Q. I had multiple eyelid folds, so I had incisional surgery for a single fold, but it doubled again. I then had ptosis correction, but it’s still double. Is there no way left?

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I have prepared a brief explanation regarding a topic many of you might be curious about. ^^

Q) I originally had multiple eyelid folds, so I had incisional surgery to create a single line, but it became two lines again. I then had ptosis correction with double eyelid surgery, but it still returned to two lines. Is there no other way? What should I do?

A) Hello, this is Dr. Young-moon Yoo, Representative Director of Vibe Plastic Surgery, with your 1-minute plastic surgery tip.

Today, I will address the question: ‘I originally had multiple eyelid folds, so I had incisional surgery for a single line, but it became two lines again. I then had ptosis correction, but it still returned to two lines. What should I do now?’

When the eyelid line continues to form double or multiple folds, we must investigate the following possibilities: 1. Whether the eye-opening muscle strength is still weak. If the strength is weak, the line cannot settle into a single fold and may result in multiple layers. In this case, improving the opening strength through ptosis correction can organize the line. 2. Check if there is a significant lack of fat in the upper eyelid. If there is insufficient fat, the area can become hollow, causing multiple creases to form. 3. Severe adhesions from previous surgeries. Creases can form due to adhesions from a previous double eyelid procedure. In such cases, it is necessary to release the old adhesions and prevent new creases from forming through fat repositioning or fat grafting.

1-minute completion. 1-minute plastic surgery. This was Director Young-moon Yoo.

Frequently Asked Questions

Why do multiple eyelid creases form even after double eyelid surgery?

There are three main reasons: weak eye-opening strength, insufficient fat in the upper eyelids, or severe adhesion from a previous surgery. To achieve a single, clean line, it's essential to identify the exact cause and perform customized revision surgery such as ptosis correction, fat grafting, or adhesion removal.

Why do multiple creases form if the eye-opening strength is weak?

Yes, if the eye-opening strength is insufficient, the double eyelid line may not fold clearly as a single crease and can instead form multiple, dispersed creases. In such cases, ptosis correction surgery to strengthen the eye-opening muscles can help to consolidate multiple lines into one clear line.

Can multiple eyelid creases form even if there is no fat in the upper eyelids?

Yes, if there is too little fat in the upper eyelids, the area can become sunken, leading to unwanted multiple creases. During surgery, the amount of fat above the eye should be checked, and if insufficient, volume should be restored through fat repositioning or fat grafting to prevent the formation of multiple lines.

How can multiple creases caused by adhesion from a previous surgery be resolved?

It is absolutely necessary to meticulously release the adhesion from the previous surgical site. After releasing the adhesion of the existing line, surgery must be performed in conjunction with upper eyelid fat repositioning or fat grafting to thoroughly prevent the skin from re-adhering and creating multiple creases.