[E-Donga] The Satisfaction of Eye Revision Surgery, Functional

Eye plastic surgery is one of the most widely practiced cosmetic surgeries, and because demand is high, the rate of revision surgery is also relatively high.

For a successful eye revision surgery, it is necessary to go beyond simply changing the appearance and first perform functional restoration that takes anatomical structure into account.

In particular, when performing revision surgery, the balance between the strength of the muscle that opens the eyes and the line must be considered the top priority. If only the line is corrected while ignoring muscle strength, symptoms such as heavy-looking or sleepy-looking eyes may remain even after surgery. Therefore, it is essential to solve ptosis symptoms through functional eyelid correction while also designing the optimal line to suit the individual’s face shape.

Recently, there has been an increase in inquiries about lowering the line to improve cases where an excessively high line has resulted in what is commonly called “sausage eyes.”

At this point, the most important diagnostic criterion is the amount of excess eyelid skin, and the surgical method is clearly distinguished according to that.

First, if little to no excess skin remains due to a previous surgery, a “double-line” technique is applied. This method is a highly advanced technique that precisely releases the adhesion of the existing line and creates a new line below it. In particular, the key is to perform fat redistribution in the space where the adhesion has been released to prevent the formation of multiple folds, and to achieve natural changes while minimizing tissue damage by combining appropriate eyelid correction.

On the other hand, if there is sufficient excess skin, the method used lowers the line while including scar tissue left as a failure trace from the previous surgery.

After releasing adhesions and removing the scar from the previous surgery, the key to the operation is to pull the tissue and firmly secure it with double fixation to prevent the line from loosening again or being pushed upward. This technique also needs to be accompanied by eyelid correction to address ptosis symptoms, which can complete a smoother and more defined eyelid line.

Dr. Song Cheon-ho of AB Plastic Surgery said, "The success or failure of line-lowering surgery depends on the precise dissection ability between the existing scar and the new line. Only when the surgeon’s skilled operating ability, which accurately distinguishes tissue layers and handles them delicately, is supported can side effects such as prominent scarring or an unbalanced line be prevented," adding, "Ultimately, successful eye revision surgery depends on how precisely the previous signs of failure are erased and restored to the original eye shape. It is essential to prevent repeated failures by having sufficient consultation with a specialist with extensive clinical experience and establishing the eye revision method and surgical plan that are right for you."

Eye revision surgery is considered a highly difficult field that must take into account not only simple aesthetic improvement but also functional recovery.

In particular, a customized approach that precisely analyzes each individual’s eye structure and history of previous surgeries acts as a key factor that determines the completeness of the outcome.