Case Study: Revision Surgery for Multiple and Triple Eyelid Folds

Today’s blog post features a

Clinical case study of revision surgery for triple and multiple eyelid folds.

is the topic.

Looking at the patient’s eyes, one side has a high double eyelid fold, while the other side exhibits multiple overlapping folds.

The visible size of the pupils also differs slightly.

Consequently, the patient’s right eye (left side in the photo) appears sleepy.

In fact, both eyes look somewhat sleepy, but that side appears relatively more tired than the other.

Occasionally, patients with multiple folds ask if they need fat grafting. Personally, I prefer to achieve improvement without fat grafting whenever possible, though I do recommend it in cases where it is absolutely necessary.

In this specific case, fat grafting was not performed.

The surgery involved lowering the fold height slightly using the commonly known ‘double-line extraction’ technique, combined with ptosis correction to address the sleepy appearance.

The key to successful surgery for multiple eyelid folds is thoroughly releasing the existing adhesions!!!!!!!!!!

This is the appearance 8 months after the surgery.

The multiple folds have been resolved, and the sleepy eye appearance has also been corrected.

The core of this surgery lies in properly releasing adhesions and preventing them from re-forming.

If this part is insufficient, the multiple folds will eventually recur, leading to the return of triple or multiple eyelid creases.

Frequently Asked Questions

Is fat grafting always necessary for double eyelid revision surgery for multiple folds?

No, fat grafting is not always necessary. In the case presented in the main text, the multiple folds were improved with only the 'two-line incision' method and ptosis correction, without fat grafting. It is recommended to proceed with fat grafting only when deemed absolutely necessary by the medical staff.

What is the most important key to double eyelid surgery for multiple folds?

The most important key is to effectively release existing adhesions and prevent re-adhesion. If this process is insufficient, multiple folds may recur after surgery, requiring very delicate surgical techniques.

Can sleepy eyes and multiple double eyelid folds be corrected simultaneously?

Yes, they can be corrected simultaneously. By performing the 'two-line incision' surgery to lower the double eyelid line along with ptosis correction, multiple folds can be resolved while simultaneously improving the appearance of sleepy eyes to make them clearer and more defined.

What is the recovery process like after revision surgery for multiple double eyelid folds?

In the case presented in the main text, both the multiple folds and sleepy eyes were stably resolved 8 months after surgery. Thanks to the effective release of adhesions, a natural eye shape was maintained without recurrence.