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How to Fix Double Eyelid Creases: You Need a Plan Based on the Cause!

Inique Plastic Surgery · 아이니크 성형외과 공식블로그 · May 16, 2022

Hello, this is IINIK. Today, we’ll take some time to talk about the phenomenon of a third eyelid crease, also known as a double eyelid crease that forms an unintended fold upward....

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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: May 16, 2022

Translated at: April 23, 2026 at 5:37 AM

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

How to Fix Double Eyelid Creases: You Need a Plan Based on the Cause! image 1

Hello, this is IINIK.

Today, we’ll take some time to talk about the phenomenon of a third eyelid crease, also known as a double eyelid crease that forms an unintended fold upward.

How to Fix Double Eyelid Creases: You Need a Plan Based on the Cause! image 2

When a third crease appears, not only can it give a sleepy impression, but it also makes it difficult to create an overall clear and defined look.

So, what is the solution for double eyelid creases?

To understand the right way to address double eyelid creases, we first need to identify the cause properly. Among the various causes, the three main ones are: when the double eyelid fold has loosened, when there is a lack of fatty soft tissue above the eyes, and adhesions caused by surgery.

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How to fix double eyelid creases: if the double eyelid fold has loosened, you should undergo the IINIK Smooth Incision method, which naturally secures the fold by adjusting the depth. In some cases, the fold fixation may have come undone, but it can also loosen and create multiple layers.

The IINIK Smooth Incision method is a revision surgery technique using IINIK’s own expertise and technology. It creates a design that folds naturally while securing the inner corner area of the eye so it does not loosen.

It also adjusts the depth of fixation by each area of the eye to create a line that is not too deep while remaining stable.

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Second, if there is a lack of fat and soft tissue above the eyes, the eyelid is the outermost skin layer, and inside it are muscles, other soft tissues, and fat in order.

If the volume above the eyes is insufficient, the skin above the double eyelid will cover the skin below the double eyelid adequately.

However, if the volume of fat and soft tissue is lacking, the skin above the double eyelid is hollowed in, which causes a third crease to form above the double eyelid.

For this type of double eyelid crease, one solution is micro fat grafting. However, an important point when performing this method is that the eyelid skin is thin, so when fat is added, it may look bulging or be felt.

Therefore, medical staff with extensive experience must limit the amount injected at one time, and it is important to inject it in the exact right location.

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Lastly, when a double eyelid crease occurs due to adhesions from surgery, adhesions can form at the height where the original double eyelid line was, creating a third crease. In this case, the adhered area is released, and the IINIK adhesion release procedure is performed to prevent adhesions from forming again.

To prevent adhesions from recurring, fat and muscle are lowered and inserted, and for patients with ptosis, eye-opening correction should be performed together.

Today, we talked about how to fix double eyelid creases.

Because the causes of double eyelid creases can vary, it is important to first identify the exact cause and then plan the solution accordingly.

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IINIK Plastic Surgery is a clinic specializing in eye surgery, and with more than 5,000 eye surgeries and revision surgeries performed, it has extensive experience and expertise in eye procedures.

It also provides careful aftercare for successful results, as well as natural-looking plastic surgery that does not stand out, through surgical methods that minimize patient discomfort.

If you want reliable eye surgery, from your first procedure to revision surgery, come with IINIK now.

Then, this was IINIK Plastic Surgery, as if you had been beautiful from the very beginning.

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