Correcting Double Creases and Sunken Eyes in Double Eyelid Surgery

Among those who visit for double eyelid surgery, some come for consultation to address double creases and sunken eyes.

There can be various causes of sunken eyes, but when there is naturally little fat in the eyelid area, the upper eyelid often appears sunken and double creases can develop.

Sunken upper eyelid and the development of double creases

Normally, orbital fat should sufficiently cover the levator aponeurosis, but in sunken eyes there is a lack of orbital fat, and it is pulled upward. As a result, adhesions form between the levator aponeurosis and the skin, leading to double creases.

Normal position of orbital fat

Insufficient orbital fat and upward displacement

During incisional double eyelid surgery, the orbital fat above the eye is carefully dissected, moved downward, and fixed in place.

Downward repositioning of the fat above the eye

The sunken eye was well corrected, and the double eyelid was organized into a single line.

Of course, to make the eyes look brighter, eyelid correction and canthoplasty were performed together as well.