Can a double eyelid fold be undone?
Non-incisional folds can often be released by removing the sutures, while incisional folds need adhesion release and are harder to reverse fully.
Whether a fold can be undone depends mostly on how it was made. Suture-based folds rely on removable threads; incisional folds rely on scar adhesion between skin and deeper tissue. Time also matters — long-standing folds develop their own scar planes even after sutures come out.
What release surgery involves
Releasing an incisional fold means dividing the adhesion and interposing fat or other tissue so the crease cannot re-form. Even then a faint line may remain, and lids that lost skin in the original operation have less room to maneuver.
How completely a fold releases varies with fold age, technique, and individual scarring, so results range from near-original to a softer, lower line. A specialist can inspect the crease and estimate what release would realistically achieve before any decision.
MediIndex articles are for general information only and are not medical advice, diagnosis, or advertising. Outcomes vary by individual — consult a board-certified specialist for personal decisions.