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What causes double eyelid wrinkles?

Multiple Eyelid Folds: Causes and How to Correct Them

A naturally beautiful double eyelid typically has a single, smooth crease. Yet sometimes, you may notice two—or even more—folds forming on the eyelid. This can happen when you’re tired, rub your eyes, or after certain eyelid surgeries. These extra folds are commonly referred to as double or triple eyelids. While they can appear temporarily, persistent multiple folds may require surgical correction to restore a natural, single crease.

Why Do Multiple Eyelid Folds Happen?

There are several reasons why multiple eyelid folds may develop:

  • After revision surgery, the original crease and the newly created crease may coexist.
  • Severe eyelid hollowing can cause the eyelid to fold inward.
  • Extremely thin eyelid skin may lead to additional creases.
  • The original double eyelid crease may have loosened or partially disappeared over time.
  • Natural aging and sagging of the eyelids.

• • Severe eyelid drooping combined with ptosis, leading to irregular folds.

 

 

Surgical Correction: Achieving a Single, Natural Crease

Correcting multiple eyelid folds typically requires a surgical incision. In revision cases, careful attention is given to the existing crease line to ensure a harmonious result.

For patients with a high double eyelid crease, extra folds underneath can make the eyes look tired or older. In such cases, the surgeon lowers the crease and reshapes it into a single, natural line.

When eyelid drooping (ptosis) causes overuse of the forehead muscles, the original crease may stretch or loosen, creating additional folds. In these situations, eyelid contour correction surgery is often performed at the same time to restore balance and a youthful, natural appearance.

 

 

 

 

Surgery Duration and Recovery

The procedure usually takes about 1 hour and 30 minutes for both eyes and is performed under local anesthesia.

In the first 1–2 days after surgery, rest is recommended, avoiding strain or fatigue. For the first two weeks, patients should avoid rubbing the eyes or positions that increase eye pressure, such as bending forward.

 

Achieving a Natural, Lasting Result

It may take up to 6 months for the eyelid crease to fully settle into a natural shape. Patience during this period is essential.

At Ahnsungmin Plastic Surgery, we specialize exclusively in eyelid revision and cosmetic eye surgery, providing precise, patient-centered care to achieve natural and long-lasting results.

For a subtle, natural transformation and expert eyelid correction, we welcome you to visit Ahnsungmin Plastic Surgery