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Can Multiple Eyelid Creases Be Fixed?

Inique Plastic Surgery · 아이니크 성형외과 공식블로그 · January 15, 2023

Hello. This is iNique Plastic Surgery, a clinic specializing in eye plastic surgery. After much 고민, you chose double eyelid surgery, but what if, after surgery, your eyes do not lo...

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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: January 15, 2023

Translated at: April 23, 2026 at 5:20 AM

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

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Hello.

This is iNique Plastic Surgery, a clinic specializing in eye plastic surgery.

After much 고민, you chose double eyelid surgery,

but what if, after surgery, your eyes do not look the way you wanted?

Or what if side effects occur?

The psychological distress caused by this can be hard to put into words.

Today, we will talk about triple eyelid, a side effect of double eyelid surgery that can occur depending on the situation, in which multiple wrinkles form above the eyelid crease.

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Triple eyelid refers to the formation of unintended wrinkles above the double eyelid, giving the appearance of multiple eyelid folds.

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So, what causes multiple eyelid creases?

The most common cause is when the double eyelid fold loosens or comes undone.

Also,

triple eyelid can appear when there is a lack of soft tissue and fat above the eye,

and this appearance can also occur when adhesions form as a result of surgery.

To resolve multiple eyelid creases, that is, triple eyelid, eye revision surgery may be needed depending on the case.

Let’s look at the solution for each cause.

First, when the double eyelid fold has loosened and multiple creases appear, a firm fixation is needed again. To prevent the double eyelid from loosening once more, iNique Plastic Surgery uses a technique that incorporates iNique’s own expertise:

the Smooth Incision Method.

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The Smooth Incision Method

uses triple fixation at the inner corner of the eye, which is the area where the fold loosens most easily, while the middle and outer parts are fixed naturally so they fold in a natural way.

In addition, the depth of fixation is adjusted by area to create a deep line without it loosening. At this point, the important thing is that if the spacing between points is too wide, the fold can loosen again, so the design uses 7 to 9 closely spaced fixation points to create a smooth yet secure result.

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Second, when the fat and soft tissue above the eye are insufficient

The eyelid is arranged with skin on the outermost layer, and beneath it are muscle, other soft tissue, and fat in order. If there is enough volume above the eye, the skin above the double eyelid adequately covers the skin below the fold, so no problem occurs. However, when the volume of fat and soft tissue is insufficient, the skin above the double eyelid sinks in, causing wrinkles to form above the fold.

In this case, the solution is to perform fat grafting above the eye to increase volume and resolve the multiple eyelid creases. At this time, the important point is that eyelid skin is very thin, so if too much fat is added or if it is not inserted in the proper location, there is a risk that the upper eyelid will look puffy or that the fat will be palpable. Therefore, the safe way to address this is to have an experienced medical team inject the correct amount into the proper location.

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Lastly, if multiple creases occur after revision surgery to lower the double eyelid line, adhesions may form at the height where the original double eyelid line was located, causing multiple eyelid creases.

If this problem exists, a high level of technical skill is required to solve it.

iNique’s adhesion release procedure is aimed at releasing the adhesions and preventing them from recurring, and the first step is to dissect the adhered area. After that, fat and muscle are repositioned downward to prevent the adhesions from recurring, and if the patient has ptosis, eyelid correction is performed together to improve the eye shape.

Triple eyelid can occur for various reasons, and above all, it is important to identify the cause and plan a surgical approach suited to that cause. It is also important to choose a clinic that can perform the procedure properly so the same problem does not happen again.

iNique Plastic Surgery

has experience performing more than 5,000 eye surgeries and revision surgeries, and is a specialized eye plastic surgery clinic recognized for iNique’s unique technical expertise, with a trademark application filed with the Korean Intellectual Property Office.

In addition, we pursue natural beauty, and through surgery that does not look obvious, we preserve each patient’s unique atmosphere.

If you are struggling with triple eyelid, resolve it clearly with iNique.

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

Thank you.

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