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Folded Double Eyelids? Instead of Double Eyelid Surgery or Upper Blepharoplasty, Do ‘This’! (Tip from a Plastic Surgery Specialist)

Objet Plastic Surgery · 오브제성형외과의원 · April 21, 2025

Folded double eyelids? Instead of double eyelid surgery or upper blepharoplasty, do ‘this’! (Tip from a plastic surgery specialist) Hello, this is Obje Plastic Surgery. ​ Which kin...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: Objet Plastic Surgery

Original post date: April 21, 2025

Translated at: April 23, 2026 at 3:48 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

Folded double eyelids? Instead of double eyelid surgery or upper blepharoplasty, do ‘this’!

(Tip from a plastic surgery specialist)

Hello, this is Obje Plastic Surgery.

Which kinds of people do you usually think would get double eyelid surgery? You may probably imagine people who do not have double eyelids, the so-called ‘single eyelid’ type.

In fact, most people who consider double eyelid surgery either do not have double eyelids or have very thin inner double eyelids. Since double eyelid surgery can create a larger, brighter-looking eye shape, it naturally leads many people to consider the procedure.

Folded Double Eyelids? Instead of Double Eyelid Surgery or Upper Blepharoplasty, Do ‘This’! (Tip from a Plastic Surgery Specialist) image 1

But it is not only people with single eyelids or inner double eyelids who consider double eyelid surgery. Surprisingly, many people who already have double eyelids are also considering double eyelid surgery. (Of course, inner double eyelids still count as double eyelids. ^^)

Why would someone want double eyelid surgery even though they already have double eyelids? The reason is folded double eyelids.

Folded Double Eyelids? Instead of Double Eyelid Surgery or Upper Blepharoplasty, Do ‘This’! (Tip from a Plastic Surgery Specialist) image 2

Many people originally had large, clear double eyelid lines, but as they age, the eyelids gradually droop and eventually the double eyelid line becomes hidden. At some point, many people visit the clinic for a consultation because their eyes feel heavy and have changed in an unflattering way.

However, folded double eyelids do not necessarily improve just by having double eyelid surgery. Depending on the case, double eyelid surgery can even make the eyes look less attractive.

It would be very disappointing if the surgery chosen to improve the eyes ended up making them look worse, right? So let me explain in more detail how to restore folded double eyelids to a more attractive line without that disappointment.

Folded double eyelids with a heavy, tired appearance? The problem is not the eyes, but ㅇㅇ?

Is it because I’m getting older...

My eyes are drooping and my double eyelids are not visible.

I want to change my tired-looking eyes into a clearer shape,

Would double eyelid surgery help a little?

Folded Double Eyelids? Instead of Double Eyelid Surgery or Upper Blepharoplasty, Do ‘This’! (Tip from a Plastic Surgery Specialist) image 3

When consulting with patients who are worried about folded double eyelids, I hear this often. They say they want double eyelid surgery to change the heavy-looking eye shape. Simply put, because the eyes already look tired, they assume double eyelid surgery will improve them.

But the reason the eyes look heavy because the double eyelid line is hidden is not always limited to the eyes themselves. In many cases, the forehead is actually the cause of the folded double eyelids.

Folded Double Eyelids? Instead of Double Eyelid Surgery or Upper Blepharoplasty, Do ‘This’! (Tip from a Plastic Surgery Specialist) image 4

A common example is when people with strong eye-opening force have their double eyelids hidden by the forehead. Because they can open and close their eyes without using much forehead effort, they tend not to use the forehead muscles much.

But muscles gradually weaken when they are not used often. That is why people with strong eye-opening force tend to have their eyebrows droop lower than others. This causes the double eyelids to become hidden as well.

In the end, because the forehead weakens and the double eyelids become hidden, simply having double eyelid surgery does not necessarily improve the heavy-looking eye shape.

Of course, it is fine to perform double eyelid surgery with the intention of defining the double eyelid line to some extent. But more importantly, the underlying cause that makes the eyebrows droop and hide the double eyelids must be considered.

Folded Double Eyelids? Instead of Double Eyelid Surgery or Upper Blepharoplasty, Do ‘This’! (Tip from a Plastic Surgery Specialist) image 5

In such cases, people often raise the double eyelid line to make the eyelids look less hidden. However, if double eyelid surgery is done by simply making the line higher, the eyes can end up looking harsher, so the medical team’s diagnosis is very important.

To summarize, when the forehead weakens, the eyebrows droop, and the drooping eyebrows cause the double eyelids to become hidden, please remember that forehead lifting is more appropriate than double eyelid surgery.

What if my double eyelids are hidden because of my forehead too?

Eye drooping vs forehead drooping, self-diagnosis method

After reading the explanation above, many of you may be wondering whether your double eyelids are hidden because of the forehead or because the eyes themselves are drooping.

I’ll now show you a simple way to check for yourself what causes folded double eyelids. It’s easy, so try it right away!

Folded Double Eyelids? Instead of Double Eyelid Surgery or Upper Blepharoplasty, Do ‘This’! (Tip from a Plastic Surgery Specialist) image 6

The self-diagnosis method for the cause of folded double eyelids is to hold your forehead with your hand and pull it upward. It’s simpler than you might think, right?^^ Even though it is very simple, this method can help identify the cause of the hidden double eyelids.

If you hold your forehead with your hand and lift it upward, and the hidden double eyelids become clearly visible, then as mentioned earlier, forehead lifting can improve folded double eyelids. Since the drooping forehead has been pulled upward, the hidden double eyelid line naturally becomes visible.

At Obje Plastic Surgery, we also use this method to determine the exact cause of folded double eyelids. For most people worried about hidden double eyelids, when they pull the forehead upward, the hidden double eyelid line appears and the eyes look brighter. Sometimes, as they look in the mirror during the process, they say right away, “This is the double eyelid line I want.”

In this way, if lifting the forehead with your hand makes the eyes look brighter and improves the heavy feeling, then the main cause is likely that the forehead has drooped and pulled the eyebrows downward. At Obje Plastic Surgery, for these patients, we recommend forehead lifting, which raises the drooping forehead and eyebrows, rather than double eyelid surgery.

However, there are also people whose folded double eyelids do not change much no matter how much they pull up the forehead. In these cases, there is often more fat around the eyes or the skin tissue is thicker. For such people, if they want a clearer double eyelid line, surgery to improve the double eyelid line itself is more appropriate than forehead lifting.

What forehead lifting method does Obje recommend?

Check which forehead lifting method is right for you

Based on everything explained so far, you may now be wondering what forehead lifting actually is. Forehead lifting is, as the name suggests, a surgery that lifts a drooping forehead.

You may have heard of it as a headband surgery. The most classic type of forehead lifting was also called headband surgery. Just as a headband pulls the hair upward and makes the forehead feel slightly lifted, the classic forehead lift also elevated the drooping forehead in a headband-like shape.

Folded Double Eyelids? Instead of Double Eyelid Surgery or Upper Blepharoplasty, Do ‘This’! (Tip from a Plastic Surgery Specialist) image 7

In the classic forehead lift, the skin in the drooping forehead area was incised, the sagging tissue was removed, and then it was pulled upward and sutured. Because the scar remained in the shape of a headband, it came to be called headband surgery. It had the clear effect of lifting the drooping forehead, but many people avoided the classic forehead lift because of the scar and the recovery period.

In recent years, surgical techniques have advanced significantly, and various forehead lifting methods have become available. Thanks to this, you can now receive forehead lifting with less concern about scarring and greater effectiveness.

At Obje Plastic Surgery, three forehead lifting methods are available. Since we recommend the most suitable surgical method based on the patient’s condition, you can achieve more satisfying results.

It can also be very effective in improving folded double eyelids. Let me explain in detail what methods are available and what their features are.^^

  1. Endotine forehead lift

Folded Double Eyelids? Instead of Double Eyelid Surgery or Upper Blepharoplasty, Do ‘This’! (Tip from a Plastic Surgery Specialist) image 8

The Endotine forehead lift is the forehead lifting method most preferred by patients with folded double eyelids, and it is the most commonly performed forehead lift at Obje.

Endotine is a dedicated device for forehead lifting, shaped like a triangle with five projections. After the projections are fixed into the tissue, the drooping forehead is pulled upward, so the Endotine forehead lift can provide a strong lifting effect.

Another major advantage is that it is bioabsorbable, meaning it is naturally absorbed by the body over time, so there is no need to remove the Endotine later.

In particular, unlike the classic forehead lift, the incision area is very small and is made in the scalp, so the scar is hidden by the hair and is less noticeable, which seems to make patients more satisfied.

For those worried about a drooping forehead and hidden double eyelids, the Endotine forehead lift can be a good option to consider.

  1. Forehead lift fixed to the periosteum

Folded Double Eyelids? Instead of Double Eyelid Surgery or Upper Blepharoplasty, Do ‘This’! (Tip from a Plastic Surgery Specialist) image 9

The forehead lift fixed to the periosteum is the forehead lift with the strongest fixation. Because the fixation is strong, the lifting effect also tends to last longer.

The procedure involves making a small groove in the periosteum, then using sutures to pull up the dermis, fat, and periosteum. Because it can secure and fix the tissue from the inside all the way to the skin visible on the outside, it is often used for cases of severe forehead and eyebrow drooping.

It is suitable for people with very weak forehead strength, those with firm skin tissue around the forehead, or those looking for a powerful and long-lasting forehead lift.

  1. Forehead thread lift

Folded Double Eyelids? Instead of Double Eyelid Surgery or Upper Blepharoplasty, Do ‘This’! (Tip from a Plastic Surgery Specialist) image 10

For those who want a simple forehead lift, we recommend a forehead thread lift instead of the two methods above. A forehead thread lift is a method in which dissolvable threads are placed in the drooping forehead muscles and pulled upward to secure them.

Compared with the Endotine forehead lift and the periosteum-fixed forehead lift described above, the forehead thread lift is relatively simple. Because it is performed under local anesthesia and uses threads to pull up the drooping muscles, the procedure time is short and you can quickly return to daily life after the procedure. (In some cases, sedation anesthesia is used, and please note that bruising, swelling, and recovery time may vary from person to person.)

Rather than strongly lifting a drooping forehead like the Endotine forehead lift or periosteum-fixed forehead lift, it gives a more natural lifting effect. It is a forehead lifting method preferred by many people who want to quickly improve folded double eyelids with a simple procedure.

Folded Double Eyelids? Instead of Double Eyelid Surgery or Upper Blepharoplasty, Do ‘This’! (Tip from a Plastic Surgery Specialist) image 11

To resolve folded double eyelids, it is important not to rush into double eyelid surgery, but to identify the root cause of why the double eyelids became hidden.

At Obje Plastic Surgery, we do not simply reflect the patient’s wishes; we strive to present the optimal surgical plan to fulfill those wishes. Rather than first thinking of the method a doctor is most accustomed to, we place great importance on finding the surgery that is right for the patient and fundamentally solving their concerns.

If you are experiencing discomfort from changes in your eye shape—such as skin irritation around the eyes due to drooping eyelids or difficulty with your field of vision—not only from hidden double eyelids, please feel free to visit Obje Plastic Surgery at any time. For those who are worried and do not know which option is best, we will give you a clear, straightforward answer.

Thank you for reading this long post today. This has been Obje Plastic Surgery.

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  • This post is medical information written by Obje Plastic Surgery Clinic in compliance with the Medical Advertising Act.

  • The effectiveness of the procedure may vary depending on the individual, and side effects may occur.

We strongly recommend sufficient consultation with medical staff in advance before deciding on the procedure.

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