2026-05-25
Incisional Double Eyelid Surgery & Fat Repositioning for Multiple Creases
A 20s female with previous partial incisional double eyelid surgery developed multiple creases and heavy-feeling eyes. Incisional double eyelid revision and eyelid fat repositioning were performed to resolve the multiple creases and create a clear in-out line.

* Basic Information
# Female in her 20s
# Partial incisional double eyelid surgery 4 years ago (+)
# Current condition & requests: ‘My double eyelid line has loosened, creating multiple creases, and my eyes feel heavy ~’
* Consultation
# You had double eyelid surgery before, but the line has loosened, creating multiple lines.
# When multiple creases form like this, they interfere with opening the eyes, causing discomfort such as a heavy feeling ㅠ
# We planned to fix the line with incisional double eyelid surgery and reposition the fat in the upper eyelid to resolve the multiple creases simultaneously!
* Plan
# Incisional double eyelid surgery (revision)
# Upper eyelid fat repositioning







* Post-operative progress
# The multiple creases have been resolved, and an in-out double eyelid line with a clear line visible from the front has been completed. If there is sufficient natural eyelid fat, multiple creases can be resolved with repositioning alone, without fat grafting.
# When multiple creases are resolved through fat repositioning, opening the eyes can feel much more comfortable!
# Incisional double eyelid surgery is an excellent method to create a sufficiently natural line without scars, while ensuring the line doesn’t loosen :)
Consultation and surgery by a board-certified plastic surgeon!
VIBE from rich experience
Yoo Young-moon, Chief Director of VIBE Plastic Surgery
VIBE Plastic Surgery complies with medical law. The before and after photos were taken under the same conditions and with the patient's consent. Complications and side effects such as bleeding, inflammation, infection, and asymmetry may vary individually after surgery and require caution.
Frequently Asked Questions
Why do double folds appear?
Yes, double folds can appear when the previously created double eyelid line loosens. When these double folds appear, they can interfere with opening the eyes, causing discomfort such as feeling heavy.
Can incisional double eyelid revision surgery resolve double folds?
Yes, incisional double eyelid revision surgery can resolve double folds. It can be planned to refix the line and redistribute fat in the upper eyelid to improve double folds simultaneously.
In what cases is upper eyelid fat redistribution necessary?
Upper eyelid fat redistribution may be necessary when double folds appear. If the natural upper eyelid fat is sufficient, double folds can be effectively resolved with redistribution alone, without fat grafting.
What about scars after incisional double eyelid surgery?
Incisional double eyelid surgery is an excellent method to create a sufficiently natural line without loosening and without scars. It is important to consult with an experienced plastic surgeon.
What are the advantages of incisional double eyelid surgery?
Incisional double eyelid surgery has the advantage that the line does not loosen and remains clear. Additionally, it can be combined with fat redistribution to resolve double folds and make opening the eyes much more comfortable.
Does the feeling of opening my eyes change after surgery?
Yes, it can change. When double folds are resolved through fat redistribution, opening the eyes can feel much more comfortable, and the discomfort of heavy eyelids can also be improved.