Double Eyelid Surgery Scars: Why Do Depressed Scars in Double Eyelids Occur?

Hello, this is iNique.

One of the biggest factors that determines the impression of our face,

some people choose various eye surgeries to make the eyes look clearer and more vivid.

Among many types of plastic surgery, double eyelid surgery, or "double eyelid surgery," is undoubtedly one of the most representative eye plastic surgeries.

However, after surgery, there are cases where scars are visible when the eyes are closed, leaving people disappointed with the surgical result.

As the biggest condition for natural-looking plastic surgery is that the procedure should leave no trace, there must be no double eyelid surgery scars for satisfaction to be high.

However, did you know that even if scars have already formed, they can still be improved through revision surgery?

One of the surgeries that iNique Plastic Surgery is especially confident in is double eyelid revision surgery.

Today, let’s look at the causes of scars that occur after double eyelid surgery and the revision surgery methods.

Double eyelid surgery is a procedure that mainly creates a line by allowing the middle part of the eyelid to fold naturally when the eyes are open.

However, there are cases where a scar that looks as if it is indented appears on the eyelid even when the eyes are closed. This is called a depressed scar.

When a double eyelid surgery scar such as a depressed scar occurs, for the same reason that caused the depressed scar, when the eyes are open, the mucosa beneath the double eyelid may show slightly, and you may experience side effects such as eyelash turning upward, which can make the eyes dry, or a double eyelid that is too deep and looks unnatural.

In this way, a depressed scar is not an isolated problem, but part of the side effects that occur when the surgical process is not perfect. So, why do double eyelid surgery scars occur?

Double eyelid surgery is a procedure that fixes the middle eyelid line to the tarsal plate inside the eyelid. Depending on the fixation position, the appearance when the eyes are open and the shape of the double eyelid can change significantly.

Depressed scars, which are scars where the double eyelid line becomes sunken, can occur when the crease is set too deeply, or when too much tissue under the skin is removed, creating an excessive height difference in the eyelid.

If the double eyelid is fixed too high, or if it is directly fixed to the aponeurosis of the levator muscle, which opens the eyes, the skin below the double eyelid line becomes pulled and thinner, creating a height difference above and below the line.

Then it begins to look as if it is indented along the line, and a depressed scar appears.

If the central part of the eyelid is fixed too deeply, the area below the line is pulled inward, which also causes eyelash turning upward.

Or, in cases where the eyelid is incised to form the line, scars may remain because too much skin was removed.

Depressed scars can be improved in two ways, depending on the cause.

If the double eyelid surgery scar occurred because the fixation depth was too deep, it can be corrected by moving the fixation depth of the eyelid skin downward to an appropriate position. If it is lowered too much at this point, the double eyelid may become loose or come undone, so surgical know-how is very important.

If the scar was caused by excessive skin removal, it can be improved by removing a small amount of skin along the scarred line, then suturing the skin above and below the scar so that they connect, and smoothing the area.

If the area looks unnatural because traces remain after double eyelid surgery, it becomes obvious that surgery was performed, which lowers satisfaction. Then, for a natural-looking double eyelid surgery, what is the most important thing in the operation?

For double eyelids, it is very important to understand the three-dimensional structure of our eyes and proceed with surgery while considering the height, depth, and shape of the line. At this point, preventing scars from remaining is very important, as seen earlier in the causes of depressed scars, because depth and the shape of the line are crucial.

Because our eyes repeatedly open and close, they naturally form a horizontal crease called a natural skin crease.

Only when surgery is performed along this line can scars be less visible and a natural result be achieved.

As a specialized eye plastic surgery clinic, iNique Plastic Surgery thoroughly understands the structure of the eyes and can create a natural design according to the original shape. Even double eyelid revision surgery is performed as a customized procedure based on the original eye shape in order to remove scars.

Are you experiencing discomfort due to depressed scars or eyelash turning upward after double eyelid surgery?

If you need eye revision surgery because of scars or other reasons, the appropriate time is after 6 months from surgery, when the hard scar tissue begins to soften.

However, if the symptoms are severe, normal daily life is impossible, or the stress caused by the scar is severe, revision surgery can be performed regardless of the timing. So if you are struggling with double eyelid surgery scars, please do not suffer any longer, and visit us for a detailed consultation with a specialist.

iNique Plastic Surgery has accumulated extensive know-how based on experience performing more than 5,000 eye surgeries and revision surgeries. In recognition of this, it received a commendation from the Minister of Health and Welfare, and continues to conduct research and publish textbooks and papers.

If double eyelid surgery left you disappointed because of scars, please seek an eye plastic surgery specialist for revision surgery.

Then, this has been iNique, just as if you had always been beautiful from the start.

Thank you.