Hello.
This is EH-raising Iho Plastic Surgery again.
The eyes are an important factor in determining first impressions, and they also serve as a nonverbal means of conveying richer emotions when talking with people. That is why clear and attractive eye lines are important for creating a favorable impression. Because even a small change in the eyes can affect the overall image, many people try double eyelid surgery to improve their concerns. However, not everyone gets the result they wanted. In some cases, a double eyelid line forms differently from what was expected, or the shape changes over time. To improve these issues, when considering eye revision surgery, we would like to take some time to share information about the double-line correction method.
I heard that double-line correction is extremely difficult and very expensive,
so it is not a surgery just anyone can do.
Is that true?




That is true!
The reason is that raising a double eyelid is relatively easy.
But lowering it is difficult.
Force vectors are received well upward! But making the vector go back down to a lower position goes against nature, so it is bound to be difficult.






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Double-line correction is on a completely different level from simply lowering a high eyelid line without adhesion. The adhesions on the upper side must be released and then reattached lower down, so the process of releasing all those adhesions is necessary, and because the vector has to be lowered, the difficulty level is quite high. Therefore, it is naturally difficult for most beginners to approach.






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It can only be done by someone who has experience with various types of surgery.

It is known as a surgical method chosen as a last resort,
so who is it good for?



The eye has a set amount of skin from the margin to the underside of the eyebrow. The skin thickness is also fixed, and the amount of skin is also limited.
For people whose previous surgery removed too much skin or too much muscle, excision to remove scars would be beneficial, but if there is no skin left to excise, this can be an appropriate method.
In short, for people with no extra skin and severe damage, double-line correction may be the only option.










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I understand this is a surgery that is performed while leaving the existing incision line as it is,
so what happens to the scar from the existing incision line?



Double-line correction does not remove the existing scar, but by removing the scars hidden underneath it, the scar from the existing incision line on the outside becomes less visible.




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You can think of double-line correction as the final surgery.
As much as possible, before doing double-line correction, we first perform a similar procedure, but we may recommend a line-lowering surgery that allows skin excision. If there is even a little extra skin, minimizing scars is what patients all want.








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Even after double-line correction surgery,
will it return to the original double eyelid?


It seems to refer to a case where the fold does not form along the newly incised line and instead folds again along the line above it. Such cases can occur from time to time.
So, it is important to create adhesions properly so that the fold forms along the lower line, and I can say that this is technically very difficult.
As a way to prevent this problem, fat grafting is used.
When there is insufficient tissue volume, the area folds as if wrinkles are forming. Fat grafting may be performed to prevent this phenomenon.







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Do you have a lot of experience with double-line correction, Director?

Of course!
I can say I have more experience than anyone else.
Since this is what we specialize in for the eyes, I can say that we compete with experience.



Are there cases where double-line correction is not possible?

People who come in considering revision surgery want to improve, no matter what!
If there is too little tissue, there are cases where it is not possible. About 1 or 2 people a year.
Then I honestly say I can’t do it! It can’t be done! And I tell them not to do it at another hospital either! I think saying this is a very important part.
You should not do it half-heartedly and make things worse. Since it must not get worse, saying things accurately is important.







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Double-line correction can be considered a procedure that is performed at the very end, when there is no other option left.
In fact, the important thing is not to reach that point in the first place. Therefore, it is important to meet a skilled doctor and have the surgery performed in the right direction without being overly ambitious.