2026-05-29
Correcting Asymmetric Eyelids for a Natural Look (feat. Incisional Double Eyelid Scars)
Learn how to correct asymmetric double eyelids using the incisional method to achieve a natural, balanced look while preventing double lines.
Correcting Asymmetric Eyelids for a Natural Look
Today, I will be posting about this specific topic.
This patient has one low double eyelid and one high double eyelid.
In cases like this, the symmetry must be corrected by creating a new double eyelid line.
While both incisional and non-incisional (buried) methods are options, the non-incisional method carries a risk of creating ‘double lines’ when attempting to lower a high crease.
Therefore, when lowering a crease line, the incisional method should be used to ensure that double lines do not form.
This is the appearance one week after surgery. Although there is some bruising, the symmetry is well-balanced.
This is the appearance after 1 year and 6 months. The shape is excellent, and the line has been successfully lowered.
Even when the eyes are closed, the scar looks like a natural skin fold, so the scarring is very subtle.
Frequently Asked Questions
How can I correct asymmetrical double eyelids?
Yes, we correct asymmetry by creating a new double eyelid line. For asymmetrical eyes where one side is higher than the other, we can adjust the existing line to match both heights, completing a natural eye shape.
Can I use the non-incisional method to lower a high double eyelid line?
No, the incisional method is recommended over the non-incisional method. If you try to lower a high line with the non-incisional method, there's a high possibility that the existing line and the new line will overlap, creating a double line. Therefore, it is better to perform the incisional method when lowering the line.
Will I not get a double line if I lower my double eyelid line with the incisional method?
No, you will not get a double line when performing surgery with the incisional method. Unlike the non-incisional method, the incisional method can reliably release the existing high line and fix a new line, effectively preventing the formation of a double line during corrective surgery to lower the line.
Will there be a lot of scars after incisional double eyelid surgery?
No, over time, it will look like a natural crease, so scars are barely noticeable. If you look at the 1 year and 6 months follow-up case in the main text, you can see that even when the eyes are closed, the surgical marks have naturally healed like existing eyelid creases.
What is the condition of asymmetrical double eyelid surgery after 1 week?
Typically, there may be bruising at 1 week, but the symmetry will be well-matched. As it is an early stage of recovery, bruising and swelling may be present, but the line height and symmetrical shape of both eyes can be clearly confirmed from this period.