Surgery · Combined Eyelid Plan

Double Eyelid Surgery with Ptosis Correction

One operation, two findings, two lines on the quotation

Gangnam, Seoul | Board-certified plastic surgeon, Dr. Jonghwan Choi
KHIDI-registered for international patients · Apgujeong Rewind

Double Eyelid with Ptosis Correction Double Eyelid with Ptosis Correction Double Eyelid with Ptosis Correction 
Together

Crease and correction

Can double eyelid surgery and ptosis correction be done in one operation?

The short answer

Yes, and at Rewind that is the only form in which ptosis correction is offered. The clinic's rate list carries eye-opening correction as an item added to a double eyelid operation, so the crease and the correction are carried out in the same sitting, by the same surgeon, and quoted as two separate lines. The crease decides where the upper lid folds. The correction deals with how far the lid rises when the eye opens. A plan needs the second line only when the examination finds the lid margin sitting low over the iris.

What this page states comes from Rewind's Korean pages for its buried, partial-incision and full-incision creases and from the clinic's own rate list, where eye-opening correction appears as an addition. Rewind does not publish a surgical description, an anaesthetic or a theatre time for the correction, so none of those is given here.

The second question people ask is how much more the combination costs. At Rewind the answer is exactly one extra item: the published add-on rate for eye-opening correction, sitting on top of the rate for whichever crease method the lid needs, with VAT added to both. Both figures are shown in the pricing section further down this page.

Doing the two together is also a subject of published surgical work. A five-year review from 2015 followed combined non-incisional creases and ptosis correction carried out in one stage, and a 2007 series described how double eyelid surgery can be planned in Asian patients whose lids were low from birth. Those papers report other surgeons' patients; they explain why the combination is a recognised plan, and they cannot predict an individual result.

Dr. Jonghwan Choi explaining an eyelid plan to a patient at Rewind Plastic Surgery
Fig. 01 — Whether a second line belongs on the plan is explained across the desk
Cases

Before & After

Two Rewind crease cases planned without a muscle line

Rewind has not yet published photographs of a case that combined a crease with eye-opening correction. The two cases below show the other half of the comparison: crease plans that did not include the correction, with the neighbouring work in each session named in its caption. What was operated on in these eyes is the fold, the inner corner and, in the second case, the area under the eye; the lift of the lid itself was not part of either plan.

Rewind patients — crease plans without a correction line

Before — non-incisional double eyelid surgery and medial epicanthoplasty, no ptosis correction After — non-incisional double eyelid surgery and medial epicanthoplasty, no ptosis correction BEFOREAFTER
crease only
Non-incisional double eyelid and medial epicanthoplasty; eye-opening correction was not part of this plan
Individual results may vary.
Before — non-incisional double eyelid surgery, epicanthoplasty and under-eye fat repositioning, no ptosis correction After — non-incisional double eyelid surgery, epicanthoplasty and under-eye fat repositioning, no ptosis correction BEFOREAFTER
crease only
Non-incisional double eyelid, epicanthoplasty and under-eye fat repositioning; no eye-opening correction
Individual results may vary.

These are Rewind patients, photographed by the clinic and cropped to the eye region. Neither case included ptosis correction, and neither should be read as showing what a correction does. Eyelid surgery can bring bleeding, infection, prolonged swelling, asymmetry between the lids and altered sensation, and when the opening is corrected the lid can finish higher or lower than planned.

Halves

Two jobs in one operation

What the double eyelid half and the ptosis correction half each change

The combined operation is easier to judge when its two halves are held apart. Each answers a different complaint, and each has limits the other cannot make up for.

half 01
The crease: where the lid folds
Buried, partial-incision or full-incision, in one of four line designs from in-line to outline. The crease sets the height and shape of the fold, and a crease alone does nothing to raise a lid that rests low across the iris.
half 02
The correction: how far the lid rises
Aimed at a lid margin that sits low because the lift is weak. In the published literature this is discussed as levator advancement. The approach used in your own eye is confirmed by the operating surgeon at the examination.
knock-on
What the brow may stop doing
People who lift the brow and tense the forehead every time they open their eyes appear on Rewind's candidacy lists. When the lid starts doing more of the lifting, the forehead can be asked to do less, though that change varies between people.
outside both
What neither half changes
The width of the eye at the inner corner is inner-corner surgery. Skin that has descended with age is upper blepharoplasty. A brow that has dropped onto the lid is a brow operation. The combination addresses fold and lift, and nothing beyond them.

For the correction on its own terms, including the findings that put it on a plan, see ptosis correction. The methods available for the crease half are laid out on the double eyelid surgery page.

Plan

From finding to plan

How a double eyelid plan gains a ptosis correction line at Rewind

The combination is never chosen from a menu. It builds up from one examination, in five stages, and a plan can stop at the crease at any of them.

01Two questions

Fold and lift are examined in the same sitting

The surgeon asks where a crease should sit and, separately, whether the lid rises far enough. The second question is easy to miss when a patient arrives asking only about the first, so it is checked in every double eyelid consultation.

02Threshold

Iris exposure is read with the brow kept still

Rewind's material names eyes showing under about 80% of the iris, and people who recruit the forehead to open their eyes. With the brow relaxed, a low lid margin shows itself, and each eye is noted on its own because the two often differ.

03Carrier

The crease method is chosen for the lid, first

Lid thickness and the fat above the eye decide between the buried, partial-incision and full-incision creases. The correction is then added to that method, so two people with the same low lid can end up with different combinations.

04Paper

The quotation shows two lines, never a bundle

Because the correction is priced as an addition, the plan names the crease method with its rate and the correction with its own. A patient can see precisely what the eye-opening half adds and ask why it is there.

05One sitting

A single operation and a single recovery

Both halves are carried out in the same operation by the medical director. For someone travelling to Seoul, that means one set of stitches to be removed and one stretch of swelling to budget for, set out in the plan before a date is fixed.

Rewind's medical director operating under loupes and a surgical headlight
Fig. 02 — Fold and lift are adjusted in the same operation, under magnification
Rewind

Why combine

Why Rewind plans double eyelid surgery and ptosis correction together

A crease built over a lid that rises too little can look clean on the operating table and still leave the eye heavy. Planning the two together, when the examination calls for both, keeps the fold and the lid height in step.

01Relationship

Fold height and lid height depend on each other

Published work on Asian upper lids argues that a mild, unrecognised lid droop has to be addressed during cosmetic lid surgery if the outcome is to hold up. When both are planned in one operation, the surgeon sets the fold against the lid height it will actually sit on.

02Restraint

The second line is added only on a finding

Nobody is sold the correction because a crease is being done anyway. It is proposed when the lid margin sits low, explained with the measurement behind it, and left off the plan when the lift is adequate.

03One operator

The surgeon who measured the lid is the one who adjusts it

At a single-surgeon practice the judgement made at the desk and the adjustment made in theatre come from one person, and the follow-up visits afterwards are his as well. Patients from abroad are supported in their own language at a KHIDI-registered institution.

Dr. Jonghwan Choi discussing a surgical plan with a patient at Rewind Plastic Surgery
Fig. 03 — Each eye is discussed on its own terms before the two lines are agreed
Theatre

On the day

The combined double eyelid and ptosis correction session at Rewind

Surgical team working under the operating light at Rewind Plastic Surgery

Fig. 04 — One operation covers both the crease and the correction

Recovery room at Rewind Plastic Surgery, Apgujeong

Fig. 05 — The clinic's recovery room, where the first cold compress is applied

The operation takes place in Rewind's own theatre on the fourth and fifth floors of the Richro Building in Apgujeong, Gangnam. Consultations for eyelid surgery run by appointment on Monday, Tuesday, Wednesday and Friday until 19:00 and on Saturday until 16:00. The list below separates what the clinic publishes about the combined session from what it leaves to the examination.

Crease method: buried, partial or full incision
Correction listed as an addition to the crease
Both halves in one operation, one surgeon
Each eye measured and planned separately
Correction technique confirmed at examination
Anaesthetic and theatre time: not published
Listed rates include the anaesthetic fee
VAT added to every listed rate
Dr. Jonghwan Choi, board-certified plastic surgeon and medical director at Rewind

Board-certified plastic surgeon

Korean board certification in plastic surgery; member of the Korean Society of Plastic and Reconstructive Surgeons and the Korean Cleft Palate-Craniofacial Association. Rewind treats patients from abroad as a KHIDI-registered institution, Reg. M-2025-01-08-09288.

Rates

Adding the correction

Double eyelid surgery with ptosis correction: cost in Seoul, line by line

A combined plan is priced as a sum of two lines: the crease method your lid needs, plus the eye-opening correction. The first row below is the difference the correction makes; the other three are the crease rates it can be added to.

Ptosis correction, added to a creaseThe extra line in a combined plan
₩1,200,000
Buried double eyelidCarrier method for a thinner lid with little fat
₩1,200,000
Partial-incision double eyelidCarrier method where fat and tissue need removing
₩1,800,000
Full-incision double eyelidCarrier method for a thick or heavily drooping lid
₩2,900,000

A combined plan equals one crease rate plus the correction rate, with VAT added on top of both; the anaesthetic fee is already inside each listed figure. When the lid has had surgery before, the correction and any crease revision are quoted only after the earlier operation has been examined, because the scope depends on what was done.

Fit

Who it is planned for

Who is offered double eyelid surgery with ptosis correction, and who is redirected

Findings that add the correction to a crease plan

  • Under about 80% of the iris visible with the eyes open, on one side or both
  • Brows raised and forehead tensed every time the eyes open
  • A lid that feels heavy because the lift is weak, which Rewind lists under its full-incision crease
  • Eyes described as sleepy or tired even when the person is rested
  • An earlier crease that looks tidy while the eye still opens narrowly
  • A patient who accepts that the two eyes are planned separately and may not finish identically

Where the plan changes, waits or stops at the crease

  • An adequate lift: the plan stays a crease operation and the second line is left off
  • Heaviness caused by loose skin from ageing, which points to upper blepharoplasty
  • A dropped brow resting on the lid, which is discussed as a brow operation
  • A difference between the two lids that appeared recently, which is examined before any plan is made
  • Bleeding or healing conditions, or medication that affects them
  • Pregnancy, breastfeeding, or infection or inflammation around the eye
After

Recovery

Recovering when double eyelid surgery and ptosis correction are combined

Rewind publishes aftercare sheets for its crease operations and none that is specific to the correction, so the combined recovery follows the sheet for the crease method used. The surgeon confirms at the examination whether your plan needs anything beyond it.

The first days
Swelling and bruising, differing widely
For a buried crease alone the clinic records swelling and bruising through about the first 48 hours. With the correction added the lid has had more done to it, so plan on the slower end of whatever timetable your surgeon gives.
The first week
No heat, no rubbing, no forced eye movements
Saunas, steam rooms and hard exercise wait about a week. The eyes are not rubbed, and a gentle cleanser replaces scrubbing. After an incisional crease the list also includes alcohol, smoking, contact lenses and eye-squeezing exercises.
After suture removal
Face washing, then eye makeup
Washing resumes the day after the sutures come out, and eye makeup a further one to two weeks later. The day the sutures come out is set at your follow-up and is not published as a fixed number.
The following months
Height and fold are reviewed together
The lid height and the fold keep settling as swelling leaves. Follow-up visits are with the operating surgeon, and any difference between the two sides is assessed at review before anything further is discussed.

Adding a correction adds its own risks to those of the crease: a lid that finishes higher or lower than intended (over- or under-correction), a height difference between the two eyes, and dryness or irritation of the eye surface. Bleeding and haematoma, infection, prolonged swelling, altered sensation and scarring along any incision apply as they do to any eyelid operation. Severe pain, fever or a sudden change in vision means returning to the clinic promptly. Rewind publishes no fixed length of stay for this combination; ask for one in writing at consultation.

Doctor

Professional

At Rewind, one board-certified plastic surgeon carries every case — from the first consultation to the final follow-up. Because a face is a story, and a story deserves a single author.

Dr. Jonghwan Choi, board-certified plastic surgeonRewind,
Dr. Jonghwan Choi presenting at an academic session
Fig. 06 — Academic presentation, thread-lifting session

Rewind's Doctor

Dr. Jonghwan Choi Medical Director

One surgeon, from the first
consultation to the last follow-up.

A board-certified plastic surgeon devoted to anti-aging lifting — with the precision and restraint built through years of craniofacial practice.

Board-certified plastic surgeon (Plastic Surgery)
10 peer-reviewed publications
Medical Director, Rewind Plastic Surgery
Korean Society of Plastic & Reconstructive Surgeons
Former chief director, Apgujeong Y&T Plastic Surgery
Korean Society for Aesthetic Plastic Surgery
J Craniofac Surg · JKMS · Arch Craniofac Surg
Korean Cleft Palate-Craniofacial Association
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Ask

Questions

Double eyelid surgery with ptosis correction: what patients ask

Can double eyelid surgery and ptosis correction be done in one operation?
Yes. Rewind lists eye-opening correction as an addition to a double eyelid operation, so both are carried out in one sitting by the medical director. Published surgical series have also described doing the two in one stage. Whether your plan needs the correction is decided at the examination.
How much more does adding ptosis correction cost at Rewind?
One listed item more. The combined plan is the rate for your crease method plus the published add-on rate for the correction, and VAT is added to both. The anaesthetic fee is already included in each figure. Both rates appear in the pricing section of this page.
Can the correction be added to a non-incisional crease?
The clinic lists the correction as an addition to its double eyelid operations, and the crease method is chosen first on lid thickness and fat. A 2015 review followed combined non-incisional creases with correction over five years. Whether that route suits your lid is confirmed at the examination.
Does adding the correction lengthen recovery?
Rewind publishes no separate recovery sheet for the correction, so recovery follows the sheet for your crease method. The lid has had more work, so allow for the longer end of the swelling estimate. Face washing resumes the day after suture removal, eye makeup one to two weeks later.
My earlier double eyelid surgery left my eyes looking sleepy. Can this be fixed now?
It can be examined. A tidy crease over a lid that still opens narrowly is one of the situations in which the correction is discussed. Because earlier surgery changes what is left to work with, the plan and its figures are given only after that operation has been assessed.
How can I tell whether I need the correction or just a crease?
You cannot reliably judge it in a mirror. The examination reads how much of each iris the lid uncovers with the brow relaxed. A narrow opening points to the lift; a narrow-looking eye with a normal opening points to the fold, the inner corner or excess skin.
What if only one of my eyes sits low?
Each eye is measured on its own and recorded separately in the plan. How much each side is corrected, and whether both need it, is decided at the examination. A perfectly matched pair cannot be promised after any eyelid operation, and differences are reviewed at follow-up.
Is the crease designed differently when a correction is added?
It is designed together with it. Raising the lid changes how much lid shows beneath the fold, so the crease height is set against the corrected lid position in the same operation. All four line designs stay available, and a fold too high for a thick lid is still declined.
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Scientific evidence

Published work on combining a double eyelid crease with ptosis correction

These four papers bear directly on the combined plan: a five-year review of a crease and a correction done together without an incision, a series on planning a crease when the lid has been low from birth, a paper arguing that a mild droop is often missed in cosmetic eyelid surgery, and a review of how complications of Asian double eyelid surgery are prevented and handled. They report other surgeons' cases and describe no Rewind patient.