Lowering a Double Eyelid Crease
Lowering a Double Eyelid Crease
A double eyelid crease that is too high can make the eyes appear unnatural, heavy, or mismatched with the rest of the face. Lowering a double eyelid crease is a type of revision eyelid surgery designed to create a softer and more natural-looking eyelid fold.
This procedure is commonly requested by patients who feel their previous double eyelid surgery created a crease that is too wide, too deep, or gives a more dramatic appearance than they wanted.
Why Do Patients Want to Lower a Double Eyelid Crease?
A crease that is positioned too high may affect the overall eye balance.
Common concerns include:
- Eyes looking unnatural or overly dramatic
- A heavy upper eyelid appearance
- A “surprised” or strong expression
- Excessive eyelid fold visibility
- A crease that does not match facial features
- Difficulty achieving a softer eye appearance
Lowering the crease can help create a more subtle and harmonious eyelid shape.
What Causes a Double Eyelid Crease to Look Too High?
A high crease may occur because of:
- Initial crease design being too high
- Incorrect crease placement for the eyelid structure
- Excessive attachment between skin and eyelid tissues
- Scar tissue from previous surgery
- Changes during healing
The cause determines the best revision approach.
Who Is a Good Candidate for Crease Lowering Surgery?
Patients may consider crease lowering if they have:
- A fully healed previous double eyelid surgery
- A crease that appears too high or unnatural
- Stable eyelid tissue condition
- Realistic expectations
Common candidates include patients who have:
- Overly high incisional creases
- Thick or deep eyelid folds
- A desire for a more natural Asian eyelid appearance
How Is a Double Eyelid Crease Lowered?
The surgical method depends on the current eyelid condition.
Revision techniques may include:
Crease Redesign
The surgeon creates a new eyelid crease at a lower position while reducing the influence of the previous fold.
Scar Tissue Release
If previous surgery created strong scar attachments, releasing these tissues may be necessary to allow a softer crease.
Removing or Adjusting Eyelid Tissue
In some cases, the surgeon may adjust:
- Excess scar tissue
- Eyelid fat
- Tissue volume
to create a more natural fold.
Lowering a Crease After Incisional vs Non-Incisional Surgery
The approach can differ depending on the original surgery method.
After Incisional Double Eyelid Surgery
Revision may be more complex because of:
- Scar tissue
- Strong crease attachment
- Altered eyelid anatomy
Surgeons may need to carefully release previous attachments before creating a new fold.
After Non-Incisional Double Eyelid Surgery
Crease lowering may be easier in some cases because there may be less scar tissue, but it depends on how firmly the original crease was formed.
Can a High Double Eyelid Crease Be Lowered Without Surgery?
In most cases, a permanently high crease cannot be significantly lowered without revision surgery.
Temporary appearance changes may occur due to:
- Swelling reduction
- Tissue relaxation over time
However, once the eyelid has fully healed, surgical correction is usually needed for noticeable crease adjustment.
How Long Should You Wait Before Lowering the Crease?
Timing is important because eyelids continue changing after surgery.
Generally:
- First few months: Monitor healing and swelling changes
- Around 6 months: Evaluation for persistent concerns
- 6–12 months: Common timeframe for major revision planning
Earlier revision may sometimes be considered for specific problems, but the eyelid condition must be carefully assessed.
Recovery After Double Eyelid Crease Lowering
Revision recovery may take longer than primary double eyelid surgery.
Typical timeline:
First Week
- Swelling and bruising are common
- Sutures may be removed around 5–7 days
Weeks 2–8
- Swelling gradually decreases
- The new crease begins settling
Months 3–6
- Eyelid fold becomes softer
- Eye shape appears more natural
6–12 Months
- Final crease position and texture continue improving
How Much Does Double Eyelid Crease Lowering Cost in Korea?
Typical prices include:
- Double eyelid revision (crease lowering): ₩3,000,000–₩7,000,000+
- Complex revision with scar correction: ₩4,000,000–₩8,000,000+
- Revision with ptosis correction: ₩4,000,000–₩9,000,000+
The cost depends on:
- Previous surgical technique
- Amount of scar tissue
- Difficulty of correction
- Additional procedures required
Final thoughts
Lowering a double eyelid crease can help patients who feel their eyelid fold is too high, deep, or unnatural after previous surgery. Because revision eyelid surgery involves previously altered tissues, careful evaluation is essential. An experienced eyelid surgeon can determine the right technique to create a softer, more balanced crease that better matches your facial features.
