Buried-method double eyelid surgery, which leaves almost no scar and has a fast recovery, is
the double eyelid surgery method many patients choose first.
However, over time, the double eyelid can loosen,
or multiple folds may appear.
Why does this kind of loosening of buried-method double eyelids happen?!
Buried double eyelid surgery is a method in which a thread is used through small openings without making an incision in the skin
to connect the eyelid skin and the inner tissue so they adhere and create a double eyelid fold.
This method leaves little scarring and recovers quickly, but structurally it may have weaker fixation than incision surgery.
https://blog.naver.com/laree2345/223918174359
(If you want to know more about the reasons why double eyelids loosen, please refer to the post above.)
In addition to weak fixation, the causes of loosening can include
the thickness and amount of fat in the patient’s eyelid skin, the strength of eyelid opening, and so on,
and habits such as rubbing the eyes or individual constitution can also affect double eyelid loosening.
![[Laree Plastic Surgery] One-Sided Release After Buried Double Eyelid Surgery, Multiple-Fold Double Eyelid Revision Surgery and Changes After Eyelid Correction image 1](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/tgzuf37zyh/naver_blog/laree2345/assets/by_hash/d20aa58a7ad4a0e26e8133718b85a0083d066cf4686b7384cf319432c96c180f.jpg)
When a double eyelid loosens, many people think it returns to the original low crease line
or disappears entirely.
However, when a surgically created double eyelid loosens, it does not simply mean the line disappears.
Because of the adhesions created by the surgery, another new line may appear,
or two or three or more lines may form instead of just one.
These complex double eyelids can make the eyes look unfocused
and the asymmetry becomes more severe, preventing a natural and balanced impression.
If you are a woman, it would also be very inconvenient when putting on makeup, right?!
![[Laree Plastic Surgery] One-Sided Release After Buried Double Eyelid Surgery, Multiple-Fold Double Eyelid Revision Surgery and Changes After Eyelid Correction image 2](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/tgzuf37zyh/naver_blog/laree2345/assets/by_hash/b3806c8ff383bf9881b19d97b6db63fafa4e067ef882016b56c4b0ef256b7a2b.jpg)
That is why, after buried-method double eyelid surgery, if the double eyelid loosens,
rather than correcting it by doing buried-method surgery again, many cases recommend
incision revision double eyelid surgery for a more stable result.
With the incision method, the skin is cut open so the muscles and fat inside the eyelid can be seen directly,
allowing the necessary fixation and eyelid correction to be performed.
For thick eyelids, repeated loosening, or cases where there is weak eye-opening strength and the eyes do not open well,
this can provide a stable and clear improvement.
Once multiple-fold double eyelids form, simply tying the thread again will not solve the problem.
Therefore, it is necessary to carefully dissect and tidy up the inner tissue of the folded lines
and accurately design a new line,
so revision surgery using the incision method is effective.
![[Laree Plastic Surgery] One-Sided Release After Buried Double Eyelid Surgery, Multiple-Fold Double Eyelid Revision Surgery and Changes After Eyelid Correction image 3](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/tgzuf37zyh/naver_blog/laree2345/assets/by_hash/a6b4de55e4379573a6b690788d3ee1edca3c5aa6ebbf36accec0c5d0797e7b5a.jpg)
Why both sides are revised even when only one side has loosened
This is a common case seen in consultations.
Namely, only one double eyelid has loosened!
At first, people think only the loosened side needs revision surgery,
but in practice, both eyes are often corrected.
Symmetry issue between both eyes
If only one side is revised with the incision method and the other side keeps the existing buried fold, the depth and shape of the lines may look different.
Difference in post-surgery durability
Because an eye fixed with the incision method and an eye fixed with the buried method have different structural stability,
their long-term crease retention may differ.
Of course, it cannot be said that a surgically fixed eye with the incision method will never loosen.
However, statistically, an eye fixed with the buried method has a much higher chance of loosening,
so over time the asymmetry may gradually become more noticeable.
Psychological issue
If only one side is operated on, swelling will naturally appear only on that side, right?!
During recovery, if one side is swollen and the other is not,
and the eye shapes on both sides are different, the person will inevitably worry a lot.
To reduce psychological discomfort and achieve symmetry, both eyes should be revised at the same time.
![[Laree Plastic Surgery] One-Sided Release After Buried Double Eyelid Surgery, Multiple-Fold Double Eyelid Revision Surgery and Changes After Eyelid Correction image 4](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/tgzuf37zyh/naver_blog/laree2345/assets/by_hash/22aa19e1440a6c5efeeadff9a158f4c284c54a485e3694cc4f95ef4ae95be312.jpg)
This patient had buried double eyelid surgery more than 10 years ago,
but because the buried double eyelid loosened, one side became a thin inner double eyelid and the other side became a layered double crease with multiple folds,
and they had been living with uneven eyes for a long time.
Although the patient did not have especially strong eye-opening strength, they wanted a larger and thicker, more dramatic double eyelid line,
so instead of the buried method, incision revision double eyelid surgery was performed, along with eyelid correction to match.
Through consultation with the doctor, the desired height of the double eyelid line was adjusted to reduce the difference between both eyes,
and the loosened double eyelid was fixed again with the incision method so that there were no double folds in other areas,
resulting in the double eyelids and eye shape the patient wanted.
![[Laree Plastic Surgery] One-Sided Release After Buried Double Eyelid Surgery, Multiple-Fold Double Eyelid Revision Surgery and Changes After Eyelid Correction image 5](https://pub-9f2bb3498faf4d1d8714b41df24753e3.r2.dev/content/clinics/archive/tgzuf37zyh/naver_blog/laree2345/assets/by_hash/26bd6c4d6db73993369cef625bc38f0ec9df2509f627afdbdb690028f8c358fa.gif)
As in the case of this patient, who had originally considered buried revision surgery but ended up having incision revision surgery,
eye surgery can involve a wide variety of methods depending on each person’s eye structure and current condition
in order to achieve the desired result.
Therefore, rather than an online consultation or a consultation based only on photos,
a face-to-face consultation in which the doctor examines the face directly is the most accurate.
(Especially, double eyelid surgery rather than canthoplasty!!)
If you are confused by the situations discussed above or by other concerns about your current eyes because of the many non-professional and overwhelming sources of information,
we hope you will avoid worrying alone and instead establish a clear direction through consultation with a specialist,
and achieve a more satisfying result.