Case Study: Scar Progression After Double-Line Fold Lowering (1-Year Follow-up)

Case Study: Scar Progression After Double-Line Fold Lowering (1-Year Follow-up)

It has been a while since my last post.

I have been away from the blog for some time, but I plan to gradually share the many surgeries I have performed during that interval.

Today, I want to show you the step-by-step progress of a ‘double-line fold lowering’ (Dujulttagi) procedure.

For those curious about what double-line fold lowering entails, please refer to my previous blog posts.

Usually, this technique is employed when the patient has excessively thick, high double eyelids.

This patient felt their eyelid line was too high and wished to lower it.

Let’s look at the patient’s appearance before the surgery.

Looking at the preoperative state, the line appears high due to protruding eyes. In cases of protruding eyes, if the line is created at the same height as a typical person, it can often appear much higher.

Therefore, this must be carefully considered during the initial surgery. You should consult with a specialist to decide on the shape.​

This is immediately after the surgery. You can see that the existing scar tissue has been released and a new line has been set lower.

The core technique here is preventing multiple folds; we ensure the eyelid does not fold back into the old scar line.

At one week post-op, there is no major swelling. The scar is expected to improve significantly as time passes.​

This is the 6-month mark. While we consider the results to be mostly settled by 6 months after a double-line fold lowering, the scar continues to improve as more time elapses.​

This is the 1-year follow-up.

Medically speaking, it can take up to two years for a wound to fully recover.

We expect the scar to continue fading over time.

While scars generally do not disappear entirely, they become much fainter with time.

We have extensive expertise in minimizing scars during revision surgery, so you can trust us with your care.

However, if you ask if there will be no scar at all, I must inform you that ‘a scar will remain.’

There is no such thing as a surgery without a scar; instead, I will strive to make it as inconspicuous as possible.

Thank you.

Before and After Comparison

Frequently Asked Questions

Do scars completely disappear after double eyelid revision surgery?

No, scars do not completely disappear. However, they gradually fade over time. Medically, it takes about 2 years for a wound to fully heal, and surgical techniques that minimize scarring can make them less noticeable.

What is the core technique of double eyelid revision surgery?

The core technique is to effectively release the existing scar and create a new line beneath it. It is especially crucial to prevent the formation of a double fold where the line refolds due to the old scar, making this the most important aspect of double eyelid revision surgery.

Are there any precautions for double eyelid surgery in cases of bulging eyes?

Yes, if the line is created the same way as for people with normal eyes, the double eyelid might appear higher in bulging eyes. Therefore, it is essential to consider the characteristics of such eyes during the first surgery, and it is important to thoroughly consult with a specialist before surgery to determine the shape and height.

When does the major swelling subside after double eyelid revision surgery?

Typically, major swelling subsides about 1 week after surgery. As seen in the progress photos, significant swelling is not visible at the 1-week mark, and it settles to some extent and becomes natural after about 6 months.