Long-term Progress of Double Line Fold Lowering Scars and Lateral/Lower Canthoplasty Case

A patient who underwent the so-called ‘double line’ technique (lowering the double eyelid thickness while leaving the existing scar) visited our clinic recently. The surgery was performed approximately two years ago.

Looking at the pre-operative state, it was a case where the double eyelid line was set quite high.

Because the double eyelid line was set high, it had become slightly loose, and the scarring caused the line to appear uneven and wrinkled.

In this patient’s case, the line was so high that if the scar tissue were excised, there would be a significant lack of skin, leading to an even worse aesthetic outcome.

The core of the surgical method is to find as much normal tissue as possible, create a new double eyelid line there, and thoroughly release the existing scar tissue to prevent re-adhesion.

Additionally, the goal is to prevent damage to the orbicularis oculi muscle, which could lead to an inability to close the eyes, and to avoid creating any further additional scar tissue.

This is the appearance two years after the surgery.

The patient recently returned to undergo lateral and lower canthoplasty together.

The shape is very good. The upper arrow indicates the existing scar (a faint line), and the lower arrow indicates the newly created double eyelid line.

All the photos above were cropped using screen capture without any Photoshop or editing.

I am also attaching a video for reference.