A double eyelid fold that sits too high after the suture method (non-incisional surgery) is a common concern. While the suture technique is loved for its minimal downtime, it can sometimes create a crease that looks unnaturally high, unstable, or mismatched with your natural eyelid anatomy.

Fortunately, Korean eyelid specialists offer reliable ways to adjust and correct a high crease so it looks softer, more natural, and more proportional to your eyes.

Why the Crease Looks Too High After Suture Method

1. The Crease Was Designed Too High

Non-incisional methods rely on the surgeon’s crease mapping.
If the crease was placed above your natural adhesion line, it can look:

• Exposed
• Hollow
• Too wide or dramatic
• Unbalanced with the brow–lid distance

2. Thick or Heavy Eyelids

When eyelids are thick, the suture method may struggle to hold the fold properly. This can create:

• A high but shallow crease
• A crease that changes daily
• A “fold sitting on top of swelling” look

3. Weak Adhesion

Sutures alone may not create strong enough attachment, especially when:

• There is extra fat
• Skin is thick
• Levator muscle movement is weak

A high crease may appear while being unstable underneath.

4. Swelling Makes the Crease Appear Higher

Early swelling can temporarily push the crease upward.
In many cases, the fold lowers naturally over the first 2–3 months.

5. Hidden Ptosis

If the eyelid-lifting muscle is weak, the crease may be designed higher to “compensate,” resulting in an unnatural fold when the real issue is poor eyelid opening.

How to Fix a Double Eyelid Fold That’s Too High

1. Wait for Natural Settling (First 1–3 Months)

If surgery was recent, allow swelling to subside.
High folds often drop naturally as:

• Tissues relax
• Swelling decreases
• Adhesions form properly

If the crease is still too high after 3 months, revision may be needed.

2. Suture Revision (Lowering the Crease)

Best for:

• Mild to moderate height issues
• Thin to medium eyelids
• Minimal scar tissue

How it helps:

• Removes or adjusts the initial sutures
• Reinforces a lower crease
• Creates a softer, more natural double eyelid

Healing is quick with minimal downtime.

3. Incisional Revision (Precise Crease Resetting)

Recommended when:

• Eyelids are thick or fatty
• The crease is very high
• The site has loosened or collapsed
• The original design was far from your natural anatomy

Benefits:

• Allows fat removal
• Creates a stable crease at the correct height
• Offers long-term durability
• Improves symmetry and eyelid contour

This is the most accurate and permanent way to correct high creases.

4. Combine With Ptosis Correction (If Needed)

If the crease was set high to “compensate” for weak eyelid muscles, the real fix is to tighten the levator muscle.

Results:

• The eyelid opens properly
• The crease can be placed lower
• Eyes look more balanced and awake

When Revision Should Be Considered

Seek a professional revision consultation if you notice:

• The crease is dramatically higher than expected
• One crease is higher than the other
• Your eyes look hollow or overly dramatic
• The crease disappears or shifts throughout the day
• Persistent asymmetry after 3 months
• A tired or droopy appearance despite a high crease

Healing Timeline After Correcting a High Crease

• Days 1–3: mild swelling
• 1 week: sutures removed (if incisional)
• 2–4 weeks: crease height settles
• 1–3 months: natural, stable result

Incisional revision takes longer to heal but provides the most stable correction.