Safe Double Eyelid Revision Surgery Requires Careful Consideration of Key Points to Avoid Side Effects

You've probably heard the term ‘double eyelid revision surgery’ often. It refers to a procedure that resolves various problems related to double eyelids.

The reason this term is not unfamiliar is related to the popularization of double eyelid surgery. Double eyelid surgery is the most common cosmetic surgery, but there are a wide variety of surgical methods, from simple to complex, and the pre-operative assessment of the condition must be treated with proportional importance. It's also important to remember that you should receive surgery from a specialist with diverse and rich experience, as an accurate assessment can only be made with a sufficient understanding of the eye's complex anatomical knowledge and the dynamic process of opening the eyes.

However, many people consider eye surgery to be commonplace and proceed without sufficient consultation and preparation, leading to an increase in those contemplating revision surgery.

How to proceed with double eyelid surgery and ptosis correction to minimize the risk of revision surgery?

When performing eye surgery, it's not just about creating a simple double eyelid, but rather considering the overall image. The overall shape of the eye is changed by considering epicanthoplasty, lateral canthoplasty, as well as upper canthoplasty and lower canthoplasty. Simply having large eyes doesn't necessarily mean beautiful eyes; the extent of ptosis correction surgery is tailored to the patient's eyes. The degree of ptosis correction is determined based on the size of the pupil. At this time, the size of the double eyelid is also adjusted according to the position of the eyeball, making it larger or smaller depending on how much the eyeball protrudes. The surgery is then performed after accurately checking the exact position and function of the eye.

For eye surgery, it is considered safe to proceed with the operation after checking the position of the eye, the position of the eyebrows, and the position of the black pupil, and determining whether improvement is possible through a simple double eyelid line or if ptosis correction and the extent of excision are necessary.

The appropriate case is also determined based on each individual's anatomical characteristics. If the double eyelid is weak, the skin is thin, and there is no skin sagging, non-incisional buried suture method is appropriate. If the skin is thick and there is slight sagging, it is advisable to perform partial incision with fat removal. If the skin is too thick for a double eyelid to form, there is severe sagging, or ptosis correction is absolutely necessary, applying the incisional method can increase satisfaction.

Loosening double eyelids? What's the cause?

When double eyelids created after eye surgery loosen, it depends on the degree of adhesion. If an appropriate scar forms and good adhesion occurs, the double eyelid is maintained. If too much scar tissue forms, it interferes with adhesion and causes loosening. If a scar does not form well, adhesion does not occur, leading to loosening.

Furthermore, as one ages and the eyes sag, the adhesion part naturally stretches, causing the double eyelid to disappear or become invisible.

While incisional methods are generally known not to loosen, they can loosen depending on the presence of scars. Partial incision or buried suture methods are more prone to loosening than incisional methods. This is why incision is often recommended for those with thick skin tissue.

Therefore, when performing eye surgery, it is important to consider the overall image rather than just creating a simple double eyelid, as this leads to better image transformation and increased satisfaction. Attempts are also made to change the overall shape of the eye by considering epicanthoplasty, lateral canthoplasty, upper canthoplasty, and lower canthoplasty, but this too is safest when performed after accurately checking the exact position and function of the eye.

Eye Surgery Side Effects and Solutions

Solutions for potential issues after eye surgery begin with understanding the surgical method and potential side effects.

Side effects after double eyelid surgery and ptosis correction surgery are the most common cases, and the solutions vary depending on the surgical method.

Side effects after double eyelid surgery

Loosening of the double eyelid and asymmetry are the most common symptoms. Often, after eye surgery, the double eyelid either loosens or becomes too strong. Initially, the double eyelid may appear strong, but it softens over time.

In cases of asymmetry, it is usually present even before surgery. By checking the position of the eyeball, the function and position of the eyebrows, and the position of the eyes before surgery, improvement can be achieved through surgery that aligns both eyes as much as possible.

Side effects after ptosis correction surgery

Overcorrection & undercorrection, lagophthalmos (inability to close the eyes), and asymmetry are typical.

Overcorrection is a particularly common problem after ptosis correction. Immediately after surgery, the eyes may not close. In most cases, the corrected ptosis area settles over time and becomes natural. However, in severe cases of ptosis, overcorrection may be necessary even if the eyes don't close completely, and in such cases, surgery is performed after thorough consultation with the patient.

How to manage after double eyelid revision surgery?

Double eyelid revision surgery is most commonly associated with loosening and inflammation, so there are many precautions related to these. If bacteria infect the area, inflammation can occur, affecting not only the skin but also the eyes. To prevent inflammation, avoid touching the surgical site with your hands. Also, to prevent water from entering the wound, wash your face with a wet towel, and when applying an ice pack, it's best to put it in a plastic bag.

It is also advisable to refrain from alcohol and smoking. Drinking alcohol before surgery can impair liver function, leading to complications with anesthesia or a risk of awakening during surgery. Additionally, tobacco contains ingredients that damage the immune system, hindering blood circulation and worsening wounds, so it is crucial to be cautious both before and after surgery.

However, the most important point is to find a surgery that enhances your strengths rather than being overly ambitious to fit popular beauty standards. To minimize the risk of side effects, it is safest to thoroughly research and decide whether the surgical method is right for you before cosmetic surgery, and how post-operative care will be managed.

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