Can Forehead Lift + Double-Eyelid Surgery Resolve a Hidden Double-Eyelid Crease? Dr. 김현조 Answers!

Can Forehead Lift + Double-Eyelid Surgery Resolve a Hidden Double-Eyelid Crease?

Dr. 김현조 Answers!

Hello.

This is 오브제성형외과.

You clearly had double-eyelid surgery,

but over time,

had the experience of the crease gradually disappearing.

More people experience this

than you might expect.

The crease that was clearly defined at first

starts to become hidden beneath the eyelid at some point,

making the eyes look more closed-off than before.

That is why many people begin looking into revision surgery

and encounter forehead lift and double-eyelid surgery

for the first time.

Since the double-eyelid crease has become hidden,

it may seem obvious that the crease should simply be recreated,

so it is understandable that the idea of resolving it

by lifting the forehead may not be easy to grasp.

So today,

I will explain one by one

why a hidden double-eyelid crease develops

and in which cases a forehead lift

can be an effective option.

If you read to the end,

it may help you determine

which surgical approach is suited to the condition of your eyes.

A hidden double-eyelid crease—

the cause lies “here”

When the crease gradually becomes less visible,

most people think there is

something wrong with the crease itself.

They tend to look for causes such as

the crease having loosened

or having been created too low.

However, in actual consultations,

there are quite many cases in which

the eyebrows and forehead descend,

rather than the double-eyelid crease itself being the problem,

and hide the crease.

Let me explain this situation

in a more straightforward way.

As people age,

the skin of the forehead and the tissues around the eyebrows

gradually descend.

As a result,

skin accumulates in layers above the upper eyelid

and presses the eyelid downward.

Because of this weight,

the original crease folds inward

and gradually becomes less visible.

The crease itself remains unchanged,

but is hidden because it is being pressed down from above.

What happens if,

in this situation,

you simply recreate the crease?

Because the skin pressing down from above remains as it is,

the same situation may recur

over time.

Forehead lift and double-eyelid surgery

addresses the underlying cause:

the descent of the eyebrows and forehead.

By lifting the eyebrows and forehead upward,

the weight of the skin covering the upper eyelid

is reduced,

and as a result,

the hidden crease becomes visible again.

Rather than creating a new crease,

this procedure restores the original crease.

When the cause lies in the eyebrows and forehead,

this is the principle by which

forehead lift and double-eyelid surgery

may help resolve a hidden double-eyelid crease.

Check in the mirror:

The “signal” revealed by the position of your eyebrows

How can you tell whether,

in your case, the eyebrows and forehead have descended,

or whether the eyelid skin itself has become lax?

There is a simple way

to check.

While looking in a mirror,

gently lift your forehead and eyebrows

upward with your fingers.

If the existing crease

becomes visible again,

there is a high possibility that the reason

the current crease is not visible

lies not in the crease itself,

but in the position of the eyebrows and forehead.

The eyebrows and forehead had descended

and were covering the upper eyelid;

the crease had not actually disappeared.

There is also a way to check

the eyebrow position more accurately.

With your eyes closed,

press your forehead and eyebrows with your palms

to keep them from moving upward,

then open your eyes.

This allows you to check

the natural position of your eyebrows

with the forehead muscles relaxed.

If the eyebrows are below

the brow bones or at the same height,

there is a strong possibility that

the eyebrows and forehead have descended.

In this case,

a forehead lift may be considered

before double-eyelid revision surgery.

Conversely,

if the eyebrows are above the brow bones

but the crease is still not visible,

it may be because lax eyelid skin

is covering the crease.

In that case, an approach that corrects

the eyelid itself, such as upper blepharoplasty,

may be more appropriate.

As you can see, even when the symptoms are the same,

the surgical approach can differ completely

depending on the cause.

Therefore, rather than simply deciding

to “recreate the crease,”

it is first necessary to check

the position of the eyebrows.

Can’t the crease simply be made higher?

The reason that is not the answer

When the crease is not visible,

it is natural to think,

“Maybe it just needs to be made higher.”

However, if only the crease is raised

while the eyebrows remain descended,

a high crease will be created

with the upper eyelid still thick.

This may instead

lead to an unnatural result.

By analogy,

it is similar to trying to make folds

in a thick blanket.

Unless the blanket itself is made thinner,

no matter how you make the folds,

they will not appear clearly.

Forehead lift and double-eyelid surgery

moves the skin covering the upper eyelid upward,

reducing the extent to which it covers the eyelid.

Therefore, without raising the crease excessively,

the original crease

can become visible naturally.

In particular, a forehead lift

is not a procedure limited to middle-aged people.

It may be appropriate not only for people

whose foreheads have descended with age,

but also for those whose eyebrows are naturally low

or whose upper eyelids are thick,

making the crease difficult to see.

Its use is also becoming more common

among people in their 20s and 30s

to improve eyes that appear closed-off.

The important point is not age,

but the current position of the eyebrows

and the condition of the upper eyelids.

Please keep this in mind.

Today, we discussed why a double-eyelid crease

can become less visible

and in which cases forehead lift and double-eyelid surgery

can be an effective option.

The fact that the crease is not visible

does not always mean revision surgery is the answer.

You first need to determine whether

the eyebrows have descended

or the eyelid skin has become lax

before the appropriate surgical approach

for you can be identified.

Dr. 김현조 of 오브제성형외과

first distinguishes whether the reason

the crease is not visible

lies in the crease itself

or whether it is hidden because

the eyebrows and forehead have descended.

By also examining the eyebrow position,

the thickness of the upper eyelids,

and movement of the forehead muscles,

he determines the surgical approach suited to each individual:

whether a forehead lift is appropriate,

whether upper blepharoplasty is needed,

or whether both procedures should be performed together.

Rather than simply recreating the crease,

surgery is designed to find the position

where the eyes look the most natural and defined

within the proportions of the entire face.

If you are considering a forehead lift,

we recommend beginning with a consultation

that examines both the current position of your eyebrows

and the condition of your upper eyelids.

This has been 오브제성형외과.

Thank you.

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• This post contains medical information prepared by 오브제성형외과의원 in compliance with the Medical Advertising Act.

• The effects of the procedure may vary from person to person, and side effects may occur.

We recommend that you make a decision about the procedure only after having a thorough consultation with a medical professional in advance.