Botched Double Eyelid Surgery in Korea: What Went Wrong & How to Fix It

Double eyelid surgery (blepharoplasty) is one of the most popular procedures in Korea — known for precise techniques and natural results. But like any cosmetic surgery, problems can happen. A botched double eyelid surgery can cause asymmetry, uneven creases, irritation, scarring, or even functional issues like heavy eyelids or difficulty closing the eyes.

The good news: Korea is a global leader in eyelid revision surgery, and most issues can be corrected with the right approach.

This guide covers the causes, signs, and safest revision options available in Korea.

Common Causes of Botched Double Eyelid Surgery

Complications typically occur due to technique problems, healing issues, or overly aggressive corrections.

✔ Uneven crease height

One eye appears larger or more open than the other.

✔ Multiple creases

Also known as “multi-fold,” caused by poor adhesion or scarring.

✔ Crease that collapsed or disappeared

Adhesion wasn’t strong enough or fat/skin blocked the fold.

✔ Crease too high or too unnatural

Overly elevated creases create a Westernized, artificial look.

✔ Hollow upper eyelids

Too much fat or tissue removed.

✔ Severe scarring

Visible lines, adhesions, or hard scar tissue.

✔ Difficulty closing eyes (lagophthalmos)

Caused by excessive skin removal.

✔ Droopy eyelids (ptosis)

Under-corrected or unrecognized ptosis during the initial surgery.

✔ Asymmetry after stitch method

Common when sutures loosen or break.

Signs Your Double Eyelid Surgery Was Botched

You may be dealing with a failed blepharoplasty if you notice:

• Uneven eyelid height
• One eye looks smaller or more tired
• Creases look harsh or irregular
• Hollow or sunken upper eyelids
• Visible scar line even with makeup
• Difficulty blinking or eye dryness
• Crease disappears when opening the eyes
• Crease looks too sharp or unnatural
• Persistent swelling or tightness
• Multiple or broken folds

If 3–6 months have passed since surgery and these issues remain, revision may be necessary.

How Korea Fixes Botched Double Eyelid Surgery (Revision Options)

Korean eyelid surgeons specialize in delicate correction procedures tailored to each problem.

1. Crease Correction (Uneven or Too High Crease)

Revision can adjust the height or shape of the eyelid crease.

Techniques include:

• Recreating the crease at the correct height
• Releasing scar tissue
• Restructuring adhesions
• Adding or removing tissue for symmetry

Creates a softer, natural Asian-style eyelid.

2. Multiple Crease / Double Fold Repair

This requires releasing abnormal adhesions and creating a single stable crease.

Methods:

• Removing excess scar attachments
• Re-establishing one defined fold
• Reinforcing adhesion with sutures or partial incision

3. Hollow Upper Eyelid Correction

If too much fat or skin was removed:

• Micro-fat grafting
• Nano-fat for smooth blending
• Soft tissue augmentation
• Septum repositioning

Restores youthful volume to the upper eyelid.

4. Ptosis Correction (If Eyes Still Look Small or Tired)

Many botched cases happen because ptosis was not addressed during the first surgery.

Fix:

• Tarsal plate tightening
• Levator muscle adjustment
• Symmetry matching
• Functional improvement for better eye opening

This is a common and highly successful revision in Korea.

5. Over-Correction or High Crease Revision

If your crease looks too dramatic:

Revision involves:

• Lowering the crease
• Adding volume
• Softening sharp lines
• Reducing tension

Restores a gentle, natural fold.

6. Scar Revision (Visible or Thick Scars)

Korea is extremely advanced in eyelid scar repair.

Methods include:

• Laser scar treatment
• Surgical scar revision
• Subcision
• PRP or exosome therapy
• Specialized scar massage protocol

7. Correction for Eyes That Cannot Close (Lagophthalmos)

This serious issue is often due to excessive skin removal.

Fix options:

• Skin grafting
• Fat grafting
• Muscle release
• Revision blepharoplasty to restore eyelid closure

Improvement is usually significant with proper technique.

When to Consider Revision Surgery in Korea

You may need revision if:

• 6+ months have passed and appearance has not improved
• Crease shape or height is mismatched
• Eyes look smaller or uneven
• There is pain, tightness, or dryness
• Crease looks too harsh or artificial
• Scars are visible or thickened
• Your eyelids feel weak or heavy

Severe complications (infection, necrosis, implant problems) require early revision.

Why Korea Is the Best Place for Eyelid Revision

✔ Specialists performing thousands of eyelid cases

✔ Mastery of Asian eyelid anatomy

✔ Extremely refined crease design

✔ Gentle and scar-minimizing techniques

✔ High success rate for ptosis + eyelid revision

✔ Ability to fix severe botched cases from overseas

Korea’s combination of aesthetic + functional correction is unmatched.

How to Avoid a Botched Double Eyelid Surgery in the Future

✔ Choose a surgeon specializing ONLY in eyes

✔ Avoid extremely high creases

✔ Confirm if ptosis correction is needed

✔ Stay away from “factory-style” discount clinics

✔ Check real before/after photos (not overly filtered)

✔ Aim for natural and balanced design

Your eyelids should look soft, natural, and symmetrical — never harsh or artificial.

Final Thoughts

A botched double eyelid surgery can affect your appearance, confidence, and even eye function — but Korea offers some of the most advanced revision techniques in the world. Whether the issue is asymmetry, a high crease, a collapsed fold, or functional problems, the right revision surgeon can restore a natural, balanced eyelid shape.