When it comes to double eyelid surgery, a patient with thinner eyelid skin will look more natural than a patient with thicker eyelid skin because a double eyelid fold in thinner eyelid skin does not create a significant depth discrepancy compared to a double eyelid fold in thicker eyelid skin. But aesthetically, it is more favorable to have thinner eyelid skin than thicker eyelid skin for various reasons in Asians. Our body does this as a defense mechanism to give more protection to the skin by thickening it, as the body believes that it is under chronic state of irritation. This results in thickening of the eyelid skin. Micro inflammation induces the ration of type 1 to type 3 collagen balance to shift to a state where more type 3 collagen is produced than desired. However, the ratio of various collagens is determinant of whether healthy normal appearing skin formation occurs or thickened skin formation occurs. There are many types of collagen in our body. With inflammation, excess collagen becomes stimulated. Irritation creates micro inflammation within the skin. We will address each of the components and the reasons behind why they occur.Įyelid thickening occurs when one wears eyelid tape or glue, which results in the edges of the skin to become irritated from friction. The negative consequences include thickening of the eyelid skin and loosening of the eyelid skin. When patients wear either eyelid tape or glue, a temporary double eyelid crease may occur but negative consequences will start to occur. Tape and glue can create a double eyelid fold or crease in young patients because they lack excess skin excess skin can hinder double eyelid fold formation. Many young Asian patients try to create a double eyelid fold or a double eyelid crease by applying eyelid tape or glue. Kenneth Kim, a board certified plastic surgeon who specializes in Korean aesthetic surgery will discuss issues regarding wearing eyelid tape or applying eyelid glue in an attempt to create a double eyelid crease.
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