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How Can Double Eyelid Line Reduction Be Done?

Inique Plastic Surgery · 아이니크 성형외과 공식블로그 · September 28, 2021

Hello, this is Aineek Plastic Surgery. What do your eyes look like? ​ Some people have double eyelids, while others do not. ​ Among those who have double eyelids, some may feel tha...

AI translation notice

This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: Inique Plastic Surgery

Original post date: September 28, 2021

Translated at: April 23, 2026 at 5:51 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

How Can Double Eyelid Line Reduction Be Done? image 1

Hello, this is Aineek Plastic Surgery.

What do your eyes look like?

Some people have double eyelids,

while others do not.

Among those who have double eyelids, some may feel that their eyes look heavy

or worry about an excessively high double eyelid line.

For those people, I will explain how double eyelid line reduction

is done.

Depending on the shape of the double eyelids, there are cases where surgery or revision surgery is needed for aesthetic or health reasons. Today, let’s look at what situations call for lowering the double eyelid line.

How Can Double Eyelid Line Reduction Be Done? image 2

When the double eyelid line is thick and puffy

A double eyelid line that is thick and puffy and looks unnatural

is often described as a "sausage" look.

In medical terms, this can be referred to as 'double eyelid hypertrophy'

or 'pretarsal hypertrophy.'

The degree of the line varies depending on the thickness of the skin and muscle of the eyelid that each person has.

The height of the double eyelid is the most important factor in determining the outcome of the double eyelid.

Depending on the height, some eyes may look unnatural,

while others may look natural and beautiful.

The thickness of the double eyelid, that is, how puffy it looks,

is proportional to the height of the double eyelid.

When performing double eyelid surgery, the higher the crease created, the thicker it may look. Therefore, during the design process, an appropriate height must be determined so that even if the skin is thick, it does not look like a sausage.

How Can Double Eyelid Line Reduction Be Done? image 3

The key to double eyelids: design

Design is the key to the shape of the double eyelid. If the design is set too high, there is a higher chance that the eyes will look unnatural and somehow burdensome.

That is why setting an appropriate height and performing the surgery is one of the most important factors.

Designing it at the proper position like this is referred to as the 'upper limit of double eyelid height.'

The surgery must be carried out well according to this upper limit in order to create attractive eyes.

However, most people who undergo double eyelid line reduction are those who had surgery and later found that this line had become excessively high.

So, let’s look at when eyes become like this and how the surgery is performed.

How Can Double Eyelid Line Reduction Be Done? image 4

First,

When a sausage-like eye is created by making the double eyelid excessively high

First, this is when the line was set too high during the initial surgery, resulting in a sausage-like eye.

The biggest cause is insufficient eye surgery technique,

and there are quite a few people who visit Aineek for revision surgery in such cases.

In this case, lowering the line is the only solution.

By removing the skin between the existing high line and the desired lower line and lowering the double eyelid height, the sausage-like appearance can be resolved and the result can look natural.

How Can Double Eyelid Line Reduction Be Done? image 5

Second,

In cases of ptosis or sunken eyelids

Second, even if the surgery itself was performed normally, if the original eyes have ptosis or sunken eyelids, the line may look large even if it is not very high.

Ptosis is often described as sleepy-looking eyes and refers to cases where the muscle that opens the eye is weak, causing excessive use of the forehead when opening the eyes.

Double eyelid surgery is often performed to address this kind of eye, but if surgery is done without considering ptosis, the eyes may look unnatural. Therefore, we recommend correcting it first before proceeding with surgery.

When ptosis is corrected, the height of the double eyelid remains the same, but the thickness of the double eyelid changes, and the size of the eyes also changes. So, even without going through separate double eyelid line reduction, the eyes can look natural.

How Can Double Eyelid Line Reduction Be Done? image 6

Third,

When there is insufficient fat above the eyes

Finally, this is when there is insufficient fat above the eyes. The amount of fat above the eyes varies from person to person.

Some people may want correction because they have too much fat above the eyes, while on the other hand, some may have too little fat above the eyes, so that even after eyelid surgery, the line does not look pretty or there are many wrinkles.

If there is not enough eyelid fat, the skin above the line cannot sufficiently cover the lower part,

and as a result, the double eyelid can look larger while wrinkles also become more pronounced.

This can make the eyes look older or tired.

In such cases, Aineek fills the upper eyelid area with volume using fat or filler.

How Can Double Eyelid Line Reduction Be Done? image 7

If an excessively high double eyelid line

has led to an unwanted result,

it is urgent to make the eyes more natural

through double eyelid line reduction surgery.

An excessively high line is not only unappealing aesthetically,

but in some patients,

they also complain that their eyes feel tired and do not close well.

That is why

for the sake of the patient’s eye health,

we recommend correcting it.

If you are concerned about the line,

it is a good idea to get a consultation.

Aineek, a specialist in eye surgery, is a clinic with experience performing surgery on a wide variety of eyes based on its own unique techniques.

Although there are many successful cases of eye surgery and revision surgery,

we do our best to create beautiful and natural eyes through in-depth consultations tailored to each patient’s eye condition.

If you are concerned about your eyes,

why not visit us for a consultation?

This has been Aineek, doing our best to keep your eyes looking as beautiful as they were at first. Thank you.

How Can Double Eyelid Line Reduction Be Done? image 8

How Can Double Eyelid Line Reduction Be Done? image 9

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