Single fold or scar-preserving double fold technique, selected for the patient's anatomy.
"Lowering a heavy fold is not a one-size-fits-all procedure. The appropriate technique — single fold correction or scar-preserving double fold correction — is determined by the patient's skin volume and overall eyelid condition."
— Dr. Choi Dong-Il, Director
A revision that releases the adhesion of a fold set too high and re-creates the line at an appropriate height.
When the existing fold sits too high, or appears excessively heavy, this procedure adjusts the height in the context of the patient's overall facial and eye proportions. The adhesion holding the high fold in place is released, the height is lowered, and a new fold is created at the appropriate level.
※ Surgical and recovery details may vary depending on the patient's individual condition.
From surgery time to return to daily life.
Five clinical situations in which lowering a heavy fold is most effective.
A fold set too high
that requires lowering
A high fold accompanied
by significant scarring
A heavy, prominent fold
from over-resection of tissue
A fold set too high relative
to the brow-to-eye distance
A line exposed too high
secondary to ptosis
Director Choi Dong-Il has presented and lectured on this technique at multiple academic meetings.
Conference photo placeholder.
Conference photo placeholder.
Choosing between Single Fold and Scar-Preserving Double Fold based on skin volume and eye condition.
Excising the skin between the new and existing line for a clean single line
The fold is lowered by excising along the existing incision line. The skin between the old line and the new lower one is removed.
Because the existing scar is excised along with the skin, the line is clean, the chance of multiple folds is low, and the technique is comparatively simpler than the double-fold approach.
If skin is in short supply, excessive excision can make further surgery impossible — leading to an irreversibly extreme result. Generally only suitable for patients whose folds were originally high and whose skin has loosened with age.
Formal name: "Lowering the line without cutting through the existing fold scar"
The proper name for this technique is "Lowering the line without cutting through the existing fold scar." If the existing fold line is a previous incision scar, a new incision is made for the new line. The fold that previously creased at the existing scar is released, and a new crease is made beneath it.
When skin is too short to lower the line conventionally, the area around the old incision can still be used. Significant lowering is possible, and the technique allows for repeat surgeries.
Two scar lines remain, and the result is influenced by the existing scar. Re-adhesion can lead to multiple folds, so this technique is only safely performed by a highly experienced plastic surgeon.
Three principles that support a clean, natural result.
Selecting the appropriate technique based on the patient's skin volume and eyelid condition.
Direct experience with the scar-preserving double fold technique, presented at academic conferences.
A design oriented toward long-term stability rather than the immediate result alone.
Two clinical questions patients ask most: when fat grafting is actually needed, and what that small bump above the crease really is.
Every inquiry is reviewed personally by Director Choi Dong-Il.
