Lowering a High Double Eyelid Fold | Gangnam Seoyon Plastic Surgery, Seoul, Korea
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EYELID REVISION

Lowering Thick Double Eyelids (Scar-Preserving High Fold Correction)

Single-line Incision · Scar-Preserving High Fold Correction — In a harmonious proportion

"

Considering the overall eye proportions
With a harmonious line

"Thick double eyelids shouldn't just be lowered unconditionally; the exact surgical technique between the single-line technique and the scar-preserving high fold correction must be chosen according to the amount of skin and eye condition."

— Dr. Choi Dong-il, Chief Surgeon

ABOUT

What is Lowering Thick Double Eyelids (Scar-Preserving High Fold Correction)?

A precise procedure that releases the adhesion of a high-fixed line and creates a new line.

Consultation model for lowering thick double eyelids

Creating a new line according to the proportions

When the double eyelid line is excessively high or thick Considering the overall eye proportionsto adjust the height to a line that suits each individual. It releases the adhesion of the high-fixed double eyelid line, reduces the size, and creates a new line.

※ Information on the surgical process and recovery may vary depending on the patient's condition.

BEFORE & AFTER

Before & After Cases of Lowering Thick Double Eyelids

The before and after photos shown are taken 6 months before and after surgery.

The before-and-after photos and videos shown here are published with the consent of patients who underwent surgery at our clinic, and are genuine, unretouched images. Any unauthorized use by other institutions will be subject to strict legal action.

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PROCEDURE INFO

Procedure Information

From surgery time to daily life return at a glance.

Surgery Time
30~60 mins
Anesthesia
Sedation / Local
Clinic Visits
1~2 times
Stitch Removal
4~12 days after
Hospitalization
Same-day discharge
Daily Life
3~7 days after
WHO IS IT FOR

Recommended for

5 cases suitable for Gangnam Seoyon's thick double eyelid lowering.

01

Double eyelid line is too
high and want to lower it

02

High line with
deep scars

03

Due to excessive muscle/soft tissue removal,
those with sagging sausage eyes

04

Compared to the distance between eyebrows and eyes,
the line is too high

05

Due to ptosis, the line
is exposed and looks high

CREDIBILITY

The scar-preserving high fold correction, a technique lectured at multiple conferences

Dr. Choi Dong-il of Gangnam Seoyon has lectured on thick double eyelid lowering (the scar-preserving high fold correction) through several conference presentations.

Scar-preserving high fold correction conference presentation ①

Placeholder for conference presentation photo.

Scar-preserving high fold correction conference presentation ②

Placeholder for conference presentation photo.

METHOD

Thick Double Eyelid (Sausage Eyelid) Correction Method

Depending on the amount of skin and eye condition, a suitable method between single-line and scar-preserving high fold correction is selected.

METHOD A

Single-line Method

Excising the skin between the new and existing lines into a single line

to lower the double eyelid line, by cutting the existing incision line. The line is lowered by excising between the existing incision line and the new line.

Single-line method — Schematic of scar excision between existing and new lines

The skin between the newly formed line and the existing line is excised to release adhesions and create a new line.

PROSAdvantages

Clean line + Easy technique

Because it cuts including the existing scar, the line is clean, the possibility of multiple folds is low, and the technique is relatively easier compared to the scar-preserving high fold correction.

CONSDisadvantages

Application limits when skin is insufficient

If skin is insufficient, excessive excision can make further surgery impossible or result in an irreversible extreme double eyelid. It is difficult to apply except when someone who had a high line when young develops sagging with age.

Single-line method BEFORE
BEFORE
Single-line method AFTER
AFTER

2 months post-op

Single-line method BEFORE (Closed eyes)
BEFORE
Single-line method AFTER (Closed eyes)
AFTER

2 months post-op

METHOD B

Scar-Preserving High Fold Correction

Formal name of "Line lowering without cutting the existing double eyelid scar"

The exact name of the scar-preserving high fold correction — commonly called the "two-line" technique — is "Line lowering surgery without cutting the existing double eyelid scar". If the existing double eyelid line is an incision scar, a new incision is made for the new line. It is a surgery that releases the double eyelid folding on the existing incision scar and makes it fold below it.

Scar-preserving high fold correction — Schematic of creating a new line below the existing double eyelid line

The adhesion of the existing double eyelid is released, and a new line is created below it.

PROSAdvantages

Both insufficient skin and significant lowering are possible

When trying to lower the line but eyelid skin is insufficient, the skin around the existing incision line can be utilized, and it is also possible when wanting to lower it significantly. Multiple surgeries are possible.

CONSDisadvantages

Two scar lines + Skill required

Two scar lines are formed, and it is affected by the existing scar. It is prone to multiple folds due to re-adhesion, Only skilled plastic surgeonscan perform this.

Double Fold Line Lowering

Double Fold Line Lowering

Scar-Preserving High Fold Correction Line Lowering

Scar-Preserving High Fold Correction Line Lowering

Scar-Preserving High Fold Correction

Scar-Preserving High Fold Correction

Scar-Preserving High Fold Correction

Scar-Preserving High Fold Correction

Scar-Preserving High Fold Correction

Scar-Preserving High Fold Correction

Scar-Preserving High Fold Correction for Poorly Folding Double Fold

Scar-Preserving High Fold Correction for Poorly Folding Double Fold

In-out Line Scar-Preserving High Fold Correction

In-out Line Scar-Preserving High Fold Correction

Asymmetry Correction One Eye

Asymmetry Correction (One Eye)

Scar-Preserving High Fold Correction Line Lowering

Scar-Preserving High Fold Correction Line Lowering

Scar-Preserving High Fold Correction Line Adjustment

Scar-Preserving High Fold Correction Line Adjustment

Scar-Preserving High Fold Correction Line Adjustment

Scar-Preserving High Fold Correction Line Adjustment

Mucosal Exposure + Line Lowering

Mucosal Exposure + Line Lowering

Line Lowering + Sunken Upper Eyelid Correction

Line Lowering + Sunken Upper Eyelid Correction

MISCONCEPTION

Misconceptions about Scar-Preserving High Fold Correction? The answer is NO!

Many people have vague fears about the side effects of scar-preserving high fold correction. However, if performed with the right method when absolutely necessary, you can achieve big, clear, and refreshing eyes without worrying about side effects.

Is it the last resort? NO!
Is ptosis correction absolutely necessary? NO!
Is fat grafting absolutely necessary? NO!
Does a stepped scar always occur? NO!
It is not the last resort

Rather, forcibly excising skin when there is no excess skin can be the last resort. This is because further surgery is impossible once the skin is excised.

Ptosis Correction · Fat Grafting, NOT always accompanied

Ptosis correction is sometimes performed to prevent multiple folds, but it is not unconditional. The scar-preserving high fold correction + fat grafting is done in less than 5 out of 100 cases. Resolving multiple folds with only a scar-preserving high fold correction without ptosis correction or fat grafting is the true technique.

CASE · Fat grafting required

Cases requiring fat grafting

CASE · Without fat grafting

Cases that seemed to require fat grafting but did not

DETAIL

Stepped scar, is it really due to the scar-preserving high fold correction?

It can occur the more the line is lowered, but it is actually a natural phenomenon that can also be seen in people with naturally low lines.

Cross-sectional schematic showing skin covering the incision line as the line is lowered

It is not a stepped scar

As the line is lowered, the skin covers the incision line, and the same appearance can be seen in people with naturally low lines who have not had surgery.

EXPERT GUIDE

Misconceptions about stepped scars and scar-preserving high fold correction

REFERENCE · Normal case

Scar appearing like a step after male inner double fold surgery

SIGNATURE

Characteristics of Gangnam Seoyon's Thick Double Fold Lowering Surgery

3 principles to achieve both natural results and scar minimization.

01

Precise diagnosis by an experienced board-certified plastic surgeon

02

Customized design considering eye shape, condition, and the entire face

03

Minimization of tissue damage through thorough planning + delicate surgery

Surgery Information After surgery, side effects such as bleeding, infection, and inflammation may occur depending on the individual, and the degree may vary, so caution is required.
EXPERT GUIDE

Dr. Dongil Choi's Plastic Surgery Exploration

We explain key points good to know before surgery through a video.

Clinic
Blog
Director
Blog
Cafe Gangnam
Seoyon TV
Insta
gram
KakaoTalk
Channel
Q & A

Answered by Dr. Dongil Choi

Ask anything about Double Eyelid Lowering.

Q Single-line technique vs. the scar-preserving high fold correction — which is better?
ADr. Dongil Choi

The answer depends on the patient's condition. If there is excess skin, one-line is suitable; if it is insufficient or you want to lower it significantly, the scar-preserving high fold correction is appropriate. We recommend it after a precise diagnosis.

Q Is scar-preserving high fold correction the last surgery?
ADr. Dongil Choi

No. Rather, the one-line incision, which forcibly excises skin, can be the last resort. The scar-preserving high fold correction can be performed multiple times.

Q Are ptosis correction and fat grafting absolutely necessary?
ADr. Dongil Choi

No. Less than 5 out of 100 people accompany them, and unreasonable accompaniment causes greater side effects. Neatly resolving it with a scar-preserving high fold correction alone is Gangnam Seoyon's technique.

Q Does a stepped scar always occur?
ADr. Dongil Choi

If the line is significantly lowered, the skin may cover the incision line and look like a step, but this is a natural phenomenon seen even in normal people's low lines and is different from a stepped scar.

Q How long is the recovery period?
ADr. Dongil Choi

Stitch removal is possible in 4-12 days, and return to daily life in 3-7 days. Natural results settle in at 3-6 months.

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