Q. I heard that when lowering the double-eyelid line, it is done by creating a double line. Isn’t the chance of developing a double line high? Is this surgery that difficult?

Hello, this is AB Plastic Surgery.

I wrote this post to answer the questions you have been curious about.

Q. I heard that when lowering the double-eyelid line, it is done by creating a double line. Isn’t the chance of developing a double line high? Is this surgery that difficult?

A. The methods for lowering a double-eyelid line can be broadly divided into: “1. lowering the line while removing the existing scar at the same time” and “2. lowering the line by creating a new double eyelid below the existing one.”

Among these, if there is enough extra skin and soft tissue, the line can be lowered while removing the existing scar and skin together. However, if there is not much extra skin and soft tissue, removing the skin including the existing scar may leave too little skin, making it uncomfortable to close the eyes or preventing the double eyelid from forming naturally. Therefore, when there is not much extra skin and soft tissue, a new double-eyelid line is created below and the existing higher double eyelid is loosened (the method commonly called “creating a double line”).

The key to this double-line method is to thoroughly release the adhesion of the existing double eyelid, and then prevent adhesion from forming again at the original double-eyelid area by lowering fat or using fat grafting. In addition, proper eye-opening strength should be created through ptosis correction so that the newly made double-eyelid line settles in a natural and aesthetically pleasing way. Methods for releasing the existing adhesion involve carefully loosening the adhesions in the anterior and posterior spaces of the orbicularis oculi muscle, the anterior and posterior spaces of the orbital septum, and the anterior and posterior spaces of the levator aponeurosis, depending on the degree of adhesion, so the procedure can be technically demanding. Also, even if the adhesions are released well, it is important to prevent re-adhesion through methods such as lowering fat or fat grafting. In other words, surgery must be performed while minimizing the chance of a double line forming as much as possible, and this can vary depending on the degree and depth of the existing adhesions.

It is difficult to say simply that “creating a double line is a difficult surgery.” Depending on the eye condition before surgery, it can be a difficult procedure or a simple one. (If there is little adhesion before surgery, it will be a relatively simple procedure. If the adhesion is severe before surgery, it will be a more technically demanding procedure.)

If you are considering creating a double line to reduce the size of your double eyelids, I recommend having a consultation to understand your current eye condition and then choosing and performing the appropriate method for lowering the double eyelid based on that condition.

If you have any other questions, please leave a comment. I will check it and reply. Thank you.