A Higher Crease Does Not Always Improve the Eye
Many patients believe that a higher eyelid crease will make the eyes look larger and more defined.
This assumption often leads to requests for a high fold.
However, a higher crease does not always create a better result.
In some cases, it creates imbalance.
The Problem Is Not the Height, but the Compatibility
The suitability of a crease height depends on the underlying structure.
Factors such as:
• Eyelid thickness
• Skin tension
• Levator function
• Orbital anatomy
determine whether a high crease can be supported.
When the structure cannot support it,
the result becomes unstable.
Why High Creases Often Fail Over Time
A crease that exceeds the structural capacity of the eyelid tends to break down.
This can lead to:
• Multiple folds
• Crease asymmetry
• Shallow or disappearing lines
• A fatigued or unnatural appearance
The issue is not technical execution.
It is a mismatch between design and structure.
A Lower Crease Can Create a More Stable Result
In many revision cases,
lowering the crease is not a compromise.
It is a correction.
A lower crease often allows:
• More natural eyelid movement
• Better alignment with muscle function
• Reduced tension on the fold
• Greater long-term stability
A crease that follows the structure remains consistent.
The Goal Is Not a Higher Line, but a Sustainable One
Ptosis correction is not about creating a visually prominent crease.
It is about creating a crease that functions with the eyelid over time.
When a crease is designed beyond what the structure can maintain,
it becomes a source of recurrence.
The Decision Is Based on Structure, Not Preference
Choosing the crease height is not a matter of preference.
It is a matter of compatibility.
A well-matched crease may appear less dramatic,
but it is more stable.
In ptosis correction,
stability is the priority.
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