



Among people who have already had eye or nose surgery once,
there are cases where satisfaction decreases over time,
or they end up considering surgery again.
In this post,
we would like to introduce a male case in which
a line that had loosened after double eyelid surgery and
contracture symptoms after nose surgery appeared together,
leading to simultaneous revision surgery on both the eyes and nose.
Why loosened double eyelids and scars still left concerns even after incision revision surgery

In this male eye and nose revision case,
the biggest eye-related concerns were that the double eyelid line had repeatedly loosened
and that incision scars remained from the previous surgery.
The model
✔ had previously undergone revision double eyelid surgery using the incision method,
✔ but over time the line loosened again,
✔ and the scars made the eyes look less neat.
The more revision surgeries an eye has gone through,
the more precisely the adhesion state of the tissue, scar distribution, and eye-opening strength must be analyzed.
Objective numerical diagnosis with EGNIMA eye analysis AI

At Apgujeong BABA Plastic Surgery,
before eye revision surgery, EGNIMA eye analysis AI is used
to precisely measure the eye structure numerically.
✔ Average distance between men’s eyes: about 36 mm
✔ Measurement result for this model: about 34.5 mm
Numerically, this was an eye type with a wider-than-average distance between the eyes.
Why a “wing epicanthoplasty” was chosen instead of an inner corner epicanthoplasty

The model
✔ already had enough of the lacrimal caruncle exposed,
✔ so an overly aggressive inner corner epicanthoplasty could have made the impression too strong.
However,
because skin was covering the inner corners of the eyes
and made the eyes look cramped,
we planned to combine it with a “wing epicanthoplasty” rather than an inner corner epicanthoplasty.
This was intended to
create a naturally wider eye appearance
without an artificial change,
and to focus on giving the male eyes a clearer, more refreshed look.
Contracted nose revision surgery: redesigning the bridge to match the nose tip height
For the nose, the biggest concern was contracture symptoms.
✔ The nose tip was excessively high compared to the bridge
✔ This created a pinched-looking nose tip
✔ The bridge also looked relatively thick and bulky

Side view before and after
At Apgujeong BABA Plastic Surgery,
before the actual surgery, we used virtual plastic surgery (Photoshop simulation)
to preview the post-surgery appearance
and redesigned the balance between the bridge and the nose tip.

Front view before and after
The key points of this contracted nose revision surgery were
✔ adjusting the bridge line to match the nose tip height
✔ improving the pinched nose tip
✔ correcting the bridge that looked thick and the bulbous tip
at the same time.
Considering overall facial harmony with eye and nose BTI type tests


Since both the eyes and nose were revision surgeries,
we considered not only improving each area separately
but also the overall harmony of the face.
To do this,
✔ eye BTI type test
✔ nose BTI type test
were performed together
to comprehensively design the eye shape and nose line
that suited the model’s face shape and image.
Reason for choosing autologous rib cartilage as the material for contracted nose revision surgery
For this male nose revision surgery,
it was decided to use autologous rib cartilage (the patient’s own rib cartilage) as the nose material.

Autologous rib cartilage is
✔ often chosen when there is tissue damage from repeated surgeries,
✔ to reduce the risk of contracture,
✔ and in revision surgeries that require structural stability.
Rather than a surgery that only tries to increase height too aggressively,
we focused on creating a stable nasal structure that would hold up over the long term.
Male eye and nose revision surgery: results change with the details


This case involved multiple concerns,
including
✔ revision surgery for loosened double eyelids
✔ correction of incision eyes with remaining scars
✔ contracted nose revision surgery
✔ correction of a bulbous nose and pinched tip

At Apgujeong BABA Plastic Surgery,
we use EGNIMA eye analysis AI, virtual plastic surgery simulation, and BTI type tests
to suggest a more precise and safer direction even for revision surgeries.
Revision surgery is not simply a matter of doing the operation again;
the most important thing is accurately identifying the cause of the previous surgery’s failure.


