Revision Eye Surgery: A Different Approach Starting with Double-Eyelid Line Selection
When considering revision eye surgery, one of the most important decisions is which line to choose. This is because the most suitable line varies depending on each person’s face shape, skin condition, and desired image. Today, we will compare the features, advantages, and disadvantages of the main double-eyelid lines: inline, in-out line, semi-out line, and out line.
An inline double eyelid is formed close to the lash line, with the inner corner of the eye almost hidden. It creates a natural inner double-eyelid look and is suitable for those who do not want a major change in their image. This style gives a natural impression and is also popular among men. It is also appropriate when the eyelids are thick or when sagging is not severe. However, the eyes may look somewhat less defined, so it may feel insufficient for those who want a clear eye shape even without makeup.
An in-out line starts naturally at the inner corner of the eye and becomes clearly visible from the middle. Because it offers both the neatness of an inline and the glamorous look of an out line, many people prefer this style. It creates a natural yet defined impression, and the eyes look clear even without makeup. It suits people who originally had monolids in a natural way, but if the epicanthal fold is severe, the line may become hidden. Also, if sagging at the inner corner of the eye is pronounced, it may appear asymmetrical.
A semi-out line is a style in which the line is slightly covered by the skin at the inner corner of the eye and gradually becomes visible. It is less glamorous than an out line, but suitable for those who want eyes that are definitely more glamorous than an in-out line. In revision eye surgery, this style creates a look that is both natural and glamorous, and is suitable for those who are often told that their facial features are not distinct or that their impression looks somewhat soft or unclear. It also suits those whose eyelids are not thick. However, it is most appropriate when there is little sagging at the inner corner of the eye and the eyelids are not very thick, and it may feel burdensome for those who do not want an overly glamorous look.
An out line is a double-eyelid shape in which the double-eyelid line does not touch the inner corner of the eye and appears high and clearly exposed. It gives a glamorous and open impression, but a high double-eyelid line that does not suit one’s natural eye shape can look like “sausage eyes.” This style creates a definite change in the eye shape and gives a glamorous, open impression. It is suitable for thin, protruding eyelids. However, in revision eye surgery, it may look unnatural if it is overly dramatic, and it can look awkward when the eyelids are thick or sagging is severe.
Over time after double-eyelid surgery, dissatisfaction with the line may develop. In such cases, changing the double-eyelid line may be necessary. Revision eye surgery is a procedure that can create the desired eye shape by changing or adjusting the existing line. Common reasons include when the existing line has become too high or too low, when asymmetry has become severe, or when a person wants a more natural line because the double eyelid has loosened. Surgical methods may include incising the existing line to form a new line, adjusting the line through the non-incisional buried suture method, or improving the eye shape with additional procedures such as medial epicanthoplasty or upper epicanthoplasty.
The double-eyelid line is more than a simple cosmetic element; it has a major impact on the overall impression of the face. To choose the line that suits you best, it is important to obtain sufficient information through consultation with a specialist and make a careful decision. If you are considering revision eye surgery, we recommend consulting with a clinic that has extensive expertise and experience.