Line-lowering surgery: what to know before correcting a failed double eyelid

Hello, this is Hyundai Aesthetic Surgery. Among facial features, the eyes have a major impact on one’s overall impression, so many people consider various methods to find the eye shape that suits them best. Some people undergo double eyelid surgery but feel that the result looks unnatural because the crease is higher than expected, or they develop what is commonly called “sausage eyes.” In such cases, line-lowering surgery may be considered to create a more natural and harmonious eye shape.

A double eyelid line creates a defined crease by forming adhesion between the eyelid skin and muscle, and its height can change the overall impression. However, if the line is excessively high or thick, it can create an unnatural eye shape and make the eyelids look heavy, giving an awkward impression. The so-called sausage-eye appearance is a common concern after double eyelid surgery and may vary depending on skin thickness and the amount of fat. In these cases, a more natural eye shape can be expected through line-lowering surgery.

Line-lowering surgery is a procedure that adjusts an existing high double eyelid crease to a lower position, aiming for a natural-looking eye shape. During this process, the previously adhered tissues are adjusted or removed to establish a new line. Depending on the individual’s eye condition and skin thickness, an appropriate method can be selected between the incisional technique and the non-incisional technique, also known as the two-line technique. It is important to decide on the method best suited to you through sufficient consultation before surgery. In particular, to naturally correct an unnatural line caused by previous surgery, a detailed diagnosis and plan by an experienced specialist are essential.

Among line-lowering methods, the incisional technique is performed by releasing the adhesion of the existing line and fixing a new line in a lower position. It is suitable when there is sufficient excess skin or when the existing line is thick, and a more distinct change in the line can be expected. However, because an incision is required, the recovery period may be relatively longer, and swelling and bruising may persist for a certain period. In contrast, the non-incisional technique, also known as the two-line technique, releases the adhesion of the existing double eyelid line and naturally forms a new line in a lower position. Because it can be performed without an incision, it has the advantage of a relatively quick recovery. However, if the skin is thick or there is a large amount of fat, the effect may be limited, so the method should be chosen carefully according to the individual’s condition.

After surgery, a certain recovery period is required. Swelling gradually decreases within 1 to 2 weeks, and the line takes several months to settle, to a degree that varies by person. To minimize swelling and bruising, it is important to alternate cold and warm compresses in the early stage and maintain cleanliness to prevent inflammation. In particular, if the line remains too high or appears unnatural after surgery, it is necessary to observe the progress for a certain period and evaluate the condition rather than immediately considering revision surgery.

Line-lowering surgery is not simply a cosmetic change; it is a process of balancing the overall impression and completing a more natural eye shape. At our clinic, we plan surgery by closely analyzing each patient’s eye condition based on our clinical experience. If you are concerned about an unnatural double eyelid line, we recommend finding the method that suits you through a careful consultation.



