Double eyelid surgery scars are a concern that arises after surgery, performed with the expectation of clearer and more open eyes, due to uneven lines or white marks. The most common question is always the same: "Should this scar be reoperated on, or can it be resolved with a laser?" To conclude, the approach varies depending on the shape, depth, and location of the scar. The treatment direction differs between cases where the line position itself is misaligned and cases where only the surface texture is rough.
The eyes are a part that determines facial impression, so even a small mark can be bothersome. Since they have such a significant impact that even a change in makeup can alter one's appearance, satisfaction greatly decreases if unhideable traces remain from surgery intended to enhance beauty.
Why do scars remain after double eyelid surgery?
Surgeries that irritate the skin, such as incisions, are prone to leaving scars. Once a scar has formed, it rarely disappears completely naturally, remaining as a trace. Especially for those with high sebum secretion, the phenomenon of uneven protrusion around the double eyelid line may be more pronounced.
It is not uncommon for marks to stand out when looking in the mirror, and even if compliments are received from others, the scars can prevent one from feeling at ease with the result. If epicanthoplasty was also performed, white, noticeable marks at the inner corners of the eyes can also be a concern.
Rather than waiting for a surgical scar that has formed to disappear on its own, it is more realistic to approach it with treatment appropriate for its condition.
What do my reflections in the mirror signal?
If your scar looks like the following, a thorough evaluation is necessary:
- The double eyelid line is unevenly prominent
- The line is excessively sharp or thick
- The texture feels rough when touched by hand
- The indentation feels deep
- White marks are visible at the inner corner of the epicanthoplasty area
If these signs appear, it is advisable to apply treatment appropriate for the condition to achieve improvement. The direction varies depending on whether the core issue is position correction or surface texture refinement.
How are reoperation and laser treatment divided?
The methods for treating double eyelid surgery scars are broadly divided into reoperation and laser treatment. Each method has its own characteristics, so rather than there being one correct answer that fits all situations, it is better to carefully assess your condition and apply the appropriate method.
| Condition | Suitable Approach | Key |
|---|---|---|
| Line is generally misaligned and needs correction | Consider reoperation | Re-establish the position itself |
| Line is uneven or too prominent | Laser treatment | Refine surface texture |
| Texture is rough and deeply indented when touched | Laser treatment | Expect improvement in results |
If the overall line is crooked and the focus is on correction, reoperation may be a wiser choice. Conversely, if the line is uneven or too prominent, or if the texture is poor and the indentation is severe when touched, improvement can be expected with laser methods. If you also have concerns about Cosmetic Surgery Scars in other areas besides the eyelid scar, it is efficient to examine the condition all at once.
Since your self-assessment and a professional diagnosis may differ, it is important to consult sufficiently before making a decision to properly coordinate the treatment method and duration. Many people are most concerned about this aspect.
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Why laser treatment is not a one-time procedure
Laser treatment is characterized by being relatively quick to perform in a single session. However, it is important to consider that it usually requires multiple repeated sessions rather than being a one-time treatment.
Treatment duration varies depending on detailed factors such as the shape and depth of the double eyelid surgery scar, and skin thickness. On average, treatment proceeds around 5 sessions, observing the improvement of the scar, and then planning subsequent steps accordingly. Scars involving depth, such as Depressed Acne Scars with indentations, may show different progress depending on the number of sessions.
Slower initial changes can be normal
In the beginning, you might wonder if there are significant changes or if the treatment is truly effective. In the consultation room, many people become impatient during the first one or two sessions. However, laser treatment gradually shows progress through repeated procedures, so it is better to observe for a little longer. If a surgical approach is necessary, Surgical Scar Revision may also be considered.
If the scar is hypertrophic and firm, Triamcinolone Scar Injection can be combined, so the combination may vary depending on the condition. In any case, it is safer to determine the direction through diagnosis rather than self-assessment.
Things to check before treatment
Organizing the following items in advance before consultation can help determine the direction:
- Is the scar a problem with line position or surface texture?
- Are there marks in the epicanthoplasty area as well?
- Does your skin tend to secrete a lot of sebum?
- The timing of the previous surgery and the elapsed period
- The firmness and depth of the indentation when touched by hand
Since there can be individual differences, it is difficult to uniformly determine the number of sessions or duration. It is more realistic to adjust the plan while checking the condition.
For inquiries, please contact us for double eyelid surgery scar consultation
Representative Director Lee Sang-joo (MD, PhD, Yonsei University College of Medicine and Graduate School, completed dermatology residency at Severance Hospital, President of the Korean Dermatological Association) Representative Director Lee Sang-joo's Profile First published 2025-03-14 / Last reviewed 2026-06-16
This content is for general information purposes only, and results may vary depending on individual skin conditions. Please confirm the exact diagnosis and treatment direction through consultation with medical staff.