during the recovery period, or the eyes do not look as good. There are also other common problems such as asymmetry, multiple folds, and obvious scars. Basically, an experienced doctor needs to evaluate whether revision surgery is necessary.
It's worth mentioning that the shape and width of the double eyelid are also affected by the degree of laxity of the upper facial tissues, particularly the forehead. Many people have facial aging issues and therefore habitually raise their eyebrows to allow their eyes to look straight ahead. This eyebrow-raising action often changes after double eyelid surgery, becoming gentler. However, this can accentuate aging issues, such as lowered eyebrow position, drooping of the periorbital tissue, narrowing or changing the shape of the double eyelid, and thickening of the crease, thus affecting satisfaction with the double eyelid surgery.
This situation is more likely to occur as the patient gets older, which is known as dissatisfaction after aging double eyelid surgery. It is difficult to predict the outcome before surgery, so in general, Endoscopic Forehead Lift surgery is recommended to improve the situation.
Unsatisfied with my double eyelid surgery? Endoscopic Forehead Lift to improve the results.
In what situations can an Endoscopic Forehead Lift surgery improve the appearance of brows?
For example, if the double eyelids are still thick and droopy after surgery, the distance between the eyebrows and eyes becomes narrower, or the double eyelids are obviously wide but unnatural, or there are problems with aging around the eyes, and you want to improve or look younger, etc... Endoscopic Forehead Lift surgery can lift and improve the aging and drooping problems of the forehead, but before performing a brow lift, the doctor still needs to make a comprehensive assessment of the individual's situation, and confirm details such as the crease of the double eyelid, the function of the levator palpebrae superioris muscle, the degree of drooping of the forehead and eyebrow and eye tissues, the amount of fat around the eyes, and whether there is too much eyelid, etc.
▼Endoscopic Forehead Lift case reference▼

▲Aging causes drooping eyelids and a gloomy, indifferent look. After Endoscopic Forehead Lift surgery, the look in the eyes is restored to a softer state, and the double eyelids also look natural and beautiful.

▲Even after double eyelid surgery, there are still problems with drooping eyelids and epicanthal folds. After revision surgery with brow lift and double eyelid surgery, the eyes look naturally firm.

▲Early signs of aging cause the eyebrows to press down on the eyes and the eyelid creases to be less obvious. After a brow lift, the eyes are bright and energetic.
▍See moreArsty Clinic Endoscopic Forehead LiftCase Study >>
Endoscopic Forehead Lift has a significant lifting and firming effect, and also has many advantages, such as short operation time, which can be completed in just two hours, and the use of intravenous anesthesia, which can improve comfort; in addition, the incision is hidden at the hairline, which is not easy to be noticed. After the operation, because there are no wounds around the eyes, the swelling is less noticeable than that of open method double eyelid, and the lifting effect is also more lasting. Generally speaking, the satisfaction rate of the surgery is extremely high, and there are many successful cases from young people to older people.
Eyelid surgery is a procedure that requires a doctor's skill, experience, and aesthetic sense. Choosing a highly professional and experienced doctor can reduce the risk of the results not meeting expectations and can also combine appropriate surgical techniques according to different situations to create the beautiful and lively eyes you desire!

