SISUN PREMIUM EYE SURGERY

Double Eyelid Revision

Loose Double Eyelids

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

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

Double Eyelid Revision

Loose Double Eyelids

A double eyelid crease is created by adhesion among the skin, underlying structures,
and the muscles that open the eyes. For various reasons, these adhesions can weaken,
causing the crease to loosen. During revision surgery, the surgical method is chosen after thorough consultation,
depending on whether you want to keep the previous crease line or create a new one.

Loose Double Eyelids Revision Candidates

Thick eyelid skin
with a large amount
of fat
Surgery performed
with an improper method
without considering
the condition of the
surrounding tissues
A severe epicanthal fold
that strongly pulls
the inner corner
downward
When the fixation
weakens over time
and the crease loosens
When the fixation sutures
are removed too early
before proper adhesion forms

Loose Double Eyelids Improvement Methods by Type

When Fixation and Eye-opening Strength Have Weakened

Fixation and eye-opening strength weaken over time

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

Non-incisional Ptosis Correction (Revision)+Medial Epicanthoplasty+Upper Epicanthoplasty (3 months)

Incisional Ptosis Correction (1 month)

Incisional Ptosis Correction+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery (5 months)

Non-incisional Ptosis Correction (Revision)+Lateral Canthoplasty + Lower Eyelid Surgery (6 weeks)

Incisional Ptosis Correction (Revision)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery+Orbital Fat Grafting (4 months)

Non-incisional Ptosis Correction (Revision)+Upper Epicanthoplasty (5 months)

Incisional Double Eyelid (Revision) (1 month)

Incisional Ptosis Correction (Revision)+Upper Epicanthoplasty (Revision)+Lateral Canthoplasty + Lower Eyelid Surgery (2 months)

Incisional Ptosis Correction (Revision) (1 month)

HOW?: The double eyelid is recreated along the existing line or a new desired line and secured with appropriate tension so it does not loosen again.
If the eye-opening strength is weak, ptosis correction is performed.

Severe Tension from the Epicanthal Fold

A severe epicanthal fold creates strong downward pulling tension
A hook-shaped inner corner

Incisional Ptosis Correction (Revision)+Upper Epicanthoplasty (1 month)

Incisional Double Eyelid (Revision)+Upper Epicanthoplasty (5 months)

Non-incisional Ptosis Correction+Upper Epicanthoplasty+Lateral Canthoplasty Reconstruction+Lower Eyelid Surgery (Revision) (4 months)

Incisional Ptosis Correction (Revision)+Medial Epicanthoplasty (Revision)+Upper Epicanthoplasty (Revision)+Lateral Canthoplasty + Lower Eyelid Surgery (2 months)

Incisional Ptosis Correction (Revision)+Upper Epicanthoplasty+Lateral Canthoplasty Reconstruction+Lower Eyelid Surgery (4 months)

Incisional Double Eyelid (Revision)+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery (6 months)

Non-incisional Ptosis Correction+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery (Revision) (1 year 2 months)

Non-incisional Double Eyelid (Revision)+Medial Epicanthoplasty+Upper Epicanthoplasty+Lateral Canthoplasty + Lower Eyelid Surgery (1 month)

HOW?: The pointed inner corner that angles downward is corrected into a straighter shape to remove the pulling force.

Incisional Ptosis Correction (Revision)+Upper Epicanthoplasty (Revision)+Lateral Canthoplasty + Lower Eyelid Surgery (1 year 3 months)

Fixation at the Proper Depth, Angle, and Strength: Even when the crease height is designed the same, the depth, angle, and strength of fixation can create different shapes when the eyes are open.

HOW?: Fixation should be tied securely with a double knot while maintaining appropriate tension.

If a low crease has shallow fixation and a downward fixation angle, it may loosen over time.
If a high crease has deep fixation and an upward fixation angle, it may look pinched or become a sausage eyelid.

Faint crease, hidden crease: ✓ Weak fixation
✓ When the fixation angle of a low crease
points downward

Natural double eyelid: ✓ Adhesion strong enough not to loosen
✓ Linear connection of the tarsal plate, aponeurosis, and skin soft tissue
✓ Natural adhesion of the tissues

Sausage eyelid, lash line mucosa eversion: ✓ Strong fixation
✓ When the fixation angle of a high crease
points upward

Before & After Videos

[Before & After] [Levator recession] Eyelid revision + Epicanthoplasty reconstruction — 1 year 2 months after surgery

#Levator recession#Incisional ptosis correction#Epicanthoplasty reconstruction#Eyelid revision
[Before & After] Eyelid revision + Lateral canthoplasty + Lower canthoplasty (Revision) — 2 months after surgery

#Eyelid revision#Lateral canthoplasty#Lower canthoplasty
[Before & After] Eyelid revision + Upper epicanthoplasty — 2 years 2 months after surgery

#Eyelid revision#Upper epicanthoplasty
[Before & After] [Incisional crease release] Eyelid revision — 2 months after surgery

#Incisional crease release#Eyelid revision
[Before & After] [Crease lowering (double-line technique)] Eyelid revision + Lateral canthoplasty (Revision) + Lower canthoplasty (Revision) — 3 years after surgery

#Crease lowering (double-line technique)#Eyelid revision#Lateral canthoplasty#Lower canthoplasty
[Before & After] Eyelid revision + Medial epicanthoplasty + Upper epicanthoplasty — 6 months after surgery

#Eyelid revision#Medial epicanthoplasty#Upper epicanthoplasty
[Before & After] Eyelid revision + Medial epicanthoplasty (Revision) + Upper epicanthoplasty (Revision) — 4 months after surgery

#Eyelid revision#Medial epicanthoplasty#Upper epicanthoplasty
[Before & After] Eyelid revision + Epicanthoplasty reconstruction (Revision) + Upper epicanthoplasty (Revision) — 1 year after surgery

#Eyelid revision#Epicanthoplasty reconstruction#Upper epicanthoplasty
[Before & After] [Mature eyelid surgery, Crease lowering] Eyelid revision + Upper epicanthoplasty + Orbital fat grafting — 5 months after surgery

#Mature eyelid surgery#Crease lowering#Eyelid revision#Upper epicanthoplasty#Orbital fat grafting
[Before & After] Eyelid revision + Medial epicanthoplasty + Upper epicanthoplasty + Lateral canthoplasty + Lower canthoplasty + Orbital fat grafting — 6 months after surgery

#Eyelid revision#Medial epicanthoplasty#Upper epicanthoplasty#Lateral canthoplasty#Lower canthoplasty#Orbital fat grafting
[Before & After] [Prominent eyes] Eyelid revision + Upper epicanthoplasty (Revision) + Lateral canthoplasty + Lower canthoplasty — 8 months after surgery

#Prominent eyes#Eyelid revision#Upper epicanthoplasty#Lateral canthoplasty#Lower canthoplasty
[Before & After] Eyelid revision + Epicanthoplasty reconstruction + Upper epicanthoplasty + Lateral canthoplasty + Lower canthoplasty — 1 year after surgery

#Eyelid revision#Epicanthoplasty reconstruction#Upper epicanthoplasty#Lateral canthoplasty#Lower canthoplasty
[Before & After] Eyelid revision + Upper epicanthoplasty (Revision) + Lateral canthoplasty reconstruction + Lower canthoplasty (Revision) — 4 months after surgery

#Buried-suture double-eyelid surgery#Upper epicanthoplasty#Lateral canthoplasty reconstruction#Lower canthoplasty
[Before & After] Eyelid revision + Upper epicanthoplasty (Revision) + Lateral canthoplasty reconstruction + Lower canthoplasty (Revision) — 4 months after surgery

#Buried-suture double-eyelid surgery#Upper epicanthoplasty#Lateral canthoplasty reconstruction#Lower canthoplasty
[Before & After] Correction of a loosened eyelid crease — Eyelid revision + Upper epicanthoplasty Revision — 4 months after surgery

#Incisional ptosis correction Revision#Upper epicanthoplasty Revision#4 months

[Follow-up] Rounded-to-pointed inner corner reconstruction/ Epicanthoplasty reconstruction, Upper epicanthoplasty, Axis rotation, Epicanthal fold, Harsh-looking eyes, Eyelid revision

#Eyelid revision#Rounded-to-pointed inner corner reconstruction#Epicanthoplasty reconstruction#Upper epicanthoplasty#Axis rotation#Epicanthal fold#Harsh-looking eyes#4 months
[Follow-up] Loosened eyelid crease/ Loosened eyelid crease, Double-eyelid revision, Epicanthal fold, In-out eyelid crease, Upper epicanthoplasty

#Loosened eyelid crease#Double-eyelid revision#Epicanthal fold#In-out eyelid crease#Upper epicanthoplasty#4 months
[Follow-up] Uneven eyes/ Eye asymmetry correction, Multiple eyelid creases, Epicanthal fold, Drooping eyes, Upper blepharoplasty, Lower canthoplasty

#Uneven eyes#Eye asymmetry correction#Multiple eyelid creases#Epicanthal fold#Drooping eyes#Upper blepharoplasty#Lower canthoplasty#6 months
[Follow-up] C-shaped canthoplasty/ Medial epicanthoplasty, Upper epicanthoplasty, Hook-shaped inner corner correction, Fish-shaped eyes, In-out eyelid crease, Ptosis correction

#C-shaped canthoplasty#Medial epicanthoplasty#Upper epicanthoplasty#Hook-shaped inner corner correction#Fish-shaped eyes#In-out eyelid crease#Ptosis correction#6 months
[Follow-up] Loosened eyelid crease/ Prominent eyes, Multiple eyelid creases, Fat grafting, Orbital fat grafting, Epicanthal fold, Eyelid revision

#Prominent eyes#Multiple eyelid creases#Fat grafting#Loosened eyelid crease#Orbital fat grafting#Epicanthal fold#Eyelid revision#7 months
[Follow-up] Prominent eyes/ Multiple eyelid creases, Upper epicanthoplasty, Crease lowering, Crease lowering (double-line technique), Uneven eyes

#Prominent eyes#Multiple eyelid creases#Upper epicanthoplasty#Crease lowering#Crease lowering (double-line technique)#Uneven eyes#7 months
[Follow-up] In-out eyelid crease / Upper epicanthoplasty, Double-eyelid surgery, Eyelid revision

#In-out eyelid crease#Upper epicanthoplasty#Double-eyelid surgery#Eyelid revision
[Follow-up] Raised epicanthal fold / Axis rotation, Medial epicanthoplasty Complications, Loosened eyelid crease, Eyelid revision

#Raised epicanthal fold#Axis rotation#Medial epicanthoplasty Complications#Loosened eyelid crease#Eyelid revision
[Follow-up] Crescent eye surgery / Medial epicanthoplasty, Upper epicanthoplasty, Lateral canthoplasty, Lower canthoplasty, SISUN Plastic Surgery, Long-term follow-up

#Crescent eye surgery#Medial epicanthoplasty#Upper epicanthoplasty#Lateral canthoplasty#Lower canthoplasty#SISUN Plastic Surgery#Long-term follow-up#3 years 3 months
[Follow-up] Crease lowering (double-line technique) / Puffy eyelid creases, Crease lowering, Eyelid revision

#Crease lowering (double-line technique)#Puffy eyelid creases#Crease lowering#Eyelid revision
[Follow-up] Crescent eye surgery / Upper epicanthoplasty, Lateral canthoplasty, Lower canthoplasty

#Crescent eye surgery#Upper epicanthoplasty#Lateral canthoplasty#Lower canthoplasty
[Follow-up] Eyelid retraction correction / Ptosis correction, Overcorrection, SISUN Plastic Surgery

#Eyelid retraction correction#Ptosis correction#Overcorrection#SISUN Plastic Surgery#8 months
[Follow-up] In-fold eyelid crease / Eyelid revision, Eyelid crease types, SISUN Plastic Surgery

#In-fold eyelid crease#Eyelid revision#Eyelid crease types#SISUN Plastic Surgery
[Follow-up] Semi-out eyelid crease / Eyelid revision, Double eyelid, SISUN Plastic Surgery

#Semi-out eyelid crease#Eyelid revision#Double eyelid#SISUN Plastic Surgery
[Follow-up] In-fold eyelid crease / Out-fold eyelid crease, Upper epicanthoplasty, Crease lowering, Crease lowering (double-line technique)

#In-fold eyelid crease#Out-fold eyelid crease#Upper epicanthoplasty#Crease lowering#Crease lowering (double-line technique)#5 months

Loose Double Eyelids

Click on photos marked with the button to visit our blog for more details.

Case 1

Non-incisional Ptosis Correction(Revision)+Lateral Canthoplasty+Lower Eyelid Surgery(6 weeks)

Before

After

Case 2

Partial-incisional Ptosis Correction(Revision)+Medial Epicanthoplasty+Upper Epicanthoplasty+Lateral Canthoplasty+Lower Eyelid Surgery(3 months)

Before

After

Case 3

Incisional Ptosis Correction(1 month)

Before

After

Case 4

Incisional Ptosis Correction(Revision)+Medial Epicanthoplasty+Upper Epicanthoplasty(2 months)

Before

After

Case 5

Incisional Double Eyelid(Revision)+Upper Epicanthoplasty(9 months)

Before

After

Case 6

Incisional Ptosis Correction+Upper Epicanthoplasty(2 months)

Before

After

Case 7

Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(1 month)

Before

After

Case 8

Incisional Ptosis Correction(Revision)(3 months)

Click

Before

After

Case 9

Incisional Double Eyelid(Revision)(6 months)

Before

After

Case 10

Incisional Double Eyelid(Revision)+Medial Epicanthoplasty(4 months)

Click

Before

After

Case 11

Non-incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(2 months)

Before

After

Case 12

Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(3 months)

Before

After

* Photos taken with the patient's prior consent.

Model Stories

A harsher appearance after medial epicanthoplasty: changes after reconstruction and lateral canthoplasty | SISUN Patient Selfies

#Epicanthoplasty reconstruction#Lateral canthoplasty
[Patient Selfies] Recovery after epicanthoplasty reconstruction and dual canthoplasty

#Epicanthoplasty reconstruction#Dual canthoplasty#Lateral and lower canthoplasty#Revision canthoplasty
[Shorts] Overdone medial epicanthoplasty: changes after reconstruction

#shorts#Before and after#Epicanthoplasty reconstruction#Medial epicanthoplasty Complications
[Surgery Vlog] Opening up narrow-looking eyes: results after full canthoplasty

#Patient model#Model#Full canthoplasty#Crescent eye surgery
[Patient Selfies] Lateral and lower canthoplasty

#Lateral and lower canthoplasty#Dual canthoplasty#Patient selfies
[Patient Selfies] Dual canthoplasty

#Dual canthoplasty#Lateral canthoplasty#Lower canthoplasty#Natural-adhesion double-eyelid surgery
[Patient Selfies] Crescent eye surgery and full canthoplasty

#Medial epicanthoplasty#Upper epicanthoplasty#Lateral canthoplasty#Lower canthoplasty#Crescent eye surgery.Patient selfies
[Patient Selfies] Dual canthoplasty

#Dual canthoplasty#Lateral canthoplasty#Lower canthoplasty#Patient selfies
[Surgery Vlog] Lateral canthoplasty, lower canthoplasty and brow lift

#Patient model#Profile photo shoot#Model#Dual canthoplasty

SISUN TV

[2-Minute Guide] Uneven eyelid creases: causes and correction options

#2-Minute Guide#Eye asymmetry correction#Asymmetric eyelid creases#Uneven eyes
[Surgery Cabinet] Three common eyelid revision concerns: puffy creases, asymmetry and overdone canthoplasty

#Surgery Cabinet#Eyelid revision#Puffy eyelid creases#Asymmetry#Overdone canthoplasty
[Surgery Cabinet] Hollow upper eyelids: causes, concerns and treatment options

#Surgery Cabinet
[Surgery Cabinet] Online consultations, Part 2: results for canthoplasty, hollow eyelids, multiple creases, mature and men's eyes, and complex revision

#Surgery Cabinet#Online surgery consultation#Lateral and lower canthoplasty#Hollow eyelids#Multiple eyelid creases#Mature eyelid surgery#Men's eyelid surgery#Complex eyelid reconstruction
[Surgery Cabinet] Online consultations, Part 1: first-time eyelid surgery, puffy creases, corner reconstruction and hook correction

#Surgery Cabinet#Online surgery consultation#First-time eyelid surgery#Puffy eyelid creases#Epicanthoplasty reconstruction#Lateral canthoplasty reconstruction#Hook-shaped inner corner correction
[Surgery Cabinet] How does eyelid surgery differ for men and women? | SISUN

#Surgery Cabinet#Men's eyelid surgery#Women's eyelid surgery#Men's double-eyelid surgery#Women's double-eyelid surgery#Men's canthoplasty#Men's Dual canthoplasty#Crescent eye surgery
[Surgery Cabinet] Does incisional surgery leave noticeable scars? Causes and treatment options

#Surgery Cabinet#Incisional double-eyelid surgery#Incisional double-eyelid surgery Scarring
[Surgery Cabinet] Addressing a harsh or startled eye appearance: exposed sclera and postoperative concerns

#Surgery Cabinet#Startled-looking eyes#Scleral show on three sides#Scleral show on four sides#Complications#Harsh-looking eyes#Harsh-looking eyes
[Surgery Cabinet] Prominent or deep-set eyes? Choosing an eyelid or canthoplasty procedure for your eye shape

#Surgery Cabinet
[Surgery Cabinet] What to check before ptosis correction: could it be pseudoptosis?

#Surgery Cabinet#Ptosis#Ptosis correction
[Surgery Cabinet] Buried-suture or incisional double-eyelid surgery? Understanding your options

#Surgery Cabinet#Buried-suture technique#Incisional technique#Double-eyelid surgery#Non-incisional technique
[Surgery Cabinet] Revision of a loosened eyelid crease: unretouched before-and-after footage

#Surgery Cabinet#Loosened eyelid crease#Double-eyelid revision#Unretouched before-and-after video#Follow-up video
[Surgery Cabinet] When an eyelid crease loosens: causes, buried-suture durability and one-sided revision

#Surgery Cabinet#Loosened eyelid crease#Double-eyelid revision#Q&A
[Essential Guide] After eyelid surgery: precautions and aftercare for double-eyelid, canthoplasty and reconstruction procedures

#After eyelid surgery#Precautions#Aftercare
[Essential Guide] Before eyelid surgery: precautions for double-eyelid, canthoplasty and reconstruction procedures

#Before eyelid surgery#Precautions