Today's post:
On her two eyes, one side shows a high crease and the other shows multiple upper eyelid creases.
The iris exposure is slightly different between the two sides as well.
Her right eye (left on photo) reads as sleepy as a result.
Both eyes read somewhat sleepy, but that side is more so.
Some patients who develop multiple upper eyelid creases ask whether fat grafting is required to fix them. Personally, I prefer to address them without grafting; that said, when grafting is genuinely needed, it should be done.
This patient did not have fat grafting.
We performed a mild crease-lowering through the scar-preserving high fold correction — commonly known as the "two-line" technique (두줄따기) — and added ptosis correction to address the sleepy look.
The core of multiple upper eyelid creases revision is releasing the adhesions thoroughly.
Eight months post-op.
The multiple upper eyelid creases are gone, and so is the sleepy look.
The core of the procedure: release the adhesions thoroughly and keep them from re-forming.
When that step falls short, the multiple upper eyelid creases tend to recur, often as a triple- or quadruple-fold pattern.