
What do you think is the most important feature of the face?
The answer may vary depending on the individual and their gender,
but in general,
the eyes are often considered one of the most important features.
Therefore, people whose eyes appear small in proportion to their face,
or who wish their eyes looked larger,
may invest more in eye makeup
or address the issue through procedures such as double-eyelid surgery.

Double-eyelid surgery creates a natural crease in the eyelid,
which can make an expression that previously looked closed-off
appear more defined and open.
In particular, the eyes may look larger and more prominent,
often changing the overall impression of the face as well.
But what if the result turns out
completely different from the change you expected?
If an unfamiliar eye shape bothers you every time you look in the mirror,
or severe side effects or an awkward appearance make even going out difficult,
the stress can be much greater than expected.
In particular, when the double-eyelid line appears to overlap into multiple creases,
or the line is excessively thick
and has settled in an unnatural position,
revision surgery is often necessary.
Today, among the various reasons double-eyelid revision surgery may be needed,
we will focus on multiple creases.

Multiple double-eyelid creases are commonly called
“triple eyelids.”
There are various reasons why they occur.
As a simple cause,
they may appear when you are tired due to lack of sleep
or when the eyes are swollen.
However, when the cause is related to a surgical issue,
they may occur if the double-eyelid crease has loosened,
if adhesions formed after surgery,
or because of an issue with the soft tissue of the eyelid.

Even when the condition involves the same type of multiple creases,
the first step is to assess the individual's current eye condition
and determine why it developed.
At the double-eyelid revision surgery clinic 아이니크,
these factors are carefully diagnosed before revision surgery is performed.
This is a very important step
for reducing the likelihood of a second failed procedure
and aiming for a stable result.

If the multiple creases developed
because the double-eyelid crease loosened,
the likely cause is weakened support for maintaining the crease
or unstable adhesion formation.
In particular, when the fixation structure between the skin, muscle, and tarsal plate has loosened,
the existing crease may easily come undone due to the force used to open the eyes,
causing multiple creases to recur.
Therefore, in such cases,
it is important to firmly secure the loosened crease again
and carefully remove unnecessary scar tissue and adhesions.
At the double-eyelid revision surgery clinic 아이니크,
the procedure typically uses a three-layer fixation method
and approximately 7–9 sufficiently spaced fixation points
to distribute tension along the crease more evenly
and promote stable tissue adhesion,
with the goal of reducing the risk of recurrence or loosening.

If abnormal adhesions form between the skin and internal tissues after surgery,
the skin may be pulled in multiple directions when opening and closing the eyes,
which can result in multiple double-eyelid creases.
In particular, if scar tissue settles irregularly
or movement of the fat and muscle layers is restricted,
the crease may appear thick and unnatural.
To improve this,
it is important to carefully release the adhered areas
to restore tissue movement
and reposition sagging or tangled fat and muscle layers
in accordance with the anatomical structure.
In addition, if an individual also has ptosis,
in which the upper eyelid excessively covers the pupil,
an eye-shape correction procedure may be performed at the same time
by adjusting the function of the levator palpebrae superioris or Müller’s muscle,
which are involved in opening the eyes,
to help create a more defined and stable eye shape.

The human eyelid consists of skin on the outermost layer,
followed by muscle, soft tissue, and fat.
However, if there is insufficient soft tissue or fat,
the elasticity of the eyelid skin may not be stable enough
to fully cover and support the double-eyelid line,
which can lead to multiple creases.
In this situation, rather than releasing the existing line again to improve it,
fat grafting can be performed at the same time
to restore volume,
which may help achieve a natural and stable crease.

So far, we have discussed with the double-eyelid revision surgery clinic 아이니크
the causes that may require double-eyelid revision surgery
and the approaches used for improvement.
For more information,
please contact the double-eyelid revision surgery clinic 아이니크
through the link.
Thank you.

