Does Your Double Eyelid Line Appear as Multiple Folds? Comprehensive Guide to Malignant Multiple Folds: Causes and Improvement Methods

Gangnam Seoyeon Plastic Surgery has compiled the four causes of malignant multiple folds, where the double eyelid line appears as multiple layers after surgery, and the principles of their improvement.

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Have you ever had double eyelid surgery, only to find that over time, whenever you open your eyes, the line appears not as a single fold, but as two or three overlapping lines?

Many people look in the mirror and wonder, ‘Is this normal?’, feeling that their eye shape looks dull because the lines overlap messily even with makeup. Medically, this symptom is called ‘malignant multiple folds’. If left untreated, the lines often become thicker, and it can be difficult to return to a natural look without ptosis correction or revision surgery.

Today, based on cases of revision surgery for malignant multiple folds, we will summarize the characteristics by cause and the principles of improvement.

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■ What are Malignant Multiple Folds?

Malignant multiple folds refer to a condition where unintended additional creases form above the double eyelid line, resulting in multiple overlapping lines rather than a single smooth line.

This is different from temporary overlapping due to swelling. If the lines continue to appear as multiple folds even after the swelling has completely subsided, it is highly likely to be malignant multiple folds caused by tissue adhesion.

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■ Why do Malignant Multiple Folds Occur?

Accurately identifying the cause leads to natural results. The four main causes identified by Gangnam Seoyeon are as follows:

1) Adhesion after revision surgeries such as ‘double-line creation’ or ‘eyelid retraction surgery’

If excessive adhesion occurs during the healing process of the revised area, new creases will form above the original line.

2) Congenital multiple folds

This is a case where the skin itself is naturally structured to form multiple creases, requiring precise design to create a natural double eyelid line.

3) Thin skin with little tissue

If the skin and fat layer are thin, the support for the line is weak, making it easy for additional creases to form above the line.

4) Double eyelid loosening as ptosis correction wears off

Over time, as the effect of ptosis correction weakens, the line also loosens, appearing like multiple folds.

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■ When should Malignant Multiple Folds be Operated On?

Revision surgery is usually performed about 6 months after the initial surgery. This is because it typically takes about 6 months for the hardened scar tissue to soften.

However, if the symptoms are severe enough to cause discomfort in daily life, surgery may be performed after consultation, regardless of the timing.

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■ Gangnam Seoyeon's Principle for Improving Malignant Multiple Folds - 3 Steps

Gangnam Seoyeon Plastic Surgery adheres to the principle of precisely treating the causative tissue without unnecessary accompanying procedures.

STEP 1. Clean dissection of adhesions

Precisely separate the adhesive tissue that causes the multiple folds.

STEP 2. Prevention of re-adhesion

Fill the areas where re-adhesion could occur with normal tissue and clean fat tissue to lower the possibility of recurrence.

STEP 3. Fat grafting only when necessary

Fat grafting is performed restrictively only when there is insufficient volume.

Gangnam Seoyeon Plastic Surgery explains, ‘Our unique know-how at Gangnam Seoyeon is to cleanly resolve the issue with only dissection and prevention of re-adhesion, minimizing accompanying procedures like ptosis correction or fat grafting.’ In fact, during consultations, more cases are resolved without accompanying procedures.

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■ Frequently Asked Questions (FAQ)

Q. When can I undergo revision surgery for malignant multiple folds?

A. Most often, about 6 months after the initial surgery is the appropriate time. However, if symptoms are severe and cause daily discomfort, it may proceed regardless of the timing.

Q. Do I always need to have ptosis correction or fat grafting together?

A. Most often, it is not necessary. The principle is to resolve the issue with only dissection and prevention of re-adhesion, and accompanying procedures are performed restrictively only when absolutely necessary.

Q. Will multiple folds not reappear even after revision surgery?

A. The area is filled with normal tissue and fat tissue to prevent re-adhesion, thus minimizing the possibility of recurrence. However, there may be individual differences depending on one's healing ability.

Q. How long is the recovery period?

A. Suture removal is possible in 5-7 days, and return to daily life is possible after 3-7 days. Natural results usually settle in 3-6 months.

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■ Conclusion

If your double eyelid line appears as multiple overlapping folds, it is advisable to first suspect the possibility of malignant multiple folds rather than simple swelling. Since the approach differs depending on the cause, we recommend getting an accurate diagnosis.

At Gangnam Seoyeon Plastic Surgery, Dr. Choi Dong-il, with 23 years of experience, personally conducts consultations and surgeries, adhering to the principle of precise revision surgery tailored to the cause, without unnecessary accompanying procedures.

※ After surgery, side effects such as bleeding, infection, or inflammation may occur depending on the individual, and results and recovery periods may vary. Therefore, please consult thoroughly with a specialist before proceeding.

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Gangnam Seoyeon Plastic Surgery Clinic complies with medical law. The photos in this post were taken under the same conditions and with the patient's prior consent. Please note that side effects such as bleeding, infection, or inflammation may occur after plastic surgery and procedures, depending on the individual.

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