An excessively high eyelid crease most often results from improper crease placement, overly aggressive fixation, or scar-related tension following previous surgery.
In some patients, high crease deformity may coexist with secondary double crease formation, further exaggerating an unnatural or over-operated appearance.
This condition frequently interferes with normal eyelid movement. In male patients, an elevated crease may unintentionally feminize the eyes and disrupt overall facial balance.
In many cases, the primary issue is not creasing height alone, but an imbalance between the eyelid crease and internal eyelid structures. Residual ptosis or levator weakness may lead to compensatory brow elevation, amplifying the appearance of a thick or elevated fold.
Dr. Ahn begins correction with careful release of abnormal fixation and scar adhesions.
The crease is then repositioned to a more anatomically appropriate height, with precise rebalancing of eyelid tension and movement.
Surgical planning prioritizes normal eyelid opening and closing mechanics, ensuring that the crease remains natural both at rest and during movement.
The objective is long-term stability and refinement—never overcorrection.