Quick Overview

• Concerns treated: One crease higher/lower than the other, different crease shapes (parallel vs. in–out), multiple/weak creases, inner-corner asymmetry, sleepy look on one side
• Common causes: Natural levator strength differences, brow compensation (Hering’s law), preaponeurotic fat asymmetry, scar/adhesions from prior surgery, unrecognized ptosis
• Procedures: Crease redesign/adhesiolysis, suture fixation revision, levator advancement/MMCR (when indicated), fat redistribution/grafting, optional epicanthoplasty or canthopexy
• Anesthesia: Local with sedation (case-by-case)
• Surgery time: ~60–120 minutes
• Downtime: Stitches out ~5–7 days; social downtime ~10–14 days (revisions can swell longer)
• Ideal timing: If you had recent surgery elsewhere, most cases benefit from waiting ~6 months for tissues to soften before revision (urgent functional issues are case-by-case)

Why Choose Sinsa L

• Periorbital specialists: We treat crease height, lid margin, inner/outer corners, and brow position as one system for believable symmetry.
• Measurement-led planning: We assess MRD1, levator excursion, brow compensation, canthal tilt, and fat distribution before touching the crease.
• Natural results: Precise release where needed, fat preservation/repositioning (not hollowing), and conservative crease height selection.
• Transparent care: Clear goals, limits, and aftercare—international-friendly guidance near Sinsa Station (Exit 3).

When Is Uneven Crease a Problem?

• One crease fades by afternoon or sits higher/lower than the other
• Makeup prints on one side; photos show asymmetric lid show
• Inner fold (epicanthus) hides one crease more than the other
• One eye looks sleepier (possible ptosis) even after skin removal

Our Evaluation & Design

• Measurements: MRD1/lid height, levator function, crease height/shape, brow position, canthal tilt
• Tissue status: Scar tethering, septum/fat pads (deficit vs. bulge), skin quality
• Diagnostics: Check for ptosis and brow overuse (Hering’s law) to prevent “fixing” the wrong thing
• Design: Choose crease height (low/medium/high) and shape (parallel vs. in–out taper) that match your features—and the other eye

Techniques We Use

• Crease Redesign & Adhesiolysis
  Release tethered scar bands, reposition fixation points, and set a stable, matched crease on both sides.
• Suture Fixation Revision (Non- or Mini-Incision when suitable)
  For mild asymmetry or unstable/split creases without major skin excess.
• Full Incision Revision
  Provides full access to refine preaponeurotic fat, septum, and crease fixation—best for thicker skin or significant hooding/asymmetry.
• Ptosis Correction (Levator Advancement or MMCR)
  When true droop lowers the lid margin on one side, raising the crease alone won’t fix symmetry.
• Volume Balancing
  Conservative fat redistribution or microfat grafting to reverse hollowness that makes one crease look higher.
• Adjuncts (Case-by-Case)
  Epicanthoplasty to harmonize inner-corner exposure; canthopexy if lateral support improves symmetry.

Your Treatment Journey

1. Consultation & Imaging – Measurements, photo review (eyes open/closed, brows relaxed), goal setting.
2. Plan & Consent – Technique (suture vs. full incision), need for ptosis repair/volume balancing, realistic symmetry targets.
3. Surgery Day – Precise release, fat contouring as needed, crease fixation at planned height/shape; same-day discharge in most cases.
4. Aftercare & Checks – Cooling, head elevation; stitch removal ~5–7 days; scheduled visits to track settling and symmetry.

Recovery Timeline (Typical)

• Days 1–3: Peak swelling; cool compresses as advised
• Days 4–7: Stitches removed (if incision method); light makeup after clearance
• Week 2: Bruising improves; socially presentable
• Weeks 3–8: Swelling refines; symmetry continues to settle
• Months 3–6: Final crease definition and scar maturation

Aftercare Tips

• Sleep with head elevated 1–2 weeks
• Avoid heavy exercise, saunas, alcohol ~2 weeks
• Follow ointment/silicone/UV protection exactly as instructed
• Report increasing pain, redness, or sudden asymmetry promptly

Risks & Considerations

Swelling/bruising, dryness, visible scarring (incision cases), asymmetry (especially early), crease irregularity, over/under-correction, hollowness if over-resected (we avoid this), and rare need for staged revision. We discuss personal risk-reduction in detail.

Pricing (Guide)

• Uneven Double Eyelid Revision (suture/minimal): ₩2.2M–₩3.8M
• Uneven Double Eyelid Revision (full incision): ₩3.5M–₩6.5M
• Ptosis Repair (if needed): ₩1.8M–₩4.8M
• Epicanthoplasty / Canthopexy (add-on): ₩0.8M–₩1.5M
  Exact fees depend on anatomy, scarring, and scope; final quote after in-person evaluation.

FAQs

Can you make my eyes perfectly identical?
Human faces are naturally asymmetric. Our goal is balanced, believable symmetry that looks natural from normal social distance.

Do I need ptosis repair or just crease work?
If the lid margin is low on one side (true ptosis), we address muscle/tendon—otherwise the crease alone won’t stay symmetric.

How long should I wait after my last surgery?
Most revisions are safest and more predictable after ~6 months of healing, unless functional issues require earlier action.

Will it look natural?
Yes—crease height/shape and volume are tailored to your anatomy to avoid an over-high, hollow, or “done” look.

Is non-incisional revision enough?
For mild instability/asymmetry, sometimes yes. For thick skin, significant hooding, or scarring, a full incision approach is more reliable.

Visit Sinsa L Plastic Surgery (Sinsa, Gangnam)

• Address: 3F–4F, 598 Gangnam-daero, Gangnam-gu, Seoul (Road name)
  Lot address: 17-4 Nonhyeon-dong, Gangnam-gu
• Subway: Line 3 Sinsa Station, Exit 3 → ~1 minute walk
• Hours: Weekdays 10:00–19:00 | Saturday 10:00–17:00 | Sun/Holidays Closed
• Tel: 02-517-7410

Book a Consultation

Please send front, 45°, and side photos (eyes open/closed; brows relaxed). Tell us your preferred crease height/shape and what feels most uneven. We’ll map the cause and design a targeted, natural correction plan.