Journal · Eyelid surgery
Ptosis Correction vs Double Eyelid Surgery: How to Know Which You Need
Medically reviewed by Dr. Lee Young-geun, board-certified plastic surgeon · Last reviewed:
Double eyelid surgery creates a fold. Ptosis correction lifts the eyelid curtain itself. Creating a crease without correcting weak muscles makes eyes look heavier and sleepy.
In this article
Testing the levator muscle
True blepharoptosis occurs when the levator aponeurosis — the muscle tendon responsible for elevating the upper eyelid — is stretched or weakened. Patients frequently compensate by raising their eyebrows, causing premature horizontal forehead wrinkles.
If only a double eyelid fold is created on a ptotic eye, the crease sits heavily on the pupil, producing a perpetually tired, sausage-like appearance. Ptosis correction advances and shortens the levator muscle so the eye opens with clear, alert brightness without brow exertion.
Intra-operative dynamic checking
Because levator tension must match both eyes symmetrically, Dr. Lee has patients open and close their eyes while seated during the operation under local anesthesia, ensuring millimeter-perfect pupil exposure and harmonious balance.
Written by Dr. Lee Young-geun, Board-Certified Plastic Surgeon, Founder & Sole Surgeon, SINSA L Plastic Surgery, Sinsa, Gangnam, Seoul. Published 2026-04-13.
FAQ
Related questions
Can ptosis correction be done without a double eyelid crease?
Yes, for male patients or those desiring a single eyelid appearance (무쌍 눈매교정), levator advancement can be performed with minimal or buried creases.
Consultation
Have this assessed properly
Photographs and a short description are enough for Dr. Lee to tell you which category you fall into.
Every consultation is carried out by Dr. Lee Young-geun in person — never by a coordinator.