SISUN PREMIUM EYE SURGERY

SISUN Signature Procedure 4.

Crease Lowering

When a previous surgery left the crease too high,
creating puffy eyelid creases or a heavy C-shaped fold,
SISUN offers a specialized revision designed to correct it.

  • Surgery Duration
    60 min
  • Anesthesia
    IV Sedation / Local
  • Stitch Removal
    10 days
  • Hospitalization
    Same-day Discharge
  • Recovery Period
    10 days

*Individual results may vary. Side effects such as bleeding, infection, and inflammation may occur after cosmetic surgery. Please consult your doctor.

Crease Lowering?

(Double Line Technique)

Incisional Ptosis Correction(revision)(Crease Lowering)(2 years 8 months)

A procedure used when a previous surgery created a crease that sits too high.
The old double-eyelid scar is released,
and a new line is created underneath it,
which is why this highly advanced revision is also known as the Double Line Technique.

Incisional Ptosis Correction(revision)(Crease Lowering)+Medial Epicanthoplasty+Upper Epicanthoplasty(3 months)

Incisional Ptosis Correction(revision)(Crease Lowering)(1 year)

Incisional Ptosis Correction(revision)(Crease Lowering)+Upper Epicanthoplasty(revision)(6 months)

Incisional Ptosis Correction(revision)(Crease Lowering)(1 year 2 months)

Incisional Ptosis Correction(revision)(Crease Lowering)+Upper Epicanthoplasty(revision)(7 months)

Incisional Ptosis Correction(revision)(Crease Lowering)+Medial Epicanthoplasty+Upper Epicanthoplasty(9 months)

Incisional Ptosis Correction(revision)(Crease Lowering)+Upper Epicanthoplasty(revision)(10 months)

Incisional Ptosis Correction(revision)(Crease Lowering)(6 months)

Incisional Ptosis Correction(revision)+Medial Epicanthoplasty(revision)+Upper Epicanthoplasty+Orbital Fat Grafting(8 months)

Incisional Ptosis Correction(revision)+Medial Epicanthoplasty(revision)+Upper Epicanthoplasty+Orbital Fat Grafting(8 months)

Crease Lowering Candidates

  • When the double eyelid line
    was set too high
    for your eye shape
  • When muscle and soft tissue
    were excessively removed,
    causing bulging even though
    the double eyelid line
    is not high
  • When weak eye-opening strength
    makes the double eyelid
    appear high
  • When the high double eyelid line
    causes discomfort opening eyes
  • When the high double eyelid
    makes eyes look strong
    and fierce

Crease Lowering Surgical Technique

Depending on the patient's eye condition, the line may sometimes be lowered with a standard non-incisional or incisional revision.
However, when there is not enough extra skin or the previous scar is too prominent,
the revision is performed with the Double Line Technique.

Crease Lowering POINT

  • Point 1. Create new double eyelid below existing line

    Release adhesions along the existing crease (A) and create a new crease (B)

  • Point 2. Dual dissection to remove existing scars

    Dissect space between ②orbicularis muscle and ③fat
    Dissect space between ③fat and ④levator muscle

Before Surgery

Double eyelid is too high and looks unnatural. Check skin margin and orbicularis muscle
preservation status (indented scar).

STEP01

Redesign line (B) below
scar (A) from previous surgery. The greater the distance,
the more distinct the double eyelid.

STEP02

Incise along newly designed
double eyelid line

STEP03-1

① Remove adhesion in the pre-aponeurotic space. This is the space between the septum that surrounds the fat
and the levator muscle that opens the eye.

STEP03-2

②Remove adhesion in pre-septal space*. Pre-septal space: space between orbicularis muscle
below eyelid skin
and septum surrounding fat

STEP04

Dual dissection (dual adhesion release)Release adhesions in both pre-aponeurotic and pre-septal spaces
to prevent future readhesion and multiple creases.

STEP05

Ptosis CorrectionWhen eye-opening strength is weak, the levator muscle is advanced
and secured to the tarsal plate to improve eyelid opening.

STEP06

Orbital Fat RepositioningFat is repositioned to improve sunken eyelids
and help prevent multiple creases from forming again. (Fat grafting may also be needed depending on volume.)

STEP07

SutureMeasure skin thickness and place the sutures at the appropriate depth.

After Surgery

Create a new crease at a lower, more natural-looking position.

Crease Lowering Surgical Technique
Q. What happens to the scar from the old crease line?
Because the Double Line Technique creates a new line beneath the original one,
two crease lines are unavoidable at first.
However, the previous scar is released during revision, so it becomes much less noticeable,
and the newly created line gradually softens over time as well.

Incisional Ptosis Correction(revision)(Crease Lowering)+Epicanthoplasty Reconstruction+Orbital Fat Grafting(1 year 4 months)

Q. How should I manage post-operative care?
Recovery after Crease Lowering (Double Line Technique) varies
depending on how much soft tissue above the crease was preserved.
When a depressed scar was caused by excessive removal of muscle or soft tissue,
careful aftercare is especially important. Post-operative Care Learn More
  • 1. Taping

    Because the area where the old crease was released can become indented,
    keeping the tape in place along the double-eyelid line is especially important.

  • 2. Eye-opening Practice

    Using your brows to open the eyes, forcefully widening the eyes, or repeatedly lifting the eyelids can affect the surgical area, so please be careful.
    Without using the forehead muscles, keep practicing opening the eyes using only the eye muscles themselves until stitch removal.

    Incorrect Practice X

    Correct Practice O

Crease Lowering

  • ① 3D Surgical Process
  • ② Everything About Crease Lowering
  • ③ Post-operative Care Guide

SISUN Crease Lowering POINT

  1. No Need for Extra Skin
    Even without extra skin,
    the double eyelid can be lowered without skin excision.
  2. Dual Adhesion Release
    Removes existing double eyelid scars
    through Dual Adhesion Release.
  3. Thorough Post-operative Care
    Meticulous post-operative care helps the old scar soften and the new crease settle more cleanly.
01

Inner Crease Lowering (Inner-line Sausage Eyelid)

  • Incisional Ptosis Correction(revision)+Lateral Canthoplasty + Lower Eyelid Surgery(9 months)



  • Incisional Double Eyelid(Crease Lowering)+Epicanthoplasty Reconstruction+Lower Eyelid Surgery(revision)(6 months)



  • Incisional Ptosis Correction(revision)+Medial Epicanthoplasty(revision)+Lateral Canthoplasty Reconstruction+Lower Eyelid Surgery(revision)(2 years 2 months)



  • Incisional Ptosis Correction(revision)+Medial Epicanthoplasty(revision)+Upper Epicanthoplasty+Lateral Canthoplasty(revision)+Lower Eyelid Surgery(revision)(6 months)



  • Incisional Ptosis Correction(Crease Lowering)(revision)+Upper Epicanthoplasty(revision)(2 years 8 months)



  • Incisional Ptosis Correction(revision)(Double Line Technique)+Epicanthoplasty Reconstruction+Orbital Fat Grafting(6 months)



  • Incisional Ptosis Correction(revision)(Double Line Technique)+Epicanthoplasty Reconstruction(1 year)



  • Incisional Ptosis Correction(revision)(Crease Lowering)+Medial Epicanthoplasty(revision)(1 month)



  • Incisional Ptosis Correction(revision)(Crease Lowering)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(1 year)



  • Incisional Ptosis Correction(revision)(Crease Lowering)+Upper Epicanthoplasty(revision)+Lateral Canthoplasty + Lower Eyelid Surgery(7 months)



  • Incisional Ptosis Correction(revision)+Upper Epicanthoplasty(revision)+Lower Eyelid Surgery(revision)(8 months)



  • Incisional Ptosis Correction(revision)+Medial Epicanthoplasty+Upper Epicanthoplasty+Orbital Fat Grafting+Lower Eyelid Fat Grafting(2 years)



  • Incisional Ptosis Correction(Crease Lowering)+Lateral Canthoplasty + Lower Eyelid Surgery(revision)(1 month)



  • Incisional Ptosis Correction(revision)(Crease Lowering)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(1 year 6 months)



  • Incisional Ptosis Correction(revision)(Crease Lowering)(1 year)



  • Incisional Ptosis Correction(revision)(Double Line Technique)+Medial Epicanthoplasty(revision)+Upper Epicanthoplasty+Orbital Fat Grafting(4 months)

02

Middle Crease Lowering (Triangular or Sunken Eyes)

  • Incisional Ptosis Correction(revision)(Double Line Technique)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(6 months)



  • Incisional Ptosis Correction(revision)+Upper Epicanthoplasty(revision)+Orbital Fat Grafting(1 year 6 months)



  • Incisional Ptosis Correction(revision)+Upper Epicanthoplasty+Lateral Canthoplasty(revision)+Lower Eyelid Surgery(9 months)



  • Incisional Ptosis Correction(revision)(Crease Lowering)+Upper Epicanthoplasty(1 year 4 months)



  • Incisional Ptosis Correction(Double Line Technique)+Medial Epicanthoplasty(revision)+Upper Epicanthoplasty+Orbital Fat Grafting(4 months)



  • Incisional Ptosis Correction(revision)(Crease Lowering)+Medial Epicanthoplasty+Upper Epicanthoplasty(10 months)



  • Incisional Ptosis Correction(revision)(Crease Lowering)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(1 year 6 months)



  • Incisional Ptosis Correction+Epicanthoplasty Reconstruction+Lateral Canthoplasty + Lower Eyelid Surgery+Orbital Fat Grafting(7 months)



  • Incisional Ptosis Correction+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery+Brow Lift+Orbital Fat Grafting(3 months)



  • Incisional Ptosis Correction(revision)+Medial Epicanthoplasty+Upper Epicanthoplasty(2 years 4 months)



  • Incisional Ptosis Correction(revision)(Crease Lowering)+Orbital Fat Grafting(1 year)



  • Incisional Ptosis Correction(revision)+Upper Epicanthoplasty+Orbital Fat Grafting+Lower Eyelid Fat Grafting(1 year)



  • Incisional Ptosis Correction(revision)(Crease Lowering)+Upper Epicanthoplasty(revision)+Orbital Fat Grafting(1 year 4 months)



  • Incisional Double Eyelid(revision)(Crease Lowering)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(1 year 1 month)

03

Middle / Outer Crease Lowering (Overall Sausage Eyelid)

  • Incisional Ptosis Correction(revision)(Crease Lowering)+Upper Epicanthoplasty(revision)+Lateral Canthoplasty + Lower Eyelid Surgery(4 months)



  • Incisional Ptosis Correction(revision)(Crease Lowering)+Upper Epicanthoplasty(revision)(4 months)



  • Incisional Ptosis Correction(revision)(Crease Lowering)+Medial Epicanthoplasty+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(4 months)



  • Incisional Ptosis Correction(revision)(Double Line Technique)+Upper Epicanthoplasty(7 months)



  • Incisional Ptosis Correction(revision)(Crease Lowering)+Medial Epicanthoplasty+Upper Epicanthoplasty(9 months)



  • Incisional Ptosis Correction(revision)(Double Line Technique)+Epicanthoplasty Reconstruction(revision)+Upper Epicanthoplasty(revision)(7 months)



  • Incisional Double Eyelid(revision)(Crease Lowering)(1 year 2 months)



  • Incisional Ptosis Correction(revision)(Crease Lowering)+Upper Epicanthoplasty(revision)(4 months)



  • Incisional Ptosis Correction(revision)+Upper Epicanthoplasty(revision)(10 months)



  • Incisional Ptosis Correction(revision)(Crease Lowering)+Epicanthoplasty Reconstruction(6 months)



  • Incisional Ptosis Correction(revision)(Crease Lowering)(3 months)



  • Incisional Ptosis Correction(revision)(Crease Lowering)+Medial Epicanthoplasty+Upper Epicanthoplasty(3 months)



  • Incisional Ptosis Correction(revision)(Crease Lowering)+Upper Epicanthoplasty(revision)(1 year 1 month)



  • Incisional Ptosis Correction(revision)(Crease Lowering)+Medial Epicanthoplasty+Upper Epicanthoplasty(10 months)

04

Male Crease Lowering

  • Incisional Ptosis Correction(revision)+Medial Epicanthoplasty+Upper Epicanthoplasty+Lower Eyelid Fat Repositioning(11 months)



  • Incisional Ptosis Correction(revision)(Crease Lowering)+Upper Epicanthoplasty(7 months)



  • Incisional Ptosis Correction(revision)(Crease Lowering)+Lateral Canthoplasty(10 months)



  • Incisional Ptosis Correction(revision)(Crease Lowering)(11 months)



  • Incisional Double Eyelid(revision)(Crease Lowering)(1 year 2 months)



  • Incisional Ptosis Correction(revision)+Upper Epicanthoplasty(revision)(1 year 1 month)



  • Incisional Ptosis Correction(revision)(Crease Lowering)(3 months)



  • Incisional Ptosis Correction(revision)(Crease Lowering)(2 months)



  • Incisional Ptosis Correction(revision)+Upper Epicanthoplasty(revision)(4 months)



  • Incisional Ptosis Correction+Lateral Canthoplasty + Lower Eyelid Surgery(revision)(1 month)



  • Incisional Ptosis Correction(revision)+Medial Epicanthoplasty+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery(4 months)



  • Incisional Ptosis Correction(Crease Lowering)+Upper Epicanthoplasty(4 months)

Crease Lowering

01

High crease line

Case 1
라인낮추기(재)+윗트임+뒤트임+밑트임(2개월)
Click
Before
After
Case 2
라인낮추기(재)+뒤트임+밑트임(1년2개월)
Before
After
Case 3
라인낮추기(2개월)
Click
Before
After
Case 4
라인낮추기(재)+윗트임+뒤트임+밑트임(3개월)
Before
After
Case 5
라인낮추기(재)(11개월)
Click
Before
After
Case 6
라인낮추기(재)+앞트임복원+안와지방이식(1년4개월)
Click
Before
After
Case 7
라인낮추기(재)(1년)
Before
After
Case 8
라인낮추기(재)+윗트임+뒤트임+밑트임(1년)
Before
After
Case 9
라인낮추기(재)+축돌리기(재)(5개월)
Before
After
Case 10
라인낮추기(재)(10개월)
Click
Before
After
Case 11
라인낮추기(재)+앞트임+윗트임(6개월)
Before
After
Assessment

The double-eyelid line was high overall, and strong fixation from the prior procedure had caused mucosal eversion.

Procedure Notes

The double-eyelid line was lowered and the deep fixation was released, then re-fixed at an appropriate position to create a natural double eyelid.

Case 12
라인낮추기(재)+윗트임(재)+뒤트임+밑트임(4개월)
Before
After
Assessment

The double-eyelid line became increasingly high and thick toward the outer side.

Procedure Notes

The line was lowered and the epicanthal fold pulling the inner corner was released, creating a natural in-line double eyelid.

Case 13
라인낮추기(재)+윗트임+뒤트임(2개월)
Before
After
Assessment

The double-eyelid line was visibly positioned too high, giving the eyes an overly conspicuous, burdensome appearance.

Procedure Notes

The line was refined to be as subtle as possible, resulting in a natural yet defined eye contour.

Case 14
라인낮추기(재)+앞트임+윗트임(2년4개월)
Before
After
Assessment

The double-eyelid line was high and the inner corner was blocked by an epicanthal fold, making the eyes look constricted and partially covering the iris for a sleepy appearance.

Procedure Notes

The double-eyelid line was lowered naturally, while the hook-like epicanthal fold at the inner corner was released, allowing the eyes to open more comfortably.

Case 15
라인낮추기(재)+앞트임복원(9개월)
Before
After
Assessment

Poor design in the previous double-eyelid procedure had left the line too high, and excessive medial epicanthoplasty had exposed too much of the lacrimal lake.

Procedure Notes

The Double Line Technique and medial epicanthoplasty reconstruction were performed together to lower the line and appropriately adjust lacrimal-lake exposure for a natural eye contour.

Case 16
라인낮추기(재)+뒤트임+밑트임(6개월)
Before
After
Assessment

The high double-eyelid line made opening the eyes uncomfortable; a lower line was desired while retaining a defined eye appearance.

Procedure Notes

The line was lowered appropriately while preserving the desired defined contour; lateral and lower canthoplasty expanded the outer eye area for a more open appearance.

Case 17
라인낮추기(재)(7주)
Click
Before
After
Assessment

The double eyelid created ten years earlier had loosened, producing multiple creases, and the double-eyelid line was thick.

Procedure Notes

Incisional revision lowered the double-eyelid line and improved the multiple creases. From inner to outer corner, the continuous line became longer and the eyes more defined.

Case 18
라인낮추기+윗트임(5개월)
Click
Before
After
Assessment

The double-eyelid line was high and an epicanthal fold at the 45-degree inner corner covered the iris, making the eye contour appear triangular.

Procedure Notes

The line was lowered, with ptosis correction and upper epicanthoplasty performed concurrently so the triangular-looking contour was corrected to a rounded, softer eye shape.

* 환자의 사전동의를 받아 촬영한 사진입니다.

02

Excessive Muscle Removal

Case 1
라인낮추기+윗트임(3개월)
Click
Before
After
Case 2
라인낮추기(재)+윗트임+뒤트임+밑트임(8개월)
Click
Before
After
Case 3
라인낮추기(재)(1년1개월)
Click
Before
After
Case 4
라인낮추기(재)(3개월)
Click
Before
After
Case 5
라인낮추기(재)+뒤트임+밑트임(10개월)
Before
After
Assessment

The eyelid crease itself was not high, but the tissue beneath it appeared elongated and puffy.

Procedure Notes

The Double Line Technique lowered the line and removed the lax skin, eliminating the puffy appearance and creating a natural eye contour.

Case 6
라인낮추기(재)(1개월)
Before
After
Assessment

The double eyelid performed one year earlier had loosened, creating a sleepy appearance, with weak eyelid-opening strength and a habitual use of the forehead to open the eyes.

Procedure Notes

The line was lowered slightly and the sleepy-looking contour was corrected, resulting in a natural in-out double-eyelid line.

Case 7
라인낮추기(재)+앞트임복원
윗트임(재)+뒤트임(재)+밑트임(재)(4개월)
Before
After
Assessment

Correction of the puffy double-eyelid line and a natural in-out double-eyelid line were desired.

Procedure Notes

The line was lowered while medial epicanthoplasty reconstruction refined the inner-corner contour into a natural in-out double-eyelid line.

Case 8
라인낮추기(재)+윗트임+뒤트임+밑트임
눈썹거상+안와지방이식(3개월)
Before
After
Assessment

Drooping brows and hollow upper eyelids made the eyelid creases look unnaturally thick and puffy. The patient wanted to improve the drooping lids, upper-lid hollows, and thick creases.

Procedure Notes

A brow lift corrected the drooping eye area, while fat grafting restored volume to the hollow upper eyelid. Line lowering and canthoplasty created a natural, more open eye contour.

Case 9
라인낮추기(재)+윗트임(재수술)(3개월)
Before
After
Assessment

After two previous revisions, the muscle and soft tissue had been over-resected, leaving a lax appearance like a deflated balloon containing fluid; the area beneath the double-eyelid line was stretched and lax, and the inner corner was blocked by an epicanthal fold.

Procedure Notes

Adherent tissue was released and the puffiness beneath the line was corrected to create a natural in-out double eyelid; the obstructing 45-degree epicanthal fold was also released, creating a natural eye contour.

Case 10
라인낮추기(재)(1주)
Before
After
Assessment

Although the double-eyelid line itself was not high, it was visibly exposed and correction was desired.

Procedure Notes

The visible double-eyelid line was refined into the subtle line preferred by many men, with ptosis correction to create an inner-fold double eyelid and a more defined, clear eye contour.

Case 11
라인낮추기(1개월)
Before
After
Assessment

The double-eyelid starting point was visibly exposed and the line itself was positioned too far from the inner corner.

Procedure Notes

The starting point was moved inward so that the line extended naturally from the inner corner to the outer eye area in an in-out contour.

Case 12
라인낮추기(재)+윗트임+뒤트임+밑트임(9개월)
Before
After
Assessment

Prior surgery had left the double-eyelid line positioned too high, and the eyes could not open clearly.

Procedure Notes

The double-eyelid line was lowered and eyelid-opening strength was enhanced, resulting in an ideal eye contour suited to the patient. Canthoplasty was also performed to expand the eye contour.

Case 13
라인낮추기(재)+윗트임+뒤트임+밑트임(3개월)
Before
After
Assessment

The double-eyelid line was thin at the front and became higher toward the outer side, forming a straight rather than softly curved contour. The iris was also obscured, creating a sleepy appearance, with a constricted eye contour.

Procedure Notes

The line was lowered to an appropriate height from inner to outer corner, creating an even double eyelid; ptosis correction and upper epicanthoplasty exposed the previously obscured iris, while lateral and lower canthoplasty expanded the eye contour.

Case 14
라인낮추기(2개월)
Before
After
Assessment

Although there had been no prior double-eyelid surgery or ptosis correction, an abnormally high line had formed.

Procedure Notes

Because the congenital double-eyelid line was high and pronounced, an incisional approach was used for secure fixation. Ptosis correction enhanced eyelid-opening strength while creating an appropriately sized out-line double eyelid.

* 환자의 사전동의를 받아 촬영한 사진입니다.

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    #2분정리#소세지쌍꺼풀#소세지눈#두줄따기
  • [성형캐비닛] 가장 많이 하는 눈재수술 3가지!, 총정리 영상! (소세지눈,비대칭,과트임)
    #성형캐비닛#눈재수술#소세지눈#비대칭#과트임
  • [2분 정리] 뒤트임, 밑트임 얼마나 틀 수 있나요??
    #2분정리#성형캐비닛#뒤트임#밑트임#듀얼트임
  • [2분 정리] 듀얼트임(뒤트임+밑트임) 가능한 눈이 따로 있나요?? (돌출눈VS함몰눈)
    #2분정리#뒤트임#밑트임#듀얼트임
  • [성형캐비닛] 눈꺼풀꺼짐 원인과 문제점은? 그리고 해결방법까지
    #성형캐비닛
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    #성형캐비닛#두줄따기#앞트임#윗트임#앞트임복원#소세지눈#쌍꺼풀재수술
  • [성형캐비닛] 온라인 성형 상담! 2편 어떻게 변했을까? (뒤밑트임｜꺼진눈,겹주름 ｜중년눈성형｜남자눈성형｜극한눈성형)
    #성형캐비닛#온라인성형상담#뒤밑트임#꺼진눈#겹주름#중년눈성형#남자눈성형#극한눈성형
  • [성형캐비닛] 온라인 성형 상담! 수술 후 결과까지?! 1편 (첫눈성형｜소세지눈｜앞트임복원｜뒤트임복원｜갈고리트임)
    #성형캐비닛#온라인성형상담#첫눈성형#소세지눈#앞트임복원#뒤트임복원#갈고리트임
  • [성형캐비닛] 남자 눈성형, 여자 눈성형의 차이점!｜시선성형외과
    #성형캐비닛#남자눈성형#여자눈성형#남자쌍꺼풀#여자쌍꺼풀#남자트임#남자듀얼트임#반달눈성형
  • [성형캐비닛] 앞트임복원 실패했다면, 재트임 가능할까? (복원 후 재트임)
    #성형캐비닛#앞트임복원실패#앞트임복원부작용#복원후재트임#앞트임재수술
  • [성형캐비닛] 잘 된 눈성형! 10명 중 9명은 같은 눈모양을 원한다?! #반달눈성형
    #성형캐비닛#반달눈성형#앞트임#윗트임#뒤트임#밑트임#앞트임복원#뒤트임복원#눈모양
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Before & After

수술경과
2026.10.22

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Crease Lowering (Double Line Technique) SISUN TV

Double Eyelid & Ptosis Correction Doctor's Note