Monomid Eyelid Surgery: Consider the Disadvantages More Than the Advantages

Monomid Eyelid Surgery: Consider the Disadvantages More Than the Advantages

Hello,

This is Dr. J from Cheongdam SNU Plastic Surgery Clinic.

Among recent eye surgery trends,

monomid eyelid surgery

is gaining attention.

Unlike traditional double eyelid surgery,

it aims to increase pupil exposure without a double eyelid crease,

giving a natural impression.

However, it is not suitable for everyone

and requires careful consideration.

#1. What is Monomid Eyelid Surgery?

Monomid eyelid surgery involves

excising a small amount of sagging skin directly above the eyelashes,

reducing the thin, elastic skin above the eyelashes, known as ‘zone 1’,

to increase pupil exposure,

and, if necessary, performing levator aponeurosis plication

concurrently.

This surgery makes the eyes appear larger and clearer

even without a double eyelid crease.

✅ Monomid eyelid surgery is

suitable for:

- Individuals with good eyelid opening strength

- Individuals with mild pseudoptosis due to slightly loose skin

- Individuals desiring a natural monomid effect

- Individuals without eyebrow ptosis

(i.e., preferably younger individuals)

#2. Key Disadvantages of Monomid Eyelid Surgery

⚠️ Destruction of natural eyelid structure

If the existing thin and soft

‘zone 1’ skin is removed,

the thicker skin of the upper eyelid may descend directly,

making the eyelid shape appear duller

and unnatural.

⚠️ Immediate exposure of asymmetry

Double eyelid surgery can partially compensate for asymmetry

through the double eyelid crease.

However, monomid surgery

lacks this compensatory effect,

posing a risk that pre-existing eye asymmetry

will be fully exposed.

⚠️ Potential for side effects

- Lagophthalmos (inability to close the eyes completely)

- Sensation of excessive tightness

- Minimal surgical effect

🌟 Comparison of Monomid Surgery / Traditional Double Eyelid Surgery

#3. Double Eyelid Surgery Suitable for Koreans

The most natural double eyelid height

for Koreans (including natural double eyelids) is

approximately 8mm from the eyelashes.

This height harmonizes with most Korean facial structures

and offers the following advantages:

✅ Natural appearance

An 8mm double eyelid crease can create

an in-out line or semi-out line effect

that appropriately blends Eastern and Western charm.

✅ Asymmetry correction possible

Muscle control and asymmetry compensation through the double eyelid crease

can create a more natural eye shape.

✅ Easy combination with additional cosmetic procedures

After creating a basic double eyelid crease,

additional procedures such as epicanthoplasty, lateral canthoplasty, or ptosis correction

can be combined as needed,

leading to more satisfying results.

#4. Cases Where Monomid Surgery is Suitable

Every surgical method has its

advantages and disadvantages.

Monomid surgery is relatively

suitable in the following cases:

✔️ Individuals with sufficiently good eyelid opening strength

✔️ Individuals with thin skin and not much fat

✔️ Individuals with existing hidden double eyelids (less than 5-6mm)

✔️ Individuals desiring an extremely natural effect

#5. What to Check Before Surgery

Regardless of which surgery you are considering,

please be sure to check the following:

1. Consultation with a specialist

Consult with a specialist about the method suitable for your eye condition.

2. Check the clinic's experience

Verify the clinic's experience and expertise

in the specific procedure.

3. Information on side effects

Familiarize yourself with potential side effects and how to address them.

📍 Precautions Before and After Eye Surgery

✨ Advice for natural beauty

☑ Rather than unconditionally opting for monomid correction,

choose a method that suits

your eye condition.

☑ Also consider hidden double eyelids (5-6mm) or

in-line double eyelids.

☑ Review various options through consultation

with a specialist.

The eyes are a crucial part that determines the core of one's facial impression,

and monomid eyelid surgery

is not a one-size-fits-all solution

suitable for everyone,

thus requiring careful decision-making.

Especially for Koreans, the traditional method of creating a double eyelid crease

at an 8mm height from the eyelashes

provides more natural results in most cases.

Rather than being swayed by trends,

please consult sufficiently with a specialist about the method suitable for your eye condition and face shape,

and make a careful decision.

If you need more information and consultation,

we recommend consulting a specialized plastic surgery clinic.

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Frequently Asked Questions

What kind of surgery is non-double eyelid ptosis correction?

Non-double eyelid ptosis correction is a method that involves excising the sagging skin directly above the eyelashes and increasing the exposure rate of the pupil to make the eyes larger and clearer without a double eyelid line. If necessary, levator palpebrae superioris plication may also be performed.

In what cases is non-double eyelid ptosis correction suitable?

Yes, it may be suitable for individuals with good eye-opening strength and mild skin laxity (pseudoptosis), those who desire a natural non-double eyelid effect, and younger individuals without eyebrow drooping.

What are the main disadvantages of non-double eyelid ptosis correction?

The main disadvantages include the destruction of the natural eyelid structure, which can make the eyelid shape appear dull, and the risk of the original eye asymmetry being exposed due to the absence of a double eyelid crease.

What side effects can occur after non-double eyelid ptosis correction?

Yes, side effects such as lagophthalmos (inability to fully close the eyes), an overly pulled sensation, or minimal surgical effect may occur after surgery, so caution is advised.

What is the most natural double eyelid height for Koreans?

The most natural double eyelid height for Koreans is approximately 8mm from the eyelashes. This height harmonizes with most Korean facial structures and can create a natural in-out line or semi-out line effect.

What should I definitely check before eye surgery?

Yes, before surgery, you must have a thorough consultation with a specialist to find a method suitable for your eye condition, and definitely check the hospital's experience and know-how, as well as possible side effects and how to deal with them.