Let’s Learn About Double-Eyelid Revision Surgery with an Incision for a Thick Front Line

How can you change eyes with a thick front line and a thin back line into eyes with a thin front line and a thick back line?

Hello, this is Director Choi from Wink Plastic Surgery. Today, I’ll talk about the direction for improving a thick front-line double eyelid. If the front is thick and the back is thin, it is the opposite of the ideal double eyelid, which is “thin in the front, with the line visible to some degree, and slightly thicker in the back,” so it can look a little awkward and unnatural.

Revision eyelid surgery (two-line method) + incision ptosis correction + upper eyelid fat repositioning | Before surgery

Revision eyelid surgery (two-line method) + incision ptosis correction + upper eyelid fat repositioning | 2 weeks after surgery

Revision eyelid surgery (two-line method) + incision ptosis correction + upper eyelid fat repositioning | 1 month after surgery

To solve this, the front line needs to be reduced. For this, the double eyelid needs to be lowered, which is possible through an incision method.

Revision eyelid surgery (two-line method) + incision ptosis correction + upper eyelid fat repositioning | Before and after comparison

In cases where the front line is very thick, an incision should be made in a way that preserves the skin in order to lower it significantly. The existing high front line is released, and then a new double-eyelid line is created in a lower position. There may be a drawback in that the existing double-eyelid scar cannot be removed and may remain after surgery, but over time it usually becomes less noticeable than before.

Revision eyelid surgery (two-line method) + dual canthoplasty | Before surgery

Revision eyelid surgery (two-line method) + dual canthoplasty | 6 months after surgery

If ptosis is also present, the line may appear even thicker, so it is better to correct the ptosis at the same time.

Revision eyelid surgery (two-line method) + dual canthoplasty | Before and after comparison

In the case of the skin-preserving incision method (commonly called the two-line method), a careful and highly advanced surgical technique is required to release the existing double eyelid, so it is best to decide on surgery only after consulting with a specialist.

That concludes our look at the two-line method for double eyelids with a thick front line.

If you have any questions, please contact us in the comments or through the Kakao channel.

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After plastic surgery, results may vary from person to person, and side effects such as bleeding, inflammation, and infection may occur. It is important to make sure to review information about side effects and surgery. All photos were taken with direct consent from the patients.