If You’re Worried About Double-Line Surgery Scars

Hello, I’m Dr. Choi Seung-hyeop from WINK Plastic Surgery. The topic we’ll look at today is double-line surgery scars. In cases of so-called “sausage eyes,” meaning thick, high, puffy double eyelids, if there is insufficient eyelid skin, the look is often improved through double-line surgery, a procedure that lowers the double-eyelid line.

In this type of double-line surgery, the existing double-eyelid line is released and a new line is created below it, so the characteristic feature is that the previous scar is not removed and remains.

However, patients often have difficulty predicting how much of the previous surgical scar will remain, so many worry that a lot of the old scar may be left behind.

Double-line surgery scars can vary depending on each person’s tissue characteristics and the pattern of the existing scar.

To begin with the conclusion, whether the scar from the previous double-eyelid line remains clearly after double-line surgery depends on each person’s tissue characteristics or the pattern of the previous surgical scar, but in most cases, severe scarring is uncommon.

If the previous surgical scar is small, the scar after double-line surgery will also be small.

So, in what cases does the double-line surgery scar remain relatively minimal?

If the previous surgery was performed using a non-incisional method such as buried sutures or natural adhesion, the existing scar itself tends to be minimal, making double-line surgery easier to perform. Also, because the existing scar is already small after surgery, the old scar after release becomes less noticeable.

If the previous surgical scar is wide and deep, the existing scar may be more visible after double-line surgery.

So, in what cases is the existing scar more likely to remain relatively visible after double-line surgery?

In fact, this is influenced most by each person’s tissue characteristics and the pattern of the existing surgical scar. Of course, as mentioned earlier, non-incisional surgery generally leaves less scarring than incisional surgery, but this is not always the case. Even if the previous surgery was incisional, depending on the tissue characteristics, if the previous surgical scar has remained minimal, then the existing scar may also remain minimal even after double-line surgery.

You need to understand post-surgical scarring through consultation with a specialist medical team that has a high level of understanding of double-line surgery.

Even if the previous surgery was incisional, it does not necessarily mean the previous scar will remain more visible. However, compared with non-incisional surgery, incisional surgery generally involves stronger adhesions in some cases, so after the old double-eyelid line is released, the scar may be somewhat more visible in incisional cases.

That said, if the previous surgical scar is an incision scar accompanied by strong adhesions, surgery may still be possible by using more advanced adhesion-release techniques. Therefore, it is best to receive a consultation from a specialist medical team with a high level of understanding of double-line surgery.

Therefore, to achieve a successful double-line surgery, a consultation before surgery with a medical team that has extensive experience with this procedure is essential, and this can be considered a factor that has an absolute impact on the surgical outcome.

When there is insufficient eyelid skin and you want to improve sausage eyes or lower the double-eyelid line, consultation with a specialist medical team about double-line surgery is necessary.

That concludes our look at double-line surgery scars. In cases of reoperation for sausage eyes or procedures to lower the double-eyelid line through double-line surgery, this is one of the most difficult areas within revision eyelid surgery. In particular, if the existing incisional scars are severe, you can achieve satisfactory surgical results by deciding on the surgical direction after consultation with a specialist medical team.