[Duhan Plastic Surgery Double Eyelid Revision Surgery] - [Beautiful Double Eyelids]

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Guide to double eyelid revision surgery

Double eyelid revision surgery refers to surgery that corrects the double eyelid line and restores a natural, refreshed double eyelid shape when the line is too large, uneven, or has loosened.

Indications for double eyelid revision surgery

A double eyelid line that is too large
When the eyes feel tired after double eyelid surgery
When the overall impression looks worse after double eyelid surgery
When the eyes look half-closed after double eyelid surgery
When the line is asymmetrical
When the line has loosened
When you want to restore beautiful, natural eyes

Purpose of general double eyelid surgery

The purpose of double eyelid surgery is not simply to create a double eyelid line.

The purpose of double eyelid surgery is to make the eyes look larger and clearer, and to create bright eyes and a refined eye shape.

Surgery performed only to create a double eyelid line can easily lead to unwanted results.

The purpose of double eyelid revision surgery is the same.

Its goal is to correct the eye shape so that it looks larger, clearer, and more natural.

Features of our clinic

1. We have accumulated many years of extensive experience and know-how in double eyelid revision surgery.
2. We have a systematic system for revision surgery.
3. Before surgery, we perform various examinations and tests through consultation to predict the post-surgical result.
4. We only perform surgery when the examinations and tests show that there is sufficient room for improvement. If we determine that we cannot produce the result the patient wants, we do not attempt surgery in principle.
5. Through examinations, we identify the problems with the previous surgery, provide thorough and clear explanations, and present the best surgical method for the best result.
6. We explain the surgical process and progress so that patients clearly understand them, and we also do not omit explanations of possible side effects after surgery.
7. We provide thorough post-operative care. We closely observe the healing process after surgery to check whether recovery is proceeding properly.
8. We do our best and continue our research so that those who want double eyelid revision surgery will consider us the final clinic they need to visit, with no need for further surgery.

Types of examinations and tests during double eyelid revision consultation

The most important test in determining whether revision surgery is possible is the amount of excess skin.

Because revision surgery requires at least some excision of the scar area before the procedure, the amount of excess skin is an important indicator for predicting the surgical prognosis.

If there is no excess skin, surgery may not be possible.

If surgery is forced despite insufficient excess skin, the result will not only be poor, but lagophthalmos, where the eyes cannot close properly, may worsen. For that reason, this is the most important test that must be done before revision surgery.

The second important test in determining whether revision surgery is possible is the levator palpebrae superioris (the eyelid-lifting muscle) function test.

In severe ptosis, how much levator function remains is the key issue.

The levator palpebrae superioris is the muscle that lifts the eyelid upward.

A certain degree of function in this muscle is necessary to predict the success of revision surgery.

In patients with ptosis, if levator function is significantly reduced, surgery may not be possible.

In principle, surgery should not be performed when levator function has fallen below a certain threshold.

Other examination methods

Measurement of eyelid skin thickness
Examination for the presence of eyelash eversion
Examination of scar tissue and the degree of scar adhesion along the existing double eyelid line
Selection of the method that can achieve excellent results and maximize satisfaction
Measurement of the height and degree of symmetry of the existing double eyelid line (scar line)
Measurement of the amount and presence of orbital fat, and the thickness and presence of the orbicularis oculi muscle
Measurement of the degree of ptosis by measuring the palpebral fissure height (the vertical size when the eyes are naturally looking straight ahead at eye level)
Measurement of the horizontal length of the eyes and the distance between the eyes (to determine the presence of an epicanthal fold)
Assessment of the presence of strabismus

Surgical plan based on the above examination results

1. Set the height of the new double eyelid line and determine the design shape

2. Set the width of skin (scar) excision

3. Set the width of levator shortening

4. Determine whether orbicularis oculi muscle excision is needed

Based on the above examination results, we predict the post-surgical outcome and estimate the likelihood of surgical success.

We recommend surgery only when we judge that it is possible.

If surgery is not possible, we explain why, or explain how far surgery can realistically be performed.

What if... you

Are you not included among the following candidates for double eyelid revision surgery?

First revision candidate

When the line is too large

Generally speaking, a double eyelid line that is only slightly visible looks natural and beautiful.

If the line is too thick, the eyes can look half-closed, and it can give the other person a strong and rough impression.

☆ Causes

• A line designed too high

• Scar adhesion

• Ptosis

• Lack of excess skin, etc.

☆ Correction

The existing high line must be smoothed out or removed through incision, and a new line should be designed at an appropriate height.

However, the appropriate height for the new line varies by person, and it is important to design the line by considering the amount of excess skin, the size of the eyes, and other factors to find the most natural height for that individual.

Second revision candidate

When the eyes look half-closed

If the eyes do not open naturally after double eyelid surgery and look half-closed, they should be corrected so the eyes can open naturally and clearly again.

A half-closed impression can easily leave a bad impression on anyone.

☆ Causes

• Congenital ptosis

• Pseudoptosis

• Scar adhesion, etc.

☆ Correction

In cases of ptosis, the most common surgical method is to correct it by shortening or resecting the levator palpebrae superioris.

Third revision candidate

When the line is uneven

A slight asymmetry is normal for everyone, but a noticeably large asymmetry should be corrected.

☆ Causes

• Incorrect design

• Loosening of the line

• Scar adhesion

• Ptosis on one side, etc.

☆ Correction

If the double eyelid lines on both sides are uneven, the surgery must be redone to match the desired side.

However, if revision surgery is performed on only one eye, symmetry will not be complete immediately after surgery. Even with a proper procedure, you need to be patient for at least 1 to 2 months to observe the correction of the asymmetry, so if only one side is being operated on, the decision must be made carefully.

Fourth revision candidate

When the incision scar is too severe

If, after incision double eyelid surgery, the scar is clearly visible when the eyes are closed, it should also be corrected by incision so that almost no scar remains.

☆ Causes

• Improper closure of the incision line

• Sutures were removed too early, widening the scar gap

• Sutures were removed too late, leaving the shape of the stitches behind

• Individual constitutional differences

☆ Correction

The existing scar should be excised, and the muscle and skin should each be sutured in firm layers, with very precise stitching so that they do not shift out of alignment.

It is also important to remove the sutures at an appropriate time so that there is no effect on the scar.

Fifth revision candidate

When the double eyelid has loosened

After surgery, the result may look good at first, but over time the line may become narrower or loosen again. In such cases, this often happens after buried-method surgery, as the line gradually loosens and lowers.

☆ Causes

• Buried-method surgery performed forcefully despite thick skin

• Incorrect double eyelid surgical technique

• A lot of fat

• Individually thick skin or orbicularis oculi muscle

• Constitutional factors that make line adhesion less likely, etc.

☆ Correction

Taking the patient’s eye condition into account, correction is performed through incision or partial incision so that the line does not loosen again and becomes a clear line.

Sixth revision candidate

When there is scar adhesion

After a previous double eyelid surgery, scar tissue above the incision line can adhere, and a second line may form above the line, creating a double-line appearance.

The appearance of another line above the incision line means the previous surgical method was incorrect, so it becomes a target for correction.

☆ Causes

• When orbital fat repositioning was not performed

• Atrophy of orbital fat

• Excessive fat removal, etc.

☆ Correction

In such cases, the adhered incision line must be released and turned into a single line.

In all double eyelid surgeries, the incision line should become the double eyelid line.

Seventh revision candidate

When there are three double eyelid folds

This refers to cases where, in addition to the existing incision line, another line appears.

It may occur below the incision line or above it.

☆ Causes

• Scar adhesion

• Sagging skin

• Sunken eyelid

• Loosening of the line, etc.

☆ Correction

This depends on the cause, but correction should be done by removing the other lines except for the incision line that serves as the standard.

Eighth revision candidate

When the outer line is thicker than the inner line

Ideally, a double eyelid line should naturally become wider from the inner corner of the eye toward the outer corner.

However, if the inner line is wider than the outer line, this is an abnormal shape and should be corrected.

☆ Causes

• Unnecessary epicanthoplasty

• Incorrect design line

• Excessive skin excision, etc.

☆ Correction

A new design should be made to smooth out the existing scar line, make the inner line as close as possible to an in-fold line, and correct the line so that it widens naturally from the inner side to the outer side.

Beautiful double eyelids

Beautiful double eyelids, first

The double eyelid line should be barely visible.

A natural and beautiful double eyelid is one that is barely visible or only slightly visible when the eyes are open and looking straight ahead naturally.

Many people mistakenly think that if the double eyelid line is large and clearly visible when the eyes are open, it means the surgery was successful.

In many cases, a large and distinct line when the eyes are open means the double eyelid was done incorrectly.

Beautiful eyes are better than merely pretty eyes.

That means eyes with atmosphere are more beautiful than eyes that simply look nice.

When you look in the mirror and the double eyelid line is slightly visible or almost invisible, you can consider it a very successful double eyelid surgery.

In such cases, when you lower your gaze slightly, the double eyelid line becomes visible, creating eyes with a more atmospheric look.

Beautiful double eyelids, second

The eyes should open wide.

There are cases where the double eyelid line is large but the eyes do not open well.

In such cases, the result should be considered unsatisfactory.

The eyes should open widely, brightly, and clearly to create attractive, beautiful eyes.

You can tell by looking in the mirror at your own eyes and checking whether almost the entire black iris is visible or only part of it is visible because it is covered by the eyelids.

The most natural eye shape is when the eyelids only slightly cover the black iris, and when looking straight ahead there should be no sleepy or tired impression.

Beautiful double eyelids, third

There should be no epicanthal fold.

Because of an epicanthal fold (medial canthal fold), there are also cases where after double eyelid surgery the line is only slightly visible on the outer side and disappears on the inner side.

In such cases, if necessary, epicanthoplasty should be performed so the line also appears on the inner side.

However, epicanthoplasty should only be performed when it is truly necessary.

If the distance between the eyes exceeds 40 mm, it is judged that an epicanthal fold is present, and if the patient wants it, epicanthoplasty (epicanthoplasty) can be performed.

However, if possible, it is better not to perform epicanthoplasty when the distance between the eyes does not exceed 40 mm.

If surgery is performed at 40 mm or less, the distance between the eyes may become too narrow, making the eyes look too close together, and in some cases the inner line of the eyes may become wider than the outer side, causing a side effect.

Beautiful double eyelids, fourth

If the eyebrows lift slightly upward, the eyes become much more attractive.

After double eyelid surgery, if the eyelashes lift slightly upward, the eyes look more beautiful.

Sometimes after double eyelid surgery the eyebrows remain sagging as they were, but compared to that, if the eyebrows also lift slightly, the eyes look more beautiful. So when performing double eyelid surgery, it is better to also slightly adjust the direction of the eyebrows.

Success factors for double eyelid revision surgery

1. For revision surgery, above all, you yourself must understand the cause of the failed double eyelid surgery.

It is not easy to undergo revision surgery without recognizing the cause yourself.

2. Only when you understand the cause and the doctor in charge also identifies the cause can the patient and doctor proceed with surgery with trust.

3. To understand the cause of the failed double eyelid surgery, it is essential to consult in detail with a plastic surgery specialist who has as much experience as possible.

You must be operated on by a plastic surgery specialist.

Even revision surgery should not produce an unwanted result.

You should check whether the surgeon holds a board certification in plastic surgery, and if not, determine whether they are a specialist in another field or simply a general physician with only a medical license before proceeding with surgery.

There are many hospitals where the signboard says plastic surgery, but in reality the clinic is run by non-specialists.

It is important to distinguish this carefully and avoid surgery by non-specialists.

There must also be extensive surgical experience in double eyelid revision surgery.

Even among plastic surgery specialists, their specialties differ slightly.

Therefore, if you are considering double eyelid revision surgery, it is better to entrust it to a specialist who focuses on double eyelid revision surgery for a better result.

Double eyelid revision surgery is one of the more difficult and highly advanced procedures among cosmetic surgeries.

To restore a more beautiful and natural eye shape, it is better to be operated on by a specialist who has solid know-how and accumulated experience in double eyelid revision surgery.

Double eyelid revision surgery should not be taken lightly.

If revision surgery is taken lightly, the chance of failure again is very high.

Revision surgery is one of the most difficult cosmetic procedures, far more demanding than the first surgery.

Therefore, it is better to think more carefully and decide on surgery with greater caution.

Surgery based only on vague expectations can once again lead to poor results.

You must understand the exact cause of the failed double eyelid surgery.

To succeed in revision surgery, the first step is for you to understand why the eyes became unattractive after the first surgery.

To avoid repeating surgical failure, through consultation both you and the plastic surgeon must accurately understand why the first surgery went wrong, so that the correct revision surgery can be performed based on that understanding.

Only when you can clearly understand, through consultation, why the first surgery was wrong and how the double eyelid revision surgery will be performed can you proceed with surgery with trust and achieve good results.

The surgery time should not be too short.

Double eyelid surgery usually takes about 30 minutes to 1 hour.

However, complete incision double eyelid revision surgery cannot be finished in a short time.

If the revision surgery was completed in less than 1 hour, it is highly likely that something was lacking.

Unlike the first double eyelid surgery, revision surgery proceeds from releasing the previously created double eyelid, to dissecting scar tissue, to repositioning tissue, and then to precise layered suturing.

Therefore, the surgery inevitably takes longer, and good results come only when every step is carried out according to principle and procedure.

If double eyelid revision surgery ends too quickly, it is like a runner not following the proper course and cutting straight across to the finish line.

The same applies to revision surgery.

Only when every step is completed without omission can better results be achieved.

It is good if the eyes open widely immediately after surgery.

A double eyelid line that is large and makes the eyes look half-closed is called pseudoptosis.

Most revision surgery patients fall into this category.

The goal of double eyelid revision surgery is to make the double eyelid line as thin as possible and to allow the half-closed eyes to open clearly.

If the surgery goes smoothly, in most cases the eyes should open clearly as soon as the surgery is finished; that indicates a successful operation.

If, even after revision surgery, the appearance immediately after surgery is not much different from before surgery, the operation is likely to have failed.

If the appearance immediately after revision surgery is not awkward, then after the swelling goes down, the look is usually natural.

There should be slight lagophthalmos for a certain period after surgery.

If the eyes close properly right after surgery, that is considered an incorrect operation.

Most double eyelid revision surgeries are performed in cases where there is not enough excess skin.

If surgery is performed in such a condition and the eyes need to close properly, the skin has to stretch somewhere, and in most cases it stretches below the incision line.

When that happens, the double eyelid line becomes larger again.

Therefore, revision surgery should be performed so that the eyes do not close well temporarily after surgery; that is considered a successful operation.

However, during the adaptation period, the skin above the incision line gradually stretches, and after some time the eyes close naturally.

The degree of ptosis correction and the amount of excess skin cause some variation in how long the lagophthalmos lasts after surgery.

If there was not enough excess skin, recovery from lagophthalmos is slower; conversely, if there is excess skin, recovery is faster.

The stitches should be removed a little later.

The stitches should be removed later.

Usually, stitches are removed in two stages, on day 4 and day 7, depending on the amount of excess skin.

Unlike the first double eyelid surgery, where all stitches are removed around 3 to 4 days after surgery, in double eyelid revision surgery the final stitch is removed around day 7.

If the stitches are removed too early after double eyelid revision surgery, the scar may widen and the tissues above the incision line may be pulled upward again, resulting in a surgery that is almost no different from not having surgery at all.

Because revision suturing is done in a state where tissue is insufficient, the stitches must hold the tissues in place until they settle into their new position.

If the stitches are removed before the tissues have settled, the tissues that have not yet settled may be pulled upward again, leading to a failed surgery.

http://www.doublefold.co.kr

Our clinic has many cases of double eyelid revision surgery.

Even in extremely difficult revision cases, we perform detailed and stable surgery without allowing even the slightest margin of error.

We always approach surgery with the same mindset, striving not to lose our original purpose while continuing to study and conduct research.

http://www.duhans.com