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Double Eyelids, Especially When One Eye Has a Double Eyelid

Laree Plastic Surgery · 라리n성형 · August 24, 2019

After double-eyelid surgery, there are cases where the eyelid becomes double-folded for various reasons. Even a naturally formed eyelid crease can gradually develop into multiple f...

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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: Laree Plastic Surgery

Original post date: August 24, 2019

Translated at: April 23, 2026 at 5:25 AM

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

After double-eyelid surgery, there are cases where the eyelid becomes double-folded for various reasons. Even a naturally formed eyelid crease can gradually develop into multiple folds over time. When that happens, blinking becomes very uncomfortable, so people keep rubbing their eyes, and that rubbing makes the double-folded eyelid worse.

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What causes this double-folded eyelid?

Double eyelids often develop in naturally occurring eyelids that do not have a single strong crease to hold the eyelid line. Still, up through the 20s, when the skin has elasticity, there is usually no major issue. Then, starting in the 30s, when skin elasticity begins to decline, they gradually appear and tend to worsen over time.

In the case of double-eyelid surgery, if a double fold appears, it may be because there was insufficient skin removal and a line forms above the loose skin. If it appears after a considerable amount of time has passed since the surgery, it may be because the double-eyelid line has loosened or because the muscle that opens the eye has weakened, causing the crease to become double-folded.

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Loosening of the double-eyelid line is something that often happens with naturally occurring double eyelids or surgically created double eyelids. People usually think that loosening happens because the surgery was done poorly, but since the crease is being forcibly pulled and held in place, it can loosen even with hundreds of thousands of blinks. In fact, there probably is no doctor who can be completely free from double-eyelid loosening. Any plastic surgeon will experience double-eyelid loosening multiple times.

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Usually, loosening happens more often on only one side rather than both sides. For those who are wondering whether surgery is possible on just one side, if only one side has loosened and the other side is fine, of course surgery on only one side is possible. The loosened side is adjusted to match the side that has not loosened.

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In Korea, there has long been a negative view that if only one eye has a double eyelid, it means someone is a flirt and so on. Because of that, people with noticeable asymmetry or with loosening only in one eye may also experience considerable stress. Rather than worrying about something that can be sufficiently corrected, why not visit a plastic surgery clinic specializing in asymmetry for a consultation?

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