Loss of fold due to non-incision double eyelid surgery

When a person loses a double eyelid fold after a suture technique, they have two choices. One is to redo the suture technique double eyelid surgery. Re-doing a suture technique double eyelid surgery may work for some people. However, it is important to determine how fast the double eyelid fold has loosened after the initial surgery (the duration of the double eyelid fold presence). If a patient lost a double eyelid fold within few years, then the likelihood that one would lose the fold is relatively high. This is because the patient did not and continues to not have the ideal anatomy and physiology for a suture technique (non-incision) double eyelid surgery. Those conditions being any of the following: weak eyelid muscle function (weak levator muscle), excess eyelid skin, or thick eyelid skin. For these patients, they would benefit from an incision double eyelid surgery.

However, for people who’s double eyelid fold has lasted for more than few years, then re-doing a suture technique double eyelid surgery is acceptable. The double eyelid fold can still loosen over time. But if the person is willing to accept that, then suture technique double eyelid surgery is an option.

For a majority of patients, when a suture technique double eyelid surgery led to a loss of double eyelid fold, then an incision technique is the most viable choice. It is because during the incision technique double eyelid surgery, a ptosis surgery (correction of a weak eyelid muscle) can be performed. In addition, any excess skin can be removed. Lastly, for thick eyelid skin, incision technique can give more force to the double eyelid fold. This will lessen the likelihood of the double eyelid fold loosening over time.