Eye surgery guide

Types of double eyelid crease

In, in-out and out (parallel) creases — the look each one gives and the features of the eye considered when choosing a crease.

Written by
Cejong Plastic Surgery content team
Updated
2026-10-25

How a double eyelid looks depends greatly on where the crease starts at the inner corner and how high it sits. Rather than copying a crease from a photo, it matters to choose one that suits your eyelid and your face as a whole.

The main crease types

  • In-line — the crease starts inside the epicanthal fold at the inner corner. A natural, subtle look.
  • In-out line — it tucks into the epicanthal fold at the inner corner and widens towards the outer end. Natural yet defined.
  • Out-line (parallel) — it starts outside the epicanthal fold and runs parallel from the beginning. A bold, defined look; in some cases epicanthoplasty may be needed.

Crease height

The same type of crease looks different at different heights. A crease that is too high can look sleepy or unnatural, especially if the lid opens weakly.

What is considered

  • eyelid thickness and skin sagging
  • the degree of epicanthal fold
  • lid-opening strength (ptosis)
  • eye size, the distance between brows and eyes, and overall facial proportions

At the consultation the crease is simulated in advance with an instrument and chosen together.

Frequently asked questions

Can you make my eyes look like a celebrity's photo? Photos help convey the look you want, but with a different eyelid the same crease may not give the same impression.

Can the crease be changed later? Lowering a crease can be harder than raising one, so it is best to choose carefully from the start.