

When consulting about the eyes, there are many patients who want revision eye surgery for a variety of reasons and causes.
People who want revision eye surgery are increasing for various reasons, such as when multiple double eyelid folds have formed, when the double eyelid has loosened or the fold has become lower, or when the so-called “sausage eyes,” which look swollen even more than six months after surgery, appear.
Dr. Choi Seung-hyeop of Wink Plastic Surgery said, “It is important to accurately identify the cause of the first surgery’s failure through sufficient consultation with the patient.”
Cases where the double eyelid line is high
If the eye line is too high, surgery can be performed by re-establishing the line while minimizing the existing surgical scar.
Cases where the double eyelid is weak or has loosened
A common cause of revision eye surgery among revision double eyelid procedures is a loosened double eyelid. In this case, not only does the double eyelid loosen, but multiple folds may form, creating a tired and sleepy impression. For a loosened double eyelid, surgery is performed to restore the line, and if necessary, fat removal and eye-opening correction can be performed at the same time.
Cases where both eyes are asymmetrical
If both sides are asymmetrical, and the asymmetry is congenital, it is likely to remain that way even after surgery. The height of one line can be adjusted to match the other. If the asymmetry is caused by insufficient strength in the muscles that open the eyes, it can be corrected with eye-opening correction surgery to match the lines on both sides.
Cases where the double eyelid line is thick
If the double eyelid line has become large and thick, creating a “sausage” double eyelid, unnecessary tissue in the sausage area is removed. If the thickness is caused by excessive removal of soft tissue, the line is corrected by performing an incision method that reinforces the soft tissue. If the line is too thin or the double eyelid size is too small, the line is recreated at the desired position. If sagging skin covers the double eyelid, making it appear small, the stretched skin is removed to correct it into the desired double eyelid shape.
In addition, because the reasons for revision eye surgery vary from person to person, it is better to plan revision surgery after going through the diagnostic process through sufficient consultation with a medical team with extensive experience in eye surgery.
The timing of revision eye surgery is also an important point to check.
In general, revision eye surgery is decided after observing the progress of swelling and the line through consultation with a specialist at least 6 months to 1 year after the first surgery, when the scar has healed and the hard scar tissue has softened and stabilized.
Dr. Choi Seung-hyeop of Wink Plastic Surgery near Sinnonhyeon Station said, “All revision eye surgery patients want this eye surgery to be their last. What should be done first to make it the last surgery? The first thing to do is improve the scar. When surgery is performed, scars form, and it is difficult to completely remove scars that have already formed. However, if future scars are not left behind and the previous surgical scars are made as inconspicuous as possible, the likelihood that this will be the last revision eye surgery can be increased,” he advised.
Reporter Kim Yoo-jin enter@jemin.com
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