Eyelid Revision Surgery: What Would It Take to Be the Last One?

Hello, this is Inique.

More and more people are visiting plastic surgery clinics for self-satisfaction or for health-related reasons.

When a revision surgery is needed because the results were not satisfactory, it places a heavy financial and psychological burden on the patient.

However, if it becomes difficult to go about daily life, there are situations in which revision surgery becomes unavoidable.

In such cases, to prevent repeated revision surgeries, careful selection of the hospital and medical team is needed even more than for the first surgery.

So, what criteria should you use when choosing a hospital for eyelid revision surgery? First, you should choose a hospital that can clearly diagnose your condition and identify the cause. To do so, we recommend choosing a hospital with experienced and skilled medical staff and verified cases.

Today, together with Inique, a specialized eye plastic surgery clinic, we will look into the most common cause of eyelid revision surgery, which is double eyelid complications, and also review the solutions.

Double eyelid complications include sausage-shaped double eyelids, upturned eyelashes and scars, and triple eyelids, among others.

Through an in-depth preoperative consultation, it is important to accurately analyze the cause of each type and resolve the problem through revision surgery.

Today, among these, we will take a closer look at sausage-shaped double eyelids, the number one cause of eyelid revision surgery.

A sausage-shaped double eyelid refers to an eyelid line that is excessively thick and puffy, creating an unnatural appearance. Medically, this is diagnosed as "double eyelid hypertrophy" or "pre-tarsal hypertrophy."

The causes of sausage-shaped double eyelids can be broadly divided into three categories:

an excessively high double eyelid line, ptosis that has not been corrected, and insufficient upper eyelid fat.

Let’s take a detailed look at the revision surgery plan for each cause.

1. Excessively high double eyelid line

The size of the double eyelid is very important not only in revision surgery but also in the first surgery. Because there is an optimal height for each individual, it is important to determine the right height for you through consultation with a specialist before surgery.

If, during the process of determining the double eyelid size, the line exceeds the appropriate range, a thick and puffy "sausage-shaped double eyelid" will occur. In such cases, revision surgery can lower the double eyelid height and minimize scarring to create a more natural-looking eye.

However, an important point in resolving sausage-shaped double eyelids is that the surgical plan must be adjusted depending on how much skin remains available.

At Inique, when there is enough skin available, the skin between the existing high line and the desired lower line is removed, and the problem is resolved by lowering the double eyelid height.

On the other hand, when there is not enough skin available, the "double-line correction" method is used to lower the line while preserving the skin. This method makes an incision along the new design and releases the existing line while preserving the skin. Because it is a highly advanced technique with a risk of recurrence or scarring, better outcomes are achieved when it is performed by medical staff at a more specialized eye plastic surgery clinic.

2. Ptosis correction The second method of eyelid revision surgery is ptosis correction. Ptosis occurs when the strength to open the eyes is weak. Because the force used to open the eyes is weak, the actual double eyelid height is not high, but the line can appear larger. In such cases, rather than directly adjusting the line, correcting the ptosis through eye muscle correction can create a natural-looking double eyelid.

3. Insufficient upper eyelid fat Lastly, if there is insufficient fat above the eyes, the double eyelids can appear larger. When there is not enough eyelid fat, the skin above the line does not sufficiently cover the lower area, making the double eyelid look larger and sunken.

In such cases, the eyes may appear older or tired, so adding volume above the eyes with fat or filler can be effective.

Because good results can only be achieved when the appropriate amount is added in the correct location, we recommend that even in these cases, you receive diagnosis and surgery from medical staff with extensive experience in eyelid revision surgery.

Today, we looked together at the solution that reflects Inique’s own expertise, which can help create natural-looking double eyelids again.

As a specialized eye plastic surgery clinic, Inique’s Director Yang Hae-won has worked as a board-certified plastic surgeon for about 15 years, received a commendation from the Minister of Health and Welfare, and won the award for outstanding medical records at Samsung Medical Center’s Kangbuk Samsung Hospital. In addition, through the presentation of various plastic surgery papers, he has continued to conduct research and has developed a high level of expertise.

With the motto of creating natural results that do not look obvious, Inique Plastic Surgery promises to turn weaknesses into strengths.

So, this has been Inique Plastic Surgery, where you look as if you have been beautiful from the very beginning.

Thank you.