MediIndex

Do double eyelids last forever?

A surgically formed crease often holds for decades, though aging skin slowly changes how it looks.

By Yoondo HuhSwan Eye Journal
Medically reviewed with The Swan Plastic Surgery
Abstract blue line art of an eye motif

Many people ask whether a double eyelid crease, once made, is permanent. The fold is anchored in lid tissue and rarely disappears outright — what keeps changing is the skin around it.

What decides how long a crease holds

Fixation method, skin thickness, and the amount of lid fat all influence durability. Non-incisional ties can loosen over the years, while incisional creases tend to stay anchored even as the lid ages and the skin above gradually relaxes.

How long a crease lasts varies widely between individuals, and no outcome can be promised in advance. If a line starts to fade or fold unevenly, consulting an oculoplastic specialist helps decide between observation and revision.

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.

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