Double-Line Revision: How to Lower a High Double-Eyelid Crease | VN Plastic Surgery

Is your double-eyelid crease too high after surgery,

making your eyes look heavy instead?

You thought it would look more natural over time,

but if you are still concerned about the high crease,

one of the revision methods to consider

is double-line revision.

However, wanting to lower a high crease

does not mean that the existing double eyelid

can always be removed and recreated.

This is because the surgical method may vary

depending on why the crease became high

and the condition of the existing adhesions and skin.

So, in what cases is double-line revision necessary,

and how much can the crease actually be lowered?

What Is Double-Line Revision?

Double-line revision is a revision procedure

that releases the adhesions of an existing double-eyelid crease

created at a high position

and creates a new double-eyelid crease

at a lower position than the original crease.

Eyes that have already undergone surgery

have adhesions and scars

between the skin and the internal eyelid tissues.

Therefore, simply creating a new crease at a lower position

may cause the existing high crease to remain visible

or create multiple folds.

For this reason, with double-line revision,

the key is to consider both

how to address the existing crease

and where to create the new crease.

At VN Plastic Surgery,

when providing consultations for double-line revision,

we develop a surgical plan after examining

not only the current position of the crease,

but also the existing adhesions, available skin,

and the condition of the eyelid tissues.

When Is Double-Line Revision Necessary?

Not everyone with a high double-eyelid crease

undergoes revision using the same method.

When determining whether double-line revision is appropriate,

the following four conditions must be checked.

① When the double-eyelid crease is excessively high

→ This refers to cases where the crease is positioned high when the eyes are open,

making the eyelids look thick and the eyes look heavy.

② When there is insufficient available skin

→ This refers to cases where it is difficult to remove additional skin

between the existing crease and the lower crease.

③ When existing adhesions remain

→ This refers to cases where the adhesions created during the first surgery remain strong,

so the existing crease may also form

when a new crease is created.

④ When the existing and new creases overlap

→ This refers to cases where the double eyelid appears as multiple layers

when the eyes are open,

or repeated overlapping folds occur.

In other words, double-line revision is not decided

simply because “the double-eyelid crease is high.”

The surgical method is determined after considering

the current crease height, available skin,

adhesions, and the presence of overlapping folds together.

Will Lowering a High Crease Make the Eyes Look Natural Immediately?

“Can’t you just release the existing double eyelid

and recreate it in the desired position?”

Simply lowering a high crease

does not create the desired eye shape.

If a new crease is created at a lower position

while the existing crease is still set high,

the existing and new adhesions may form together,

making the eyes appear to have two creases.

In addition, if further skin removal is performed

when there is insufficient available skin,

it may be difficult to lower the crease

to the desired position.

Therefore, double-line revision is performed

after examining not only the position of the new crease,

but also the position of the existing crease

and the skin tissues.

How Much Can the Crease Be Lowered with Double-Line Revision?

This is what people considering double-line revision

are most curious about.

Just because the crease is high

does not mean it can always be lowered

to the desired position.

If there is insufficient skin or the adhesions are strong,

the scope of surgery may be limited.

Therefore, rather than understanding double-line revision

as a procedure that lowers the crease by a certain number of millimeters,

it is more accurate to understand it as revision surgery

that determines the new crease position

after assessing what is possible based on the current condition

of the eye tissues.

What Happens to the Existing Crease After Double-Line Revision?

Many people wonder whether the existing crease

will immediately become invisible after double-line revision.

Because existing adhesions and scars remain,

the traces of the existing crease or swelling

may initially make the eyes look as though they have multiple folds,

but as the tissues gradually stabilize,

the crease will settle into a more natural appearance.

Therefore, it is difficult to judge the final result

based only on the appearance immediately after surgery.

Check These Points Before Your Double-Line Revision Consultation

If you are planning to have a consultation for double-line revision,

refer to the following four questions.

Q. Where are the adhesions of the existing high double-eyelid crease located?

Q. Given the available skin, how much can the crease be lowered?

Q. To what extent might the existing high crease remain after surgery?

Q. Is double-line revision the only procedure needed,

or is another correction also necessary?

These questions can help you understand more specifically

what procedure your eyes currently need

than simply looking at before-and-after photos.

If you are considering double-line revision,

rather than comparing only before-and-after photos,

first check the cause of your high crease

and the current condition of your tissues.

At VN Plastic Surgery, double-line revision

does not focus solely on lowering the crease.

Instead, we examine the adhesions and tissue condition

created by the previous surgery

and develop a specific plan for the necessary scope of correction.

If you are considering double-line revision because of a high crease,

we recommend receiving an evaluation through a consultation.

Thank you for reading.