A Clean, Smooth Line for Double Eyelid Folds

It can make you look tired and feel like a wrinkle,

and it can also give the impression of looking older.

A double eyelid fold can become deeply etched

depending on your condition, and thin wrinkles

may pile up in layers, making it difficult to

look neat even with makeup, which can be a concern.

The causes include thin skin,

reduced elasticity, which leads to overlapping lines,

or an originally high double eyelid line,

which can create multiple folds.

It can also happen because an adhered area

does not loosen over time, and since the causes

vary in this way, it is important not to focus

only on the design. First, you need to understand

what is causing the issue and then correct it

accordingly.

Double eyelid folds can also occur often after

creating a line from a monolid state, so if a

second attempt is needed, it must be approached

with even greater caution.

If the degree and area of adhesion are assessed,

and the shape did not settle as planned because

of the effects of scar tissue, this must also be

addressed together.

Unlike the first attempt, this requires a more

precise and careful approach, so it is right to

consider the correction method from multiple angles.

The methods are broadly divided into incision and

non-incision approaches, but because each person

has different eye shapes and current conditions,

a detailed analysis is necessary to apply the

method that truly suits you.

If the area is not adhered or the condition is

relatively mild, it is possible to secure the

fold with burial sutures without making an incision,

leaving it neat and tidy.

However, this applies to situations where the skin

droop in the eyelid area with the double eyelid

fold is somewhat mild.

If you cannot open your eyes using eye strength

alone in daily life and are excessively straining

your eyebrows or forehead, burial sutures or

incision alone cannot solve the cause, so caution

is needed.

If you frequently use your forehead muscles because

you cannot properly engage the eye muscles, there

is a high possibility of ptosis.

If double eyelid surgery is performed without

identifying such factors, the folds may overlap

again, so eyelid correction needs to be performed

at the same time.

When excess fat accumulates in the brow area and

eyelid drooping is severe, the eyes can also be

overall refined by removing or extracting the fat

itself and then repositioning it.

Because various aspects must be considered, the

result can be improved into a look that is natural,

clear, and more comfortable when opening and closing

the eyes. Before making a decision, the areas that

need correction are carefully examined and an

appropriate plan is made.

The cause of the overlapping folds is identified,

and a design that can allow the desired image to

settle naturally is carefully chosen so that it

is positioned at the proper height and shape.

To do this, it is necessary to thoroughly identify

and analyze the situation so that overcorrection is

avoided, and to check whether the clinic has

sufficient clinical experience with functional

correction and similar cases.

Among double eyelid folds, if after the first

attempt an unnatural appearance stands out, or if

thick flesh gathers above the line, causing a

sausage-eye appearance, extra caution is needed.

The reason swelling lasts this long is often that

the tissue was not properly removed, leaving muscle

tissue, scar tissue, fat, and the like unable to

settle into the correct position.

In such cases, the existing line is released, the

tissue that needs to be removed is properly

dissected, and then a line at a compatible height

is created and delicately sutured.

If there has been more than one failure,

it is proper to wait until the internal tissue

has recovered well and then find the right method

to proceed. So please set aside any impatience

and take it slowly.

At least 6 months to 1 year must pass before scar

tissue, muscles, and other bodily tissues stabilize

enough for revision surgery.

If it is done earlier, the eye shape may instead

change into an unexpected form or create various

problems, so caution is required.

The time when new improvement is possible should not

be judged on your own; instead, you should carefully

consult the operating surgeon, objectively assess

your current condition, and hear an explanation of

the proper timing and correction method.

When trying to secure a single clean line to remove

double eyelid folds, it is also important to identify

which line suits you best.

An in-line, where the line is low and begins with a

thin attachment at the inner corner of the eye, is a

natural shape that suits East Asians well and tends

to make the eyes look slightly larger.

An out-line gives a more open eye appearance and is

a shape that can refine the double eyelid into a more

Western image when the eyes are already somewhat large.

Recently, there has been a trend toward preferring

the in-out line, which lets you feel the appeal of

both a subtle in-line and a distinct out-line.

With an appropriate height and length, the eyes can

look somewhat larger while also giving a refined

impression.

Even so, if the eye length is somewhat short and does

not match your aesthetic standard, methods such as

lateral canthoplasty or lower canthoplasty may also

be planned together. If your eye shape feels a bit

constricted or you often hear that you look fierce,

you can undergo a canthoplasty that helps improve the

look to a gentler eye shape.

If the eye muscles are weak and you cannot open your

eyelids properly, eyelid correction is performed in

combination to help you open them using eye strength

alone by fixing the muscles.

Whether the double eyelid fold appeared simply because

the skin sagged, whether it kept recurring even after

creating the fold several times because the muscles

had weakened, or whether an unexpected problem arose

after the first attempt, the direction of treatment

changes accordingly, so it is right to begin by

clearly analyzing the cause step by step.

To correct the shape into a harmonious and natural

form that suits an individual face and image, it is

important to see whether the clinic has extensive

experience with revision cases.

For someone who has had double eyelid surgery more

than once, it is especially important to carefully

check when the proper timing is and to proceed only

when there are no concerns. We hope you will also

carefully confirm the management and preparation for

future swelling, bruising, and scarring so that you

can meet the look you wanted.

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