The eyelid crease is a tension line. Increasing the lash-to-crease distance by even a millimeter lifts the fold and changes how the lid moves through blink. That’s why tiny adjustments read as a big cosmetic difference.
Measure upright in neutral gaze; lying down changes drape. Use numbers and matched photos so comparisons stay honest.
Key takeaways ▾
- Record height on both sides — a millimeter matters.
- Stability first, symmetry second.
- Change one variable at a time; keep a photo log.
Too much skin biases the eyelid upward. The skin bridge above the crease shrinks, closure feels tight, and the crease rides higher than intended. Conservative plans keep a relaxed bridge and a comfortable blink.
What we prescribe surgeons to do ▾
- Mark upright; confirm lash-to-crease height on both sides with calipers.
- Favor conservative removal and preserve a relaxed skin bridge.
- Re-measure after hemostasis; don’t trust the look under swelling.
The crease appears when dermis couples to levator pull. If fixation sits too high or ties too tight, the fold becomes bulky and “stuck.” If too low or uneven, it fades with swelling. The right panel shows the rigid arc.
What we prescribe surgeons to do ▾
- Identify levator clearly; mirror fixation depth/spacing across sides.
- Tie to function, not force — the crease should appear on gentle up-gaze without brow help.
- In revisions, release old adhesions to equalize tension before re-anchoring.
Small bleeds organize into clots and can heal with fibrosis, creating a band between layers. That tether reduces glide; one lid then moves differently than the other, which reads as asymmetry.
What we prescribe surgeons to do ▾
- Meticulous hemostasis under magnification; irrigate until clear.
- Control peri-op BP; avoid uneven compression.
- Early review at 24–48h to relieve localized hematoma before fibrosis forms.
Tape size and placement let you match crease behavior to your skin. Adjust height, inner-outer bias, and pressing tension one at a time. Keep the setting that stays stable through blink and gaze. Stability first; symmetry follows.
Practice plan for users ▾
- Pick a starting size and moderate height. Take a baseline photo.
- Next day change one variable; photograph again.
- After a week, keep the most stable setting before trying another change.