Early Revision After Failed Double-Line Fold Lowering (feat. Triple Eyelids, Multiple Folds)

I would like to post about ‘Early Revision After Failed Double-Line Fold Lowering (feat. Triple Eyelids, Multiple Folds)’.

For more details on the double-line fold lowering technique, please refer to my previous posts.

This patient had previously undergone surgery at another clinic before visiting our hospital.

They had received a double-line fold lowering procedure (this is not a formal medical term; please refer to my previous post: https://blog.naver.com/medicdoctor/221353621318).

As you can see in the video, a crease is forming at the site of the existing scar above the new incision line. This occurs because of adhesions to the previous scar tissue, meaning the adhesions were either not fully released or have re-adhered.

This issue will not resolve on its own over time. However, there are cases, as mentioned in my other post (https://blog.naver.com/medicdoctor/222157893648), where faint lines caused by long-term folding disappear once the swelling below the incision line subsides.

This shows the result after thoroughly releasing the adhesions and implementing measures to prevent re-adhesion.

The shape looks good at the 1-week mark.

This is the appearance at 1 month. Although the scar has not fully settled yet, it is expected to improve significantly after 6 months.

If multiple folds persist, fat grafting may be considered as an option.

Whether early revision is possible should be discussed with your attending surgeon. Furthermore, if the procedure is performed on only one side, asymmetry with the opposite side may occur. In such cases, a secondary revision might be necessary after 6 months, as the surgical approach may differ between the two sides.

Frequently Asked Questions

Will double folds that appear after double eyelid surgery disappear over time?

No, they do not disappear naturally. Triple eyelids or double folds caused by incomplete release or re-adhesion due to existing scars will not resolve over time, so re-correction surgery is needed to release the adhesion.

What surgical method is needed to resolve double folds?

Procedures to reliably release adhesions and prevent re-adhesion are necessary. Additionally, if the double folds are severe, fat grafting to the eyelids can be considered as an additional method to improve the symptoms.

Is early re-correction always possible after a failed double eyelid surgery?

It depends on the patient's condition, so you must consult with your doctor. There are specific cases where early correction is possible, so it is safer to have a specialist directly diagnose the adhesion status and recovery level of the surgical site before making a decision.

Are there any side effects if I receive early re-correction on only one eye?

Yes, asymmetry between both eyes can occur. If the surgeons for both sides are different, it may be difficult to achieve perfect symmetry, and if the asymmetry is severe, additional re-correction surgery may be needed after 6 months.

When will scars become natural after re-correction surgery?

Typically, scars stabilize and become natural after about 6 months post-surgery. At 1 month post-surgery, the scars may not have fully settled, but they are expected to gradually improve over time.