Before and After
A Functional Problem That Looked Like a High Fold
At first glance, this case appears to be a simple high fold.
The crease looks high, thick, and somewhat heavy.
The eyes also appear slightly smaller and less open.
Many patients would assume that the solution is to lower the crease.
But that was not the real problem.
What Was Actually Happening
Before surgery, the patient was not able to open the eyes fully.
To compensate, the forehead was constantly being used to lift the eyelids.
This created several changes:
- The crease appeared thicker
- The fold looked higher than it actually was
- The overall eye shape appeared more tense and less natural
What looked like a “high fold problem”
was actually a functional issue—ptosis.
Why Lowering the Crease Alone Would Not Work
If the crease had simply been lowered without addressing the underlying issue,
the result would likely have remained unnatural.
The eye would still not open properly,
and the tension in the forehead would continue.
In these cases, lowering alone does not solve the problem.
Structural Correction First
The focus of this surgery was not just the crease.
Ptosis correction was performed to restore proper eyelid function,
along with structural adjustment of the existing fold.
Instead of aggressively lowering the crease,
the goal was to allow the eye to open naturally.
Results
At postoperative day 50, the changes are clear.
- The eyes open more naturally
- The forehead remains relaxed
- The crease appears softer and more balanced
Importantly, the fold no longer looks excessively high.
This was not achieved by simply lowering the crease,
but by correcting the underlying structure.
Surgical Approach
This case was approached with a focus on structural correction, functional restoration, and long-term stability, rather than simply lowering the crease.
Seeing the Eye as a Whole, Not in Parts
A Clinic Dedicated to Eyelid Revision Surgery in Korea
Ahnsungmin Plastic Surgery
Internal References
→ Why a high fold and a sausage eyelid are fundamentally different problems
→ Why thickness—not height—often determines how unnatural a fold looks
→ When a high fold should be lowered—and when it should not
→ How eyelid structure affects long-term results
If your eyelid appears high, thick, or unnatural—and you notice that your eyes do not open fully—a structural evaluation is necessary to determine the correct approach.
Request a Ptosis & Eyelid Structure Evaluation →
