2026-05-18
Double Eyelid Line Lowering "One-Line Method" - Skin Excision Surgery Case
We introduce a double eyelid line lowering surgery for cases where the eyelid crease appears too high and gives a "sausage-like" appearance. A new line is created below the existing incision, and if the skin (scar tissue) between them is excised, it's called the "one-line method"; if left unexcised, it's called the "two-line method." This case demonstrates natural results maintained at 2 months, 4 months, 6 months, and over 1 year after lowering the line and partially excising the skin.
Double Eyelid Line Lowering "One-Line Method" - Skin Excision
This post discusses this procedure.
Why Lower the Double Eyelid Line?
First, when you want to reduce the line height.
Second, because of the "sausage-like" appearance. The higher the line, the more sausage-like the eyes appear.
When lowering the double eyelid line, a new line is created below the original incision. Then you decide whether to excise the scar tissue between them or leave it as is.
If you leave it as is, it's called the "two-line method," and if you excise the scar tissue between them, it's called the "one-line method."
Of course, "two-line method" and "one-line method" are colloquial terms, NOT official medical terminology.
In the diagram above, if the brown line is the original incision, the blue line represents the new incision below it. After that, you must decide whether to excise the skin between them.
This patient wanted surgery because the double eyelid line appeared higher and more unnatural than desired.
Since it looked like a "sausage eye," the line was lowered and some skin was excised.
This is the appearance after suture removal. A small portion of scar tissue at the line was excised, and the fixation was adjusted to a lighter tension.
However, scarring does not completely disappear. Scar formation depends on the extent of underlying tissue damage.
This is the appearance at 2 months post-op. There is still some swelling present.
The patient visited because it appeared there might be inflammation.
At 4 months post-op, the line has lowered significantly and the sausage-like appearance has improved.
This is the appearance at 6 months post-op.
The patient mentioned that the right eye in the photo (left eye from the patient's perspective) appears slightly fuller, but in reality it is just a subtle difference within the natural range with no significant asymmetry.
During follow-up, the patient noticed a black dot-like spot on the left eyelid line and found that a remaining suture was present.
Fortunately, we rechecked it at the clinic. A pimple-like lesion developed at the site where the remaining suture had been, rather than actual inflammation. See photo above.
Now, over a year post-op, the shape appears to be well maintained.
The overall impression and eye appearance are so well-refined that this case deserves to be featured as a representative clinic example. I'm posting it for reference. 😊
Please refer to this case.
Sometimes after surgery, sutures may protrude or small pimples may develop at the suture site. This is a common occurrence and poses no problem once removed. See previous blog post for reference.
https://blog.naver.com/medicdoctor/224087703647
To determine which surgical method is right for you, you must visit the clinic for an accurate diagnosis before proceeding with surgery.
https://youtu.be/s0MKX_ByLEE?si=QlZ1zj-Ho0rHWZ1t
Frequently Asked Questions
Why Lower the Double Eyelid Line?
The procedure is performed when you want to reduce the line height or when there is a "sausage-like" appearance. The higher the double eyelid line, the more likely it is to appear puffy and sausage-like. Line-lowering surgery is performed to improve this appearance.
What is the Difference Between One-Line and Two-Line Methods?
The difference lies in whether the skin (scar tissue) between the incisions is excised. If the skin between the original incision and the new line below is excised, it's called the one-line method; if left unexcised, it's called the two-line method. However, these are colloquial terms and not official medical terminology.
Does Scarring Disappear After Line-Lowering Surgery?
No, scarring does not completely disappear. Scar formation depends on the extent of underlying tissue damage. Even if scar tissue at the line is slightly excised and fixation is adjusted, the scarring itself cannot be eliminated.
How Does Recovery Progress After Surgery?
Swelling gradually resolves and the line settles into place. In this case, swelling was still present at 2 months; at 4 months, the line had lowered significantly and the sausage-like appearance had improved; and at 6 months and beyond 1 year, the natural appearance was well maintained.
What Should I Do if Sutures Protrude or Pimples Form After Surgery?
This is a common occurrence and poses no problem once removed. Pimple-like lesions may form at the site of remaining sutures, and you should visit the clinic for verification and removal if needed.
How Do I Determine Which Double Eyelid Surgery Method is Right for Me?
You must visit the clinic for an accurate diagnosis. The extent of excision and fixation method vary depending on line height, skin condition, and presence of sausage-like appearance, so it is safest to determine which surgery is right for you after a consultation.