Well-defined double eyelids always lend the face a radiant, vibrant look. Conversely, having multiple eyelid folds—or overlapping creases—can inadvertently make the eyes appear dull, tired, and prematurely aged. In this article, Dr. Xuan Quan Clinic identifies the root causes of this issue and suggests effective solutions to restore balanced, youthful-looking double eyelids.
Causes of multiple eyelid folds
Multi-creased eyelids (also known as “multi-fold eyes”) refer to a condition where the skin of the eyelid exhibits three or more overlapping or intersecting folds. This phenomenon obscures the primary eyelid crease, giving the eyes a tired, lifeless appearance and making the face look older than it actually is.

According to Dr. Nguyen Xuan Quan, this condition arises from the following core causes:
- Natural aging: This is the most common cause. Over time, the skin around the eyes suffers a significant loss of collagen and elastin, leading to sagging skin, fat accumulation, and the formation of multiple, overlapping eyelid folds.
- Congenital or genetic factors: Some individuals are born with weak levator palpebrae muscles or loose connections between the eyelid skin and the muscle, resulting in unevenly distributed eyelid folds.
- Unhealthy lifestyle habits: Frequent late nights, prolonged work-related stress, or the habit of rubbing the eyes vigorously can cause the delicate skin around the eyes to sag prematurely.
- Overuse of eyelid-enhancing tools: Frequent use of eyelid tapes or glues inadvertently subjects the skin to constant stretching, causing it to lose elasticity and become loose or flabby early on.
- Botched cosmetic surgery: Previous eyelid procedures (such as suture blepharoplasty or incisional surgery) performed at substandard facilities—involving improper dissection techniques or flawed management of excess skin—can result in deep, unsightly, or irregular creases.

Effective ways to correct multiple eyelid folds today
To completely eliminate overlapping eyelid creases and restore a sharp, defined double-eyelid look, relying on eye creams or standard makeup techniques fails to provide long-lasting results.
Today, thanks to advancements in cosmetic technology, there are two methods to definitively address this issue, depending on the severity of the condition in each individual case:
Cosmetic double eyelid suture technique
Target audience: Suitable for young people with multiple congenital eyelid creases or creases caused by lifestyle habits, but without sagging skin or excess fat.
Procedure: The doctor threads specialized sutures through fixed anchor points to create a connection between the eyelid skin and the levator muscle (or tarsal plate), forming a single, well-defined crease without the need for surgery or incisions.
Advantages: Non-surgical, painless, minimal swelling or bruising, rapid recovery (only 3–5 days), and a natural, even crease.
Disadvantages: Cannot address sagging skin or excess fat; the crease may fade over time.
Duration: Typically 3–5 years (may last longer depending on individual physiology and the specific suturing technique).

High-tech eyelid surgery method
Target candidates: An optimal solution for eyes with multiple aging-related folds, sagging skin, thick deposits of excess fat, or eyes previously damaged by surgery at substandard facilities.
Procedure: The surgeon makes an ultra-fine incision along the eyelid margin, eliminates accessory folds, and thoroughly removes excess skin and fat pockets; aesthetic sutures are then used to create a sharp, symmetrical new eyelid crease.
Advantages: Completely removes sagging skin and excess fat; permanently eliminates accessory folds; corrects previously botched surgeries while creating a deep, well-defined crease.
Disadvantages: Being a surgical procedure, the recovery time is longer than that of non-incisional methods (requiring 7–10 days for suture removal and initial settling).
Durability: Long-lasting results (potentially lifelong with proper care and a constitution resistant to rapid aging).

A leading, reputable provider for correcting multi-crease eyelids
Correcting eyelids with multiple creases requires a surgeon with exceptional skill and a refined aesthetic eye. Dr. Xuan Quan Aesthetic Clinic is proud to be a leading, trusted provider, helping you regain a youthful, radiant look through several outstanding advantages:
Surgery performed personally by Dr. Nguyen Xuan Quan: A specialist with nearly a decade of in-depth experience will personally conduct the consultation and measurements, meticulously release existing accessory folds, and create a new, sharp, and natural-looking eyelid crease.

Minimally invasive microsurgical technique: Gentle dissection technology minimizes swelling and bruising, ensures the incision heals quickly into the desired shape, and leaves absolutely no unsightly scarring.
Attentive post-operative care and suture removal after 7 days: A dedicated nursing team provides close daily care, ensuring the suture removal process is smooth and comfortable.
Reliable warranty policy: Quality is backed by a 6-month warranty, with a commitment that the new eyelid crease will remain durable and stable for 5 to 10 years.

Cost of eye aesthetic procedures at Dr. Xuan Quan Aesthetic Clinic
In addition to the procedure itself, the cost of correcting multi-crease eyelids is a matter of great interest to many clients. At Dr. Xuan Quan Aesthetic Clinic, service prices are always publicly and transparently listed as all-inclusive packages, with a guarantee of no hidden costs.
| Category | Specific services | Price |
| Upper eyelid surgery | Upper eyelid surgery / Lower eyelid lift / Under 40 years old | 300$ |
| Upper eyelid surgery (40–49 years old) | 340$ | |
| Upper eyelid surgery (50–59 years old) | 380$ | |
| Upper eyelid surgery (≥60T) | 418$ | |
| Eyelid surgery | Difficult eyelid surgery (eyelid revision, scarred eyelids, drooping eyelids) | 450$ |
| Lower your eyes wide open | Lowering the head | 570$ |
| Eyelid fat grafting | Eyelid fat grafting | 300$ |
| Lower eyelid surgery | Chin muscle blepharoplasty – Lower eyelid lift with fat repositioning | 570$ |
| Eyebrow lift | Eyebrow lift and frontal muscle suspension | 450$ |
| Eyebrow lift | 300$ | |
| Eyelid surgery | Eyelid surgery | 190$ |
| Remove the sutures from the eyelid lift | 70$ |
Note: The specific price will be determined following a consultation with the doctor, based on the actual condition of the eyes and the chosen method (suture-based or incisional double eyelid surgery), to ensure optimal results and maximum safety for each client.
Frequently asked questions about multi-crease eyelids
To put your mind at ease before undergoing the procedure, Dr. Xuan Quan Aesthetic Clinic addresses the most common questions below:
Is the correction of multi-crease eyelids painful?
No, it is not painful. Advanced anesthesia techniques are used prior to the procedure, ensuring the entire dissection process is gentle and comfortable.
Does correcting multi-crease eyelids leave scars?
Absolutely not. Thanks to Dr. Nguyen Xuan Quan’s skillful microsurgical technique, the ultra-fine cosmetic sutures are concealed within the natural eyelid crease, leaving no visible signs of surgery.
Will the procedure cause an unnatural, wide-eyed stare or affect vision?
No. This technique targets only the skin and superficial muscles to eliminate excess creases; it does not interfere with the eye’s internal structures or visual function.
The information above details the issue of multi-crease eyelids and the most effective corrective solutions available today. If you feel self-conscious about multi-crease, tired-looking, or aging eyelids, Dr. Xuan Quan Aesthetic Clinic is ready to assist you in achieving a balanced, natural-looking eyelid crease.
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