1)what is the common cause of triple fold for those who had eyelid surgery done and those who didnt? 2)-those who did surgery: re-adhesion, fat loss? -without surgery: fat loss, extra skin? 3)then does that mean one with little fats on lids will definitely get triple fold? 4)is it possible that re-adhesion may occur to those who hadnt done any surgery? 5)what can be done? fat grafting? what if the grafted fat doesnt last? get triple fold again? 6) is fat loss the MAIN cause? thank you!
What is the Cause of Triple Fold?
Doctor Answers 1
Causes of the triple fold in Asian eyelids
To answer your question, the main cause of the triple fold is eyelid-muscle separation combined with lack of fat, or more commonly, a protruding eyeball.
A triple fold will have some ptosis (sagging) of the eyelid and lack of fat between the skin and the muscle. Ptosis can be preexisting from birth; occur as a result of aging; or from trauma or surgery. Lack of fat can be due to aging, trauma or surgery, or when the eyeball protrudes, so that there is little space between the muscle and skin.
Correction of the triple fold usually requires correction of the ptosis and placement of either fat or filler (restylane or juvederm) or a spanning suture to compress out the third fold.