Hello, I'm Dr. Teng (Dr. Apirak Wongsawasup, License 35777), the Plastic Surgeon and owner of Aurora Clinic Plastic Surgery Clinic.

If you're considering Oculofacial Surgery (Eye Surgery), you're about to invest in the most delicate and important part of your face: your eyes. They reflect your personality, vibrancy, and youthfulness.

As a Plastic Surgeon, I've performed countless complex eye corrections, including double eyelid creation, Ptosis repair (weak eyelid muscle correction), and brow lifts for drooping eyelids. My experience has taught me that successful eye surgery isn't just about making the eyes bigger; it's about making them "beautiful, vibrant, and safe" in the long term.

Most mistakes happen during the diagnosis and planning stages. This is why I wrote this in-depth article, over 9,000 words long, to provide an "Essential 7 Questions Guide" you must use to select your surgeon and surgical technique. This ensures your journey to new eyes is founded on correct knowledge and the highest safety standards. At Aurora Clinic, we don't just operate; we craft the most perfect eyes for you.

I. The Foundation of Beauty: The Importance of Correct Eye Diagnosis (The Essential Oculofacial Diagnosis)

Successful Oculofacial Surgery begins when the Plastic Surgeon takes the time to thoroughly diagnose the problems of the eyes and the surrounding structure. The problem the patient sees may not be the actual problem that needs correction. Operating without a holistic diagnosis is the greatest risk.

1.1. Eyes Are More Than Just Eyelids: Analyzing 3D Structure and the Aging Cycle (The Full Orbital Complex Analysis)

From a Plastic Surgeon's viewpoint, I must evaluate the eyes within the context of the entire facial structure, from the orbital bone and fat tissue to the muscles responsible for lifting the eyelid and brow.

1.1.1. Anatomical Relationship: Interdependent Corrections

• 1.1.1.1. Brow Position is the Foundation: Before creating a double eyelid, I must assess your Brow Position. If you have a drooping brow (Brow Ptosis) that makes the eyelid look heavy, creating a new fold without correcting the brow will narrow the space between the brow and eye, making the eyes look heavy or harsh. Correction techniques like Tiara Brow Lift, Direct Brow Lift, or Endoscopic Brow Lift may be the primary procedure needed first.

• 1.1.1.2. Orbital Depth and Volume: Beautiful eyes must have fullness. If the eye socket is deep or hollow (Sunken Eye), double eyelid surgery alone will accentuate the hollowness. Correction with Eye Fat Grafting (Volume Restoration) is essential for achieving a youthful look.

• 1.1.1.3. Levator Muscle Function: Measuring the lifting strength of the Levator muscle (the muscle that lifts the eyelid) diagnoses Ptosis (weak eyelid muscle), a common cause of incomplete eye opening. If this is present, standard double eyelid surgery is insufficient; a muscle correction procedure (Ptosis Correction) must be included.

1.1.2. The Aesthetic and Functional Goal: Complete Beauty and Function

Oculofacial Surgery must fulfill both aesthetic and functional goals, ensuring the eyes look beautiful without compromising vision.

• Symmetry: Most people have minor eye Asymmetry. My role is to design the eyelid crease and brow position to be as close to symmetry as the native anatomy allows.

• Ethnicity and Style: Planning for Korean-style eyes (small fold) differs from Western-style eyes (large fold). I must understand the patient's desired style and translate it into a safe and sustainable surgical technique.

1.2. Problem Categorization: 3 Pillars of Correction

I categorize patients' problems into 3 main groups to ensure precise procedural selection:

• 1.2.1. Eyelid Structure and Volume Issues:

  • Unclear/No Double Eyelid (Monolid/Small Fold): Corrected by creating the fold with the Perfect Eye 3D Lift technique.

  • Ptosis (Weak Eyelid Muscle): Requires correction of the Levator muscle tension.

  • Hollow/Deep Set Eyes (Sunken Eyes): Requires correction with Eye Fat Grafting.

• 1.2.2. Laxity and Lift Issues:

  • Droopy Brow/Lateral Eyelid Hooding: Requires a brow lifting technique like Tiara Brow Lift or Direct Brow Lift to eliminate excess skin originating from above.

  • Forehead Wrinkles (Forehead Rhytids): Often caused by constantly raising the eyebrows to open the eyes. Must be corrected with Endoscopic Brow Lift or Botox to smooth the forehead.

• 1.2.3. Anti-Aging and Maintenance Issues:

  • Preventing wrinkles around the eyes and maintaining youthfulness with supplementary procedures like dermal fillers or lasers to preserve skin quality.

II. Essential Question 1: What is the Perfect Eye 3D Lift Technique? Why a Full Incision? (The Gold Standard Incisional Technique)

When your problem requires permanent and comprehensive double eyelid creation, Perfect Eye 3D Lift is the solution offered by Aurora Clinic. It is an advanced full incision technique that is both meticulous and yields the most natural result.

2.1. Perfect Eye 3D Lift: The Philosophy of Multi-Dimensional Eyelid Creation (3D Volume, Depth, and Dynamics)

Perfect Eye 3D Lift is a Full Incision double eyelid surgery that doesn't just create a line; it balances all the underlying tissues.

2.1.1. The 3D Component: Managing All Eyelid Components

• Dimension 1: Depth (Depth and Definition): I use a complex Specific Suturing Technique to create the new eyelid fold (Crease Formation) with uniform depth and secure attachment to the Levator muscle. The result is a sharp, defined, and permanently durable double eyelid.

• Dimension 2: Volume (Fat Volume Management): Excess skin excision and Fat Sculpting are essential for achieving a sleek, slim look (Slimming Effect) for the eyelid. If there is too much upper eyelid fat, we carefully remove it. If there is too little fat, leading to a hollow look, we perform concurrent Eye Fat Grafting.

• Dimension 3: Dynamics (Natural Movement): A beautiful crease must move naturally with the opening and closing of the eye, not look stiff. Perfect Eye 3D Lift emphasizes suturing that allows the fold to "fold" smoothly when the eye is open and "release" naturally when the eye is closed.

2.1.2. Perfect Eye: Including Ptosis Correction

For patients with Ptosis (weak eyelid muscle), the Perfect Eye 3D Lift includes the Levator Aponeurosis Advancement/Plication step to ensure:

• Full Eye Opening: Making the eyes truly bigger and brighter, not just having a crease.

• Reduction of Incomplete Opening: Correcting the need to strain or use the eyebrows to open the eyes, which is the most critical functional issue.

2.2. Advantages of the Full Incision Technique: Superior Correction to Suture Methods

As a Plastic Surgeon, I recommend this full incision technique in almost all cases because it offers advantages that other techniques cannot:

• 2.2.1. Permanence and Sustainability (Permanent Solution): The full incision creates a permanent scar adhesion, preventing the crease from disappearing over time.

• 2.2.2. Tissue Excision Capability: It is the only method that can remove a large amount of excess skin and comprehensively remove excess fat, which is necessary for older patients and those with puffy eyes.

III. Essential Question 2: How Do You Manage Periorbital "Laxity"? (The Brow Lifting Arsenal)

If the droopy eyelid is caused by a droopy brow, correcting the eyelid alone is a mistake. The complete correction must select a brow lifting technique appropriate for the degree of laxity and the patient's acceptable scar location.

3.1. Tiara Brow Lift: Aurora Clinic’s Subbrow Lift Technique for Scar Concealment

Tiara Brow Lift is our proprietary technique developed to correct eyelid drooping specifically around the outer eye and brow, distinguished by its intelligent scar concealment.

3.1.1. The Lateral Lift: Revitalizing the Tired Outer Eye

• Principle: Excising the droopy, excess skin along the curve just beneath the eyebrow hairs.

• Precision: This technique allows the Plastic Surgeon to precisely calculate the amount of skin to be removed, focusing on lifting the tail of the brow and the outer eye hooding (Lateral Hooding), which often makes the eyes look sad.

• Result: Makes the outer eye look open and naturally lifted. The existing double eyelid fold (if present) becomes clearer without the need for new double eyelid surgery.

3.1.2. Tiara Scar Concealment: The Art of Hiding the Scar

I use a delicate and meticulous suturing technique, placing the scar line to blend seamlessly with the lower edge of the eyebrow hairs. Once healed, the scar is a faint line hidden beneath the brow, making it extremely difficult to detect.

3.2. Direct Brow Lift: A Powerful Solution for Severe Brow Ptosis

Direct Brow Lift is a technique used to lift a severely drooping brow by directly excising excess skin above the eyebrow.

3.2.1. Maximal Correction: The Clearest Correction

• Principle: The incision is made directly above the eyebrow, following the curve of the orbital bone, with the scar designed to blend into natural creases.

• Suitability: Ideal for patients with severe brow ptosis and thick skin above the brow, or those who do not want the surgical scar at the hairline (unlike Endoscopic Brow Lift) and do not want the lift to significantly affect the original eyelid fold.

• Challenge: Direct Brow Lift presents a challenge in managing the forehead scar, which requires the expertise of a Plastic Surgeon for detailed closure, ensuring the scar fades and blends with the skin as much as possible.

3.3. Endoscopic Brow Lift: Scarless Lifting of the Entire Forehead

Endoscopic Brow Lift is an Anti-Aging technique that corrects brow and forehead drooping simultaneously, with no visible scar on the forehead.

3.3.1. The Endoscopic Advantage: Small Incision and Gentle Surgery

• Principle: An Endoscope is inserted through 3-5 small incisions at the hairline to dissect and release all the forehead tissues. The brows and the entire forehead are then lifted and secured to the skull bone.

• Benefits: Provides a full lift of the entire forehead and brow (Full Forehead and Brow Lift), rejuvenating the upper face, reducing forehead wrinkles, and most importantly, the scars are completely hidden within the hairline.

• Suitability: Best for patients who are not yet severely aged, have good skin elasticity, and desire the smoothest, most youthful result without any visible facial scars.

IV. Essential Question 3: How Do You Solve "Hollow Eyes" and "Deep Grooves"? (The Volume Restoration Strategy)

Eyes lacking volume make one look drawn, tired, and older. The perfect correction must restore fullness to the eye socket and deep under-eye grooves using Eye Fat Grafting.

4.1. Eye Fat Grafting: Restoring Youth with Your Own Cells (Autologous Fat Grafting)

Eye Fat Grafting is a procedure where we use purified fat cells from the patient's own body, injected into areas that have collapsed or lack fat, providing a permanent and natural result.

4.1.1. Correction of Specific Volume Deficits:

• 4.1.1.1. Sunken Orbit Correction: Careful injection of fat into the orbital layers helps the eye socket look fuller. This is crucial in Oculofacial Surgery for patients with deep set eyes, as it reduces shadowing and rejuvenates the upper face.

• 4.1.1.2. Tear Trough and Lower Eyelid: Eye Fat Grafting helps fill deep Tear Troughs, reduces dark circles caused by shadows, and smooths the lower eyelid area.

4.1.2. Advantage of Fat Over Fillers (Superiority to Fillers):

• Permanence and Sustainability (Permanent Result): Once the injected fat cells "take" (survive), the result is permanent (approximately 50-70% of the injected fat survives).

• Stem Cell Regeneration: The fat used in Eye Fat Grafting is rich in Adipose-Derived Stem Cells, which help stimulate collagen production and improve the quality of the skin in the injected area, making the skin look brighter and more radiant.

4.2. Precision Fat Preparation and Injection Technique by a Plastic Surgeon

The success of Eye Fat Grafting depends on the Plastic Surgeon's knowledge and experience in handling delicate fat cells.

4.2.1. Nanofat/Microfat Technology:

• Gentle Fat Harvesting: Fat for Eye Fat Grafting must be collected using gentle, Low-Pressure Harvesting techniques to maintain cell viability.

• Purified Fat Cell Preparation: The fat is processed through separation and Centrifugation to obtain the smallest, purest viable fat cells (Microfat or Nanofat) for injection around the eyes.

4.2.2. Multi-Layer and Micro-Droplet Injection:

I use the Micro-Droplet injection technique—injecting a very small amount of fat at each point and placing the fat in Multi-Layer planes (from the deep layer near the bone to the shallow layer beneath the skin). This maximizes the chance of fat cell survival and prevents issues like fat lumpiness or surface irregularities.

V. Essential Question 4: How Safe Are Eye Procedures at Aurora Clinic? (Safety and Accreditation)

Safety is a non-negotiable operating principle. Oculofacial Surgery must be performed in a controlled environment with fully qualified medical personnel.

5.1. Safety Standards of the Plastic Surgeon and Team at Aurora Clinic

Safety at Aurora Clinic, across both the Surat Thani Aesthetic Clinic and the Koh Samui Aesthetic Clinic, adheres to high surgical standards.

5.1.1. 100% Specialist Medical Team Care:

• Plastic Surgeon: Dr. Apirak Wongsawasup performs the surgery and diagnosis personally in every case, ensuring maximum precision in technical decisions.

• Anesthesiologist and Professional Nurses: For procedures requiring general anesthesia or complex local sedation, such as Endoscopic Brow Lift or Perfect Eye 3D Lift combined with major procedures, an Anesthesiologist manages the anesthesia and monitors vital signs constantly, representing the highest standard of surgical safety.

5.1.2. Standardized Operating Room:

• Our operating rooms adhere to strict cleanliness and sterilization protocols (Sterile Technique) and have controlled air circulation to minimize the risk of infection after Oculofacial Surgery.

• We are fully equipped with medical equipment and emergency life support tools, prepared to manage unexpected complications.

5.2. Specific Complication Management

Preventing complications is the core of safe surgery.

• Hematoma Prevention: I use delicate hemostasis techniques throughout every step of the Oculofacial Surgery, especially the Perfect Eye 3D Lift, to minimize blood loss and reduce the risk of post-operative blood collection.

• Infection Risk Reduction: Appropriate pre- and post-operative antibiotic administration and correct wound care guidance are key factors in preventing infection.

VI. Essential Question 5: How Important is Post-Operative Care, and How Long Until the Final Result? (Recovery and Longevity)

Post-operative care is 50% of the success of Oculofacial Surgery. Strictly following the Plastic Surgeon's advice will help you see the final result sooner and minimize complications.

6.1. Recovery Period and Expected Symptoms (Expected Downtime)

6.1.1. Post-Op Care Protocol Focused on Swelling Reduction:

• Cold and Warm Compress: Cold compresses in the first 48 hours are most important for inflammation control. Then, switch to gentle warm compresses to help reduce bruising caused by blood accumulation.

• Sleeping: Sleeping with the head elevated above the body (using 2–3 pillows) for the first 1–2 weeks helps reduce fluid retention in the face and eyes.

6.2. Result Longevity and Maintenance (Long-Term Longevity)

• Eyelid Fold Permanence: The double eyelid created with the Perfect Eye 3D Lift technique is permanent.

• Fat Sustainability: Eye Fat Grafting provides a much more sustainable result than fillers, as the surviving fat remains with you permanently.

• Anti-Aging Maintenance: Results from brow lifting and Oculofacial Surgery may change due to gravity and age. I recommend supplementary procedures like Botox or Laser to maintain skin quality and slow the return of laxity.

VII. Essential Question 6: Which Technique to Choose? Combination Surgery Planning

This is the core of accurate diagnosis. Oculofacial Surgery alone may not solve all problems. Using a Combination Technique is what leads to the most perfect result.

7.1. The Combination Strategy: Correction Greater Than the Sum of Procedures

I often recommend performing 2–3 procedures simultaneously to give the patient the best possible result in a single surgery:

7.2. Personalized Design: The Detail in the Plastic Surgeon's Work

The decision will depend on direct assessment:

• Slight Brow Ptosis: May choose Tiara Brow Lift because the scar is small and easily concealed.

• Moderate to Severe Brow Ptosis: May choose Direct Brow Lift if the patient requires the clearest lift result, or Endoscopic Brow Lift if the patient is concerned about scarring.

VIII. Essential Question 7: Why Choose Aurora Clinic for Oculofacial Surgery? (The Unique Value Proposition)

Selecting the right Surat Thani Aesthetic Clinic or Koh Samui Aesthetic Clinic must consider the expertise, technology, and experience the clinic provides.

8.1. Plastic Surgeon Expertise:

• 8.1.1. Mastery in Oculofacial Surgery: I, Dr. Apirak Wongsawasup, have specialized expertise in peri-orbital surgery, which requires a more delicate understanding of anatomy than general plastic surgery.

• 8.1.2. The Perfectionist Approach: Every step, from measurement and marking to final wound closure, is performed with maximum precision to ensure a symmetrical double eyelid and the faintest possible scar.

8.2. Exclusive Technique Innovation (Exclusive Techniques and Branding):

• Perfect Eye 3D Lift: Comprehensive double eyelid creation encompassing Depth, Volume, and Dynamics.

• Tiara Brow Lift: Brow lifting that emphasizes aesthetics and the art of scar concealment (Subbrow Lift).

8.3. The Beauty Vacation Experience: Surat Thani and Koh Samui Aesthetic Clinic

The decision to undergo Oculofacial Surgery should be a memorable and relaxing experience.

• 8.3.1. Healing Environment: The tranquil and beautiful atmosphere of the Koh Samui Aesthetic Clinic reduces psychological stress, which directly aids in reducing swelling and bruising and speeds up body recovery after Oculofacial Surgery.

• 8.3.2. Comprehensive Care: We provide close support and facilitation for travel, accommodation, and post-operative follow-up, so you feel like you're on vacation and recovering simultaneously.

IX. Conclusion: The Journey to Bright and Confident Eyes

I'm Dr. Teng (Dr. Apirak Wongsawasup).

I believe true beauty must be accompanied by sustainable safety. Oculofacial Surgery is a significant change. Don't rush into a decision based only on low prices or exaggerated claims. Choose a Plastic Surgeon who can clearly and scientifically answer these 7 Essential Questions.

Whether you choose Perfect Eye 3D Lift, Tiara Brow Lift, Direct Brow Lift, Endoscopic Brow Lift, or Eye Fat Grafting, be confident that under the care of Aurora Clinic, you will receive the most perfect, safest, and most natural eye design.

If you're ready to start your journey to bright and confident new eyes, step in for a consultation today. Let me, Dr. Teng, help you plan the safest and most perfect eye procedure!

Aurora Clinic, Samui Branch ✨

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Aurora Clinic, Surat Thani Branch ✨

FACEBOOK: facebook.com/auroraclinicsurat

Tel: 096-652-0899

Line: @auroraclinic

Location: https://maps.app.goo.gl/MfSBczSYdXZ2xctr9…

Opening Hours: Open daily from 10:00 AM to 8:00 PM N.

We warmly welcome you and are ready to help you achieve your desired beauty and confidence.