How to Fix a Disappearing Eyelid Crease

A disappearing eyelid crease—where the fold becomes shallow, uneven, or vanishes entirely—is a common concern, especially after suture-method double eyelid surgery or in eyelids with thicker skin. Korea specializes in correcting fading creases with both non-incisional and incisional techniques, depending on the cause.

Below is a clear guide on why creases fade and how to fix them effectively.

Why Eyelid Creases Disappear

A disappearing crease typically occurs due to one or more of the following:

1. Weak or Loose Adhesion

The skin–muscle connection that creates the crease is not strong enough, often seen after suture-only methods.

2. Thick or Fatty Eyelids

Excess tissue places pressure on the crease, causing it to collapse over time.

3. Aging or Skin Laxity

Loose upper eyelid skin drags over the crease, covering it.

4. Incorrect Crease Height

A crease that was formed too low or too high may fade due to poor anatomical alignment.

5. Previous Suture Failure

Sutures from non-incisional surgery can loosen, migrate, or break.

6. Hidden Ptosis (Weak Eyelid Muscle)

If the levator muscle is weak, the eyelid cannot support the crease properly.

Understanding the cause helps determine the right correction method.

How to Fix a Disappearing Eyelid Crease

1. Suture Method Revision (Non-Incisional Fix)

Best for:

• Mild crease fading
• Thin to medium eyelids
• Little to no scarring
• Previous suture method patients

How it works:
New sutures are added to strengthen the crease and restore definition.
Recovery is fast, and there is minimal scarring.

However:
Not ideal for thick or heavily scarred eyelids.

2. Incisional Double Eyelid Revision

Best for:

• Thick, heavy, or fatty eyelids
• Severe crease disappearance
• Previous incisional surgery that loosened
• Asymmetry or multiple folds
• Excess skin that needs removal

How it works:
A thin incision allows the surgeon to remove fat, tighten skin, and re-fix the crease securely to the muscle.
This method provides the most permanent and stable result.

3. Partial-Incision (Hybrid) Method

Best for:

• Medium-thick eyelids
• Crease that partially disappeared
• Patients wanting moderate downtime

How it works:
A small incision removes limited fat, while sutures reinforce the crease.
Combines precision with fast healing.

4. Ptosis Correction (If Needed)

A disappearing crease caused by weak levator muscles requires levator tightening.
Without treating ptosis, any crease—suture or incision—may collapse again.

Best for:

• Eyes that look sleepy or half-open
• Need to raise eyelid height
• Tired-looking eyes despite double eyelids

Correcting ptosis stabilizes the crease and opens the eyes more naturally.

5. Skin Tightening or Removal (Age-Related Fading)

When aging causes the fold to disappear, treatments may include:

• Incisional eyelid surgery to remove excess skin
• Partial skin tightening
• Volume restoration if the upper eyelid is hollow

This helps the crease stay visible and balanced.



How Korea Corrects Disappearing Creases

Korean surgeons focus on:

• Precise adhesion placement
• Correcting crease height
• Managing fat and skin thickness
• Balancing left–right symmetry
• Strengthening muscle support if needed

This results in a crease that is stable, natural, and long-lasting.

Recovery Timeline After Correction

• 1–3 days: swelling and tightness
• 1 week: sutures removed (if incisional)
• 2–4 weeks: crease begins to look natural
• 2–3 months: crease becomes stable
• 6 months: final refinement