Can ptosis be corrected without creating a double eyelid?

Yes, it can, that is my straight answer. Because we can create a hidden fold, now, the tricky part is "can ptosis be corrected without creating a cut or scar?" Yes, it can, but that is really for mild ptosis, where we correct with a procedure that does not involve making a cut on the skin. But for mild ptosis, unfortunately, it might not be insurance or Medisave claimable, but it can be corrected.

Personally, I do not like doing the non-incisional/cut version of ptosis correction simply because it is less certain, where we do not see a direct pair or shortening of the muscles, so if you are less sure how well corrected ptosis is, therefore we only reserve this procedure for very mild ptosis. Yes, we can create a hidden fold, typically, it is a gentleman that ask me for no double eyelid, and it can be done, we can create a hidden fold so there will be no double eyelid crease.

Yes, upper eyelid ptosis can be improved in patients without any modification of the eyelid crease, either by:

1. doing a posterior approach ptosis correction (where incisions are made on the inner surface of the upper eyelid), or
2. by making the incision on an existing crease.

However, crease modification is often useful in ptosis repair, particularly in Asian patients with absent creases, as it would significantly enhance the result, by correcting the pseudoptosis that often occurs with absent eyelid creases.