A Video Letter to Those Worried About Double Eyelid Revision Surgery

To. Those who want double eyelid revision surgery

Double eyelid revision surgery requires careful thought

After double eyelid surgery, in some cases, such as men, if the line ends up too high against their wishes and makes social life difficult, then it definitely needs to be done. There are several ways to address this, such as creating a second crease or lowering it.

There are also cases where people face social stress. If you are teased with comments like, “What are you, a sausage?” then of course, surgery is the right thing to do.

But there are also cases like this.

“Doctor, I had double eyelid surgery 10 years ago,

and the line has gotten so thin now that I think it will sag more soon. I want to have it cut in advance before I get older, as a preventive measure, so please do it for me.”

These are the kinds of consultations some people bring.

In such cases, I say, “Please don’t do it.”

The reason is that aging progresses much more slowly than it did in the past. A person in their 40s today is completely different from someone in their 40s in the past.

For those who are thinking about revision surgery and want to proactively cut away sagging parts of the double eyelid as a preventive measure, I would like to say that is not the right approach.

Another case is when it is an incisional double eyelid surgery.

If the original surgery was done with a buried suture method, revision surgery can be done in many ways, but surgery that involves cutting with a scalpel is a little different.

The more times a scalpel is used, the stronger the body’s scar reaction becomes.

Of course, if revision surgery is needed because the doctor performed the double eyelid surgery poorly, it is not a major problem if the new incision is not made separately and instead is overlapped on the already scarred area. But if the scalpel is used not just once, but in multiple places, almost in three layers, or more than 4 to 5 times, then a lot of incision marks will remain.

And one more thing!

Don’t have surgery that you don’t need.

Of course, revision surgery is not a bad thing.

Naturally, if the eyelids sag with age or if you are under stress, it can be done. But sometimes, when I look at patients’ eyes during double eyelid revision surgery, there are a few cases that make me feel sorry.

The first surgery was done, but the inner lining was pulled up and the skin below this double eyelid is stuck to the base,

so the eyes clearly look like, “I had double eyelid surgery.”

The reason such results appear is that after the incision, the tissue underneath was all removed in order to prevent the fold from coming undone. As that area heals, it sticks to the base and a sunken scar forms.

Buried-suture methods would not cause this, but with incisional surgery, depending on each doctor’s principles, this can definitely happen.

For those who say, “I absolutely do not want it to come undone,” some doctors cut away all the tissue in order to create a “static fold,” meaning a double eyelid that will never come undone.

In such cases, sunken scars, recessed scars, and scars that create a large difference between the upper and lower parts of the double eyelid will never come undone.

But instead, when the eyes are closed, the scarring becomes very severe.

Regarding cases like this, the director of Obje Plastic Surgery said the following:

“Personally, honestly, even if it comes undone a bit, I hope surgery is not done that way. If the incision is done as a dynamic fold and less tissue is removed, there will not be as much scarring above and below..”

Accordingly, for those thinking about revision surgery, I recommend telling the surgeon this:

“Please don’t remove too much tissue to create adhesions, because after everything heals, the scar on the lower side becomes a sunken scar. I hope you won’t do that.”

If you say that, the doctor will understand and will likely proceed with surgery in a dynamic fold style rather than a static fold.

If you do not say this in advance, from the doctor’s perspective, not coming undone may be the standard principle,

so for people who have the principle that “I will never tolerate my double eyelid coming undone,” the doctor may remove everything.

Incision marks along the double eyelid line, such as incision scars or incision wounds, are not a major issue, but if there are deep sunken scars above and below the double eyelid, they should be avoided as much as possible.

The reason is that once a scar forms, it cannot be repaired.

For those considering double eyelid revision surgery,

especially those who already have some scarring, it is unfortunate, but there is nothing that can be done.

A scar that has formed once does not recover well no matter what you do.

However, if you currently have a buried-suture method and want to change to an incisional method, I recommend asking the doctor not to cut away too much when doing the incision.

Even if the skin has sagged, cutting away too much can cause the inner lining to lift. Please ask during consultation that the amount removed be minimized.

I hope you do not think, “Let’s cut away a lot in advance because we’re thinking too far ahead.”

Above all, I want to emphasize that surgery should be performed in a way that suits the current situation, and I hope you keep this in mind during consultation for double eyelid revision surgery.