Why Do Double Folds Form After Multiple Surgeries?

Ahn Sung Min Plastic Surgery never performs photo retouching.

We used the patient’s pre- and post-operative photos with consent.

Double Folds Caused by Multiple Surgeries

After double eyelid surgery, multiple folds can sometimes form on the eyelid. An ideal double eyelid is a single smooth line, but if the eyelid is thin or there is significant bulging, the eyelid may fold like an accordion when opening the eyes, creating multiple folds.

In revision surgery cases, the scar from the existing double eyelid line may fold and appear as multiple folds. When repeated surgeries cause internal tissue adhesion and hard scar tissue to build up, multiple folds may appear instead of a natural line.

Evaluation Based on the Line Seen When the Eyes Are Open

Based on the line visible when the eyes are open, the condition of the double eyelid can be divided as follows:

• Deep double eyelid

• Large double eyelid

• Thick double eyelid

• No double eyelid

A natural and stable double eyelid does not have the line directly exposed on the eyelid when the eyes are open, and the ideal line is one that forms naturally as the eyelid comes down.

Main Causes of Multiple Folds After Surgery

• Incorrectly creating the line

• Creating a new, higher line while ignoring the existing line

• Internal adhesion and scar tissue from repeated surgeries

The patient below is a case in which all scars from four previous surgeries are still visible. In a normal double eyelid, the scar line is visible only when the eyes are closed, and when the eyes are open it naturally folds inward and becomes one with the eyelid. If the scar line remains visible when the eyes are open, it means the internal eyelid tissue was not properly organized due to previous surgeries.

Revision Surgery Case at Ahn Sung Min Plastic Surgery

This patient had not had ptosis corrected properly, and only the double eyelid line had been made excessively large. As a result, when the eyes were open, all previous surgical lines were exposed, and a natural eye shape could not be achieved.

After observing the patient’s eye-opening habit, it was found that due to severe ptosis, the patient was using the forehead to open the eyes, which caused the eyebrows to rise and all existing lines to become visible. Therefore, to address the fundamental problem, ptosis correction was performed together.

Severe Adhesions Caused by Multiple Surgeries

Scars from the previous surgeries remained inside the eyelid, and the patient had severe internal adhesions. This patient was undergoing a fifth eye revision surgery case, and due to an unnatural and strong impression, was also experiencing difficulties in interpersonal relationships.

Among revision surgery cases, this case is particularly difficult, and compared with typical eye revision surgery, the difficulty, time required, and cost were all significantly higher.

During the operation, all adherent tissue was carefully released through an incision. However, because the amount of skin between the eyebrow and the eyelid was limited, it was impossible to completely remove all scar tissue. Accordingly, we loosened the bound tissue and skin as much as possible and reconstructed it into a single stable double eyelid line to create a natural and balanced result.

Why Eye Revision Surgery Is Difficult

Eye revision surgery is one of the most difficult procedures even for an experienced board-certified plastic surgeon.

There is no fixed formula or single correct answer, and the outcome varies greatly depending on the individual patient’s condition, previous surgical history, the anatomical structure of the eyelid, and the degree of tissue damage.

Therefore, only a surgeon with extensive experience in complex revision cases and precise judgment can determine the safest and most appropriate surgical method.

In addition, every surgery must follow a proper sequence, and it is impossible to perfectly fix a poorly performed surgery in a short period of time.

Eye surgery should not be about following trends; it should be based on accurately understanding the current state of the eyes and proceeding according to a systematic, step-by-step plan. When this process is followed correctly, natural and satisfying results can be achieved.

Ahn Sung Min Plastic Surgery

Ahn Sung Min Plastic Surgery is a clinic specializing in eye revision surgery.

Based on Director Ahn Sung Min’s expertise and extensive revision surgery experience,

we provide patient-tailored surgery with the goal of stable, natural, and long-lasting results even in the most complex revision cases.

A H N S U N G M I N

E Y E P L A S T I C S U R G E R Y

#EyeRevisionSurgery #MultipleFolds #DoubleEyelidRevision #HighDifficultyEyeRevision #Ptosis #PtosisCorrection #AdhesionRelease

#NaturalDoubleEyelid #EyeSpecialistPlasticSurgery #AhnSungMinPlasticSurgery #EyePlasticSurgerySpecialist

#BestPlaceForEyeSurgery #BestClinicForEyeRevisionSurgery

#NaturalEyes #ImprovedImpression #EyeSurgeryReview #RevisionCase

Revision · No.1 plastic surgery clinic specializing in difficult eye revision surgery

Ahn·Sung·Min Plastic Surgery

We will be waiting for you at

Jamsil Ahn Sung Min Plastic Surgery,

where natural changes are created.

Thank you.

Contact: 02.414.1114

Consultation: 010. 3507. 3009

Naver Reservation Direct Link

KakaoTalk ID: kr.asmps