Treatment Overview
External Levator Advancement is a surgical procedure designed to correct ptosis (drooping of the upper eyelid) by tightening and advancing the levator aponeurosis, the main muscle responsible for lifting the eyelid. Unlike conjunctival mullerectomy or minimally invasive approaches, this technique involves an external incision in the natural eyelid crease, allowing direct access to the levator muscle.
In Korea, external levator advancement is highly refined, combining functional correction (improving vision) with aesthetic eyelid design. Korean surgeons are renowned for tailoring the eyelid height and crease to harmonize with each patient’s natural eye shape, ensuring results that are both medically effective and cosmetically pleasing.
Purpose & Benefits
- Corrects moderate to severe ptosis caused by levator muscle weakness or stretching.
- Restores clearer vision by lifting droopy eyelids away from the pupil.
- Creates a natural double eyelid crease (or adjusts existing one for symmetry).
- Provides long-lasting to permanent results.
- Suitable for patients with significant functional or aesthetic concerns.
- Can be combined with blepharoplasty or fat repositioning for comprehensive eye rejuvenation.
Ideal Candidates
- Individuals with moderate to severe ptosis impacting vision or appearance.
- Patients with weak levator muscle function not suitable for mullerectomy alone.
- Adults in good health with no uncontrolled eye or systemic conditions.
- Patients who want both functional correction and cosmetic enhancement.
- Those who previously had eyelid surgery but require revision or more lift.
Possible Risks & Complications
Although considered safe, some risks may include:
- Temporary swelling and bruising around the eyelids.
- Eyelid asymmetry (can be corrected with revision if needed).
- Overcorrection or undercorrection.
- Visible scarring (usually well-hidden in the crease).
- Temporary dryness or irritation of the eyes.
- Rare risks: infection, delayed healing, or difficulty closing eyelids completely in early recovery.
Surgical Techniques Used in Korea
Korean surgeons specialize in precision and customization when performing external levator advancement:
- Eyelid Crease Incision – A fine incision is made along the natural eyelid fold to minimize visible scarring.
- Levator Aponeurosis Exposure – The surgeon identifies the stretched or weakened levator tendon.
- Advancement & Suturing – The levator is tightened and secured closer to the tarsal plate to lift the eyelid.
- Customized Eyelid Crease Design – The surgeon tailors the crease height and contour for symmetry and natural results.
- Microsurgical Tools – High-precision instruments reduce tissue trauma and improve healing.
- Combination Procedures – May be paired with upper blepharoplasty, fat grafting, or brow lift for a rejuvenated appearance.
Recovery & Aftercare
- Initial swelling and bruising last about 1–2 weeks.
- Stitches are usually removed 5–7 days post-surgery.
- Patients can resume light activities within a week and normal routines in 2–3 weeks.
- Full healing with final eyelid shape may take 2–3 months.
- Korean clinics provide specialized aftercare programs including laser treatments, regenerative injections, and swelling-reduction therapies.
Results & Longevity
The results of external levator advancement are generally permanent. Patients experience:
- Elevated eyelids with improved vision.
- A brighter, more youthful, and symmetrical eye appearance.
- A natural-looking crease tailored to the individual’s facial balance.
- High satisfaction rates due to Korea’s focus on functional precision and aesthetic refinement.
Treatment Process in Korea
Korea is a global leader in eyelid surgery, and external levator advancement is performed with:
- Comprehensive Eye & Facial Analysis including eyelid function testing and crease design simulation.
- Customized Surgical Planning based on muscle strength and patient goals.
- Safe Anesthesia Options with local anesthesia and sedation or general anesthesia for more complex cases.
- High-Tech Facilities using microscopes, fine sutures, and advanced monitoring.
- Medical Tourism Services including translators, luxury recovery accommodations, and concierge care for international patients.
- Post-Op Care Programs to minimize swelling and ensure smooth healing.
Cost Range
The cost of External Levator Advancement in Korea typically ranges from ₩3,500,000 to ₩6,500,000 KRW (USD $2,600 – $4,800), depending on:
- Severity of ptosis and complexity of surgery.
- Surgeon’s expertise and clinic reputation.
- Whether one or both eyelids are treated.
- Inclusion of combined procedures such as blepharoplasty.
- Aftercare and medical tourism package services.
Popular Clinics in Korea
- ID Hospital – Specialized in complex ptosis and revision eyelid surgeries.
- Banobagi Plastic Surgery – Known for natural, precise crease design.
- View Plastic Surgery – Offers detailed simulations and advanced eyelid correction.
- JW Plastic Surgery – Internationally accredited, popular among global patients.
- GNG Hospital – Strong expertise in both functional and aesthetic ptosis repair.
