Multiple Creases Are Not Just a Line Problem
Patients with multiple eyelid creases often assume that creating a new, clearer line will solve the issue.
This is rarely the case.
Multiple creases are usually the result of structural imbalance—
not simply the absence of a defined fold.
Adding another line without addressing the underlying cause often makes the condition worse.
The Cause Is Often Hidden Beneath the Skin
Multiple creases are frequently associated with:
• Weak or inconsistent levator function
• Adhesion from previous surgery
• Imbalance in tissue tension
• Improperly formed prior eyelid folds
These factors create instability.
What appears on the surface is only the result.
Why Creating a New Line Can Make It Worse
When a new crease is created without releasing existing adhesions,
or without stabilizing the underlying structure,
the eyelid does not follow a single controlled movement.
Instead, it splits into multiple folds again.
This leads to:
• Recurrence of multiple creases
• Deeper, more irregular lines
• Increased asymmetry
• Difficulty in revision
The problem is not the line.
It is the instability.
The Goal Is Not a New Line, but a Stable One
Correction of multiple creases requires removing the cause of instability.
This may involve:
• Releasing abnormal adhesions
• Re-establishing a consistent connection between levator and skin
• Adjusting fold height based on structural balance
A single, stable crease is the result of controlled movement,
not forced design.
Precision Is Required to Prevent Recurrence
Multiple crease cases are highly sensitive.
Even small residual adhesions or imbalance can lead to recurrence.
For this reason, the procedure is performed under local anesthesia.
Real-time assessment allows fine adjustment of eyelid movement and fold behavior.
The goal is not to create a visually sharp line,
but to create a structure that maintains consistency over time.
The Decision Is Based on Structure, Not Appearance
Multiple creases are not corrected by adding more.
They are corrected by restoring stability.
Without addressing the underlying structure,
no line will remain stable.
Related Insights
-
When Ptosis Correction Is Not About Making Eyes Bigger
Ptosis correction is often misunderstood as a procedure to enlarge the eyes. -
When Ptosis Correction Is Not Necessary
Not every heavy eyelid requires functional correction. -
When We Try to Achieve Symmetry in Ptosis Correction
Symmetry is pursued within functional limits, not by force. -
Multiple Eyelid Creases in Ptosis Correction
Multiple creases are a result of instability, not a lack of definition. - High Crease in Ptosis Correction
A high crease must match structural capacity to remain stable.
Seeing the Eye as a Whole, Not in Parts
A Clinic Dedicated to Eyelid Revision Surgery in Korea
Ahnsungmin Plastic Surgery