2026-06-07
Is Revision Surgery Possible After a Failed Double-Line Incision?
Learn about revision options for failed double-line incision (line lowering) surgery. Even for complex cases with skin deficiency, successful correction is possible with expert care.



People have various perceptions of the ‘double-line incision’ technique.
It is widely known as the surgery for correcting ‘sausage eyes’.

This procedure involves creating a new line below the existing double eyelid fold. Since it does not involve skin excision, it is highly preferred by patients who lack sufficient eyelid skin.
The double-line incision has a nickname.
It is!
The Truly Final Surgery
Many people consider the double-line incision as the absolute last resort.
Perhaps that is why, while there are many first-time revision patients, this procedure is frequently sought by those who have already undergone multiple surgeries.
The saying that it is the ‘final surgery’ is not entirely wrong.
When someone wants to lower their double eyelid line but lacks skin due to previous surgeries, the double-line incision is usually recommended.
As such, it is often performed on patients whose skin has been significantly reduced through repeated operations.

Most double-line incision patients step onto the operating table with the determination that this will be their last surgery.
It must have been a major decision.
However, occasionally, there are cases where the double-line incision does not end up being the final surgery.
This happens when the double-line incision surgery itself fails!
The despair felt in such a situation is likely far greater than that of a typical failed double eyelid revision.

Because of the perception that it is the ‘last surgery,’ many feel that revision is impossible if it fails.
But do not worry.
Even a failed double-line incision can be corrected.
Of course, the eyes may have become more ‘extreme’ compared to the previous state.
However, just because they are considered ‘extreme cases,’ you should not give up.
Admittedly, the double-line incision itself is a high-difficulty procedure that only experienced plastic surgeons can perform.
I understand the fear of being rejected for surgery.
That is why a double-line incision revision requires a highly skilled surgeon who approaches the procedure with extreme caution.

Dr. Choi Dong-il of Gangnam Seoyeon Plastic Surgery has over 20 years of experience and has successfully led many double-line incision revisions.
For those who wish to live more comfortably with a lower line than before, I want to encourage you to take heart and come in for a consultation one last time.
Your body and mind may have been deeply hurt by a seemingly endless cycle of revisions.
Through accurate and meticulous surgery, we will help heal both your physical appearance and your spirit.
(Please refer to the photos and videos below for reviews!)






https://youtu.be/zaty98MZtCo






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Frequently Asked Questions
What is the double-line revision surgery?
It is a surgery that creates a new double eyelid line without excising the skin below the existing double eyelid line. It is mainly chosen by people who have insufficient skin due to previous surgeries or have 'sausage eyes' and want to lower their eyelid line.
Is reoperation possible even if the double-line revision surgery was unsuccessful?
Yes, it is possible. Even in extreme cases where the double-line revision surgery has failed and the condition has worsened, the line can be lowered and corrected through reoperation. However, the difficulty is very high, so you should consult with an experienced specialist.
Why is double-line revision called the 'last surgery'?
It is mainly chosen by patients whose eyelid skin has been cut multiple times through previous surgeries, leaving no room for further excision. It is used as an alternative to lower the line in cases of insufficient skin.
What should I consider when choosing a hospital for double-line revision reoperation?
You should first check the medical team's extensive clinical experience and proficiency. Restoring a failed double-line revision is an extremely difficult surgery, so you need to find a specialist who can approach it carefully.