Q. If I had my first surgery with an incisional method, should revision surgery also be done with an incisional method?

Double eyelid surgery creates a double eyelid by inducing adhesion around the double-eyelid line in the upper eyelid.

In the case of the incisional method, an incision is made along the line where the double eyelid will form, and the skin along the incision line is fixed to the inner tissue

so that adhesion is induced at the desired position to create the double eyelid.

During this process, if there is a lot of fat, fat may be removed, and if there is a lot of sagging skin, the skin may be removed.

If eyelid correction is needed, eyelid correction may also be performed.

In the non-incisional method, a small needle hole is made at the desired double-eyelid line, and a thread is passed through the tarsal plate from the outside and the inside through that area

to form the double eyelid. The non-incisional method is also called natural adhesion or burial, but

the actual degree of adhesion is weaker than with the incisional method.

If the first surgery was done with an incisional method, what method is best for revision surgery?

It can vary depending on the reason for the revision surgery.

If the reason for the revision surgery is that the existing double-eyelid line has loosened, or if it is to make the double eyelid larger,

both the incisional and non-incisional methods are possible. In such cases, the incisional method, which can usually create stronger adhesion, is more appropriate, but

the advantages of the non-incisional method (creating a natural line without scars and faster recovery) are more important,

and if the existing adhesion is weak, the non-incisional method may also be possible.

If the reason for the revision surgery is to lower the double-eyelid line, the non-incisional method is not possible,

and the surgery must be performed using the incisional method because the existing adhesion needs to be released or the existing adhesed area needs to be removed together.

To summarize, if the first surgery was performed with an incisional method, it is generally appropriate to perform revision surgery with an incisional method as well,

but if the adhesion is weak and the double eyelid needs to be formed again or raised, the non-incisional method may also be possible depending on the situation.