Many people choose the scar-preserving high fold correction (the "two-line" technique, a line-lowering revision) to improve so-called 'sausage eyes,' where the double-eyelid line has been set too high or too thick. The scar-preserving high fold correction is a precise surgery that lowers the existing high double-eyelid line while releasing the adhesion of the old line.
However, because the procedure involves dissecting (separating) the existing scar tissue and creating a new line, if post-surgical scar-prevention care is not carried out properly, the old multiple-fold (double-crease) eyelid may return or an adhesion scar may remain.
Today, based on medical facts, we share a key stage-by-stage scar-prevention guide for achieving a smooth, natural eye shape after the scar-preserving high fold correction.
The core of the scar-preserving high fold correction is to release the strong fixation (adhesion) of the existing double eyelid and to form a new adhesion for the line beneath it. When our skin is wounded, it goes through a 'fibrosis process' as it tries to heal back to its original state, and if the right care is missed during this time, the following side effects can occur.
After the scar-preserving high fold correction, it takes at least 6 months to 1 year for the skin tissue to fully stabilize. Stage-by-stage care that doesn't miss this golden window is essential.
① Right after surgery to before suture removal (1 week): thorough swelling management and rest
Avoid raising eye pressure: bending your head down, rubbing your eyes, or lifting heavy objects increases the tension at the incision site and can widen the scar. Sleep with your head higher than your heart.
② After suture removal to one month (golden window): preventing early adhesion and starting scar ointment
Using scar ointment and sheets: after the sutures are removed and you confirm the wound has fully closed (usually 1–2 days later), apply the prescribed scar ointment (silicone gel-based) thinly in the morning and evening.
Eye-opening exercises: gently perform the medically instructed eye-opening exercises so that the newly created lower line settles into place correctly and the old upper line does not reattach.
③ 1 to 3 months after surgery (scar-tissue formation period): managing redness and firm tissue
Scar-tissue care and considering scar injections: during this period, a 'scar-tissue cycle' arrives in which the wound area temporarily becomes red and firm. This is a natural process, but if it protrudes excessively or becomes enlarged, visiting the clinic early to receive a scar injection (such as a steroid) is effective for preventing adhesion.
UV protection: if the wound area is exposed to sunlight, melanin pigment can settle in and leave a dark scar. When going out, wear sunglasses or a hat and apply sunscreen carefully.
Q. After the scar-preserving high fold correction, what should I do to keep the old line from coming back?
A. The most important thing is to accurately perform the eye-opening exercises the clinic instructed in the early post-surgery period, helping the new line adhere. In addition, to suppress the excessive bonding between cells that occurs during wound healing, you should consistently use silicone-based scar-care products.
Q. When scar tissue rises up, is it okay to massage it as part of home care?
A. Excessive stimulation or strong massage within one month after surgery can actually cause inflammation of the internal tissue and worsen the scar. Do not rub firm areas hard with your hands; it is safest to first consult the specialist who performed your surgery and then receive appropriate injection or laser treatment.
Because the scar-preserving high fold correction is a complex revision surgery that realigns the anatomical structure of the skin, the patient's aftercare effort accounts for 50% of the result, just as much as the medical team's refined skill. We hope you follow the stage-by-stage precautions thoroughly and regain a smooth, natural eye shape without side effects.
Because aftercare can differ depending on individual constitution and the specific surgical method, you must always follow the instructions of your attending specialist above all.
