Botched Double Eyelid Surgery in Korea

Eugene Lee • November 16, 2025

Double eyelid surgery is one of the most popular cosmetic procedures in Korea, known for its precision, artistry, and natural results. But like any surgery involving delicate eyelid anatomy, things can occasionally go wrong — leading to what patients describe as a “botched” double eyelid surgery.”

This guide breaks down the causes, signs, and correction options for botched double eyelid surgery in Korea.

What Is Considered a Botched Double Eyelid Surgery?

A double eyelid surgery is considered botched when the eyelid crease or shape does not heal as intended, or when the eyelids look unnatural, uneven, or uncomfortable. This can happen with both incisional and non-incisional (suture) methods.

A botched result may be cosmetic, functional, or both.

Common Outcomes Categorized as Botched:

• Uneven Eyelid Folds

One crease is higher, deeper, or differently shaped than the other.

• Harsh or Unnatural Creases

Lines look too sharp, too high, or do not blend with the eyelid.

• Disappearing or Loosening Folds

The eyelid fold fades weeks after surgery—common in unstable suture techniques.

• Asymmetry When Eyes Are Open

One eye looks larger, more open, or more hooded.

• Visible Scarring or Multiple Folds

Incorrect incision placement may lead to double or triple creases.

• Difficulty Closing Eyes

Often linked to excessive skin removal or over-tightening.

Why Double Eyelid Surgery Fails: Top Causes

Korea has some of the world’s most advanced eye surgery techniques, but botched results can still occur due to several factors.

1. Incorrect Fold Design

The fold height or shape may not match your facial anatomy or natural eyelid structure.

2. Excessive or Insufficient Skin Removal

Too much skin → difficulty closing eyes
Too little skin → fold may look heavy or fade

3. Weak Fixation or Suture Failure

Non-incisional surgery may loosen if sutures are weak or the eyelid tissue is thick.

4. Poorly Adjusted Levator Muscle (Subtle Ptosis Overlooked)

If droopy eyelid (ptosis) wasn’t corrected, the eyes may still look small.

5. Over-Correction

Excessive tightening creates a “stiff,” startled, or unnatural look.

6. Healing Complications

Scar tissue, swelling patterns, or your skin type can affect the final result.

How to Know If Your Double Eyelid Surgery Went Wrong

Here are the clearest signs of a failed or botched procedure:

1. Asymmetry Weeks After Healing

A small difference early on is normal, but persistent mismatch is not.

2. Fold Too High or Too Deep

Can make the eyes look hollow or unnatural.

3. Multiple Eyelid Creases

Often caused by incorrect fixation or unstable suture line.

4. Eyes Look Tired or Heavy

This may indicate ptosis was missed during the first surgery.

5. Difficulty Blinking or Closing Eyes

A functional complication that should be assessed immediately.

Is Revision Double Eyelid Surgery Needed?

Revision surgery is typically recommended if the following remain after 3–6 months:

  • Visible asymmetry
  • Persistent multiple creases
  • Unnaturally high lids
  • No crease formation or loose crease
  • Overly tight folds
  • Functional problems (dry eyes, incomplete closure)

A revision procedure corrects muscle tension, redefines the crease, and restores natural eyelid movement.

Types of Revision Surgeries for Botched Results

1. Crease Redesign & Re-fixation

Creates a new, stable fold at the correct height.

2. Ptosis Correction (If Needed)

Strengthens eyelid muscle to improve eye-opening.

3. Scar Tissue Removal

Improves mobility and reduces fold distortion.

4. Lowering or Adjusting the Crease Height

Helps soften a dramatic or harsh look.

5. Fat Repositioning for Hollowness

Restores volume to areas that look sunken.

Why Korea Is a Top Destination for Double Eyelid Revision

Korean revision surgeons specialize in complex eyelid anatomy, offering:

  • Fold height precision
  • Balance of function + aesthetics
  • Advanced levator techniques
  • Natural crease creation
  • Corrective solutions for previous failed surgeries

This is why many patients worldwide travel to Korea specifically for revision eye surgery.

How to Prevent a Botched Eyelid Surgery

Choose a Clinic Skilled in Eye Anatomy

Not all plastic surgeons specialize in eyelids — choose an eyelid-focused clinic.

Discuss Fold Height Carefully

Overly high creases are a common regret.

Address Ptosis at the Same Time

If droopy eyelid is ignored, the result can look heavy or uneven.

Avoid Unrealistic Expectations

Natural Korean-style eyelids often look more flattering than dramatic ones.

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