What to Consider When Undergoing Double Eyelid Revision Surgery

[Diva Plastic Surgery Clinic, Dr. Kim Jong-myung's Column on Eye Revision Surgery]

Double eyelid surgery holds a high position within the realm of plastic surgery due to its popularity. This is because it is a medical procedure that allows for a more beautiful and refreshed eye appearance through a simple operation.

However, this high popularity can also lead to side effects. There is a proliferation of indiscriminate information online, and various temptations such as price discount events are particularly prevalent. Consequently, there is a growing number of cases where individuals decide on surgery easily, are dissatisfied with the results, and contemplate revision surgery.

While satisfaction with the results is primarily aesthetic, functional or psychological problems can sometimes arise. Therefore, the process of restoring a failed eye shape through revision surgery and creating beautiful eyes again needs to be handled with importance. Careful and precise consideration is required regarding the cases and timing for eye revision surgery.

Revision surgery is necessary if the double eyelids are excessively thick, if there is asymmetry between the left and right eyelids, if the eyes do not close after double eyelid surgery, or if the double eyelid line or epicanthoplasty scar is excessively prominent.

Firstly, in cases where the double eyelids are excessively thick, it may be necessary to release the existing line, remove unnecessary fatty tissue to create a natural look, or lift and fix sagging skin, or create a higher double eyelid line than before to improve the appearance.

In cases of asymmetry, it is possible to improve the condition by adjusting the height of the double eyelid line and correcting the muscles of both eyes, or by applying a combination of ptosis correction surgery to recreate the double eyelid line.

For cases where the eyes do not close, the problem can be resolved by weakly adjusting the excessively corrected eye muscles. In cases with severe scarring on the eyelids, it is possible to achieve a more natural and smooth eye shape by incising the scarred area, meticulously removing the scar tissue, and then suturing it.

The timing of the surgery is also an important point that needs to be handled carefully. It is best to undergo the surgery at least 6 months later, after the tissues have stabilized, when the redness in the surgical area has disappeared, when the hardened scar tissue has softened, and after any inflammation has completely subsided.

However, even in the early stages, if the results are unsatisfactory, or if the scarring or swelling is excessively severe, or if persistent pain is involved, there are cases where surgery must be performed within 2 weeks before the surgical site hardens. Therefore, it is crucial to assess the condition with an experienced medical team.

Eye revision surgery requires identifying the exact cause, accurately diagnosing the problem, and combining it with a customized design tailored to each individual's anatomical characteristics. Therefore, it is safer to exercise more caution than with the first surgery.

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