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If You’re 고민 About Double-Fold Eyelid Surgery?

Inique Plastic Surgery · 아이니크 성형외과 공식블로그 · May 3, 2023

Hello, this is iNique. Recently, more and more people have been visiting plastic surgery clinics. The age range is also quite broad, from middle-aged adults to young students. One...

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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 3, 2023

Translated at: April 23, 2026 at 5:05 AM

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

If You’re 고민 About Double-Fold Eyelid Surgery? image 1

Hello, this is iNique.

Recently, more and more people have been visiting plastic surgery clinics.

The age range is also quite broad, from middle-aged adults to young students.

One of the most commonly performed procedures is double-fold eyelid surgery. These days, it is chosen by so many people that it is even called a procedure rather than surgery.

However, even double-fold eyelid surgery, which many people undergo, can sometimes cause side effects after the operation. One of these is a multiple-fold eyelid, also called a triple fold.

Today, iNique will explain in detail the surgical method for multiple-fold eyelids that can help solve this problem.

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First, you may have heard of phenomena such as multiple-fold eyelids or triple folds, where the double-eyelid line appears in several layers. What exactly is a multiple-fold eyelid?

A triple fold refers to an unintended crease forming above the double eyelid, and it describes eyes where multiple lines appear, preventing a smooth eyelid line.

Especially when this multiple-fold eyelid phenomenon occurs after double-eyelid surgery, it can be worrying and stressful. What causes multiple-fold eyelids to occur?

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There are generally about three main causes.

The first is when the double eyelid becomes undone. This can happen if the line comes apart because it was not properly fixed after surgery.

The second is when there is insufficient fat or soft tissue above the eyes.

Lastly, a triple fold can occur due to adhesions caused by surgery.

If multiple-fold eyelids occur after double-eyelid surgery or another eye surgery, revision surgery can be used to address them.

So when is the right time to undergo surgery for multiple-fold eyelids? Most eye revision surgeries are performed 6 months after the operation. In general, this is because the hardened scar tissue becomes softer after 6 months, so surgery is performed after that period.

However, if the symptoms are very severe and the discomfort is enough to interfere with daily life, multiple-fold eyelid surgery is performed regardless of timing.

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The surgical method differs slightly depending on the cause of the triple fold, so let’s take a look one by one.

First, if there is not enough fat or soft tissue above the eyes,

the eyelid has skin on the outermost layer, and inside that are muscle, other soft tissues, and fat in sequence.

When there is sufficient volume above the eyes, the skin above the double eyelid covers the skin below it, creating a natural line.

However, if the volume of fat and soft tissue is insufficient, the skin above the double eyelid can sink inward, causing wrinkles above the double eyelid and resulting in multiple-fold eyelids.

Therefore, eyelid fat grafting is performed by slowly transplanting microfat to help prevent clumping.

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Second, a common case is when the double eyelid has come undone. When the fixation of the double eyelid loosens or comes apart, re-fixing the double eyelid can resolve the problem. At iNique, triple fixation is performed to prevent the line from coming undone.

In addition, iNique’s own smooth incision method adjusts the depth of the double eyelid to create a natural line. Through this, multiple-fold eyelids can be corrected and a smooth line can be created again.

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Lastly, there are cases caused by adhesions from surgery. In these cases, iNique performs adhesion release surgery to separate the adhered area and, to prevent recurrence, lower and insert fat and muscle.

If ptosis is also present in the above cases, blepharoptosis correction is performed together to create an even more natural and smooth double-eyelid line and a more open-looking eye shape.

Multiple-fold eyelids rarely disappear on their own, so if you are stressed by this condition, it is best to visit a clinic, have an accurate consultation with the medical staff, and look for a solution together through multiple-fold eyelid surgery.

Today, we took a general look at the causes of multiple-fold eyelids and how they are treated. If you need a more detailed consultation on this topic, please click the banner below.

Then, this has been iNique, making it look as if you were beautiful from the start.

Thank you.

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