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Correcting a ruined line: extreme reoperation

Extreme Reoperation

This refers to surgery that restores an eye shape that is in very poor condition,

where it is difficult or nearly impossible to restore a normal eye appearance,

to a state close to normal.

If the patient has undergone multiple revisions, or if there is severe adhesion along the incision scar line, or if foreign materials such as fillers have been injected into the eyelids, or if bulky fat has been grafted, causing severe contour irregularities and adhesion, and if ptosis is severe, the goal of extreme reoperation is to restore the eye shape to something close to normal.

Examples of extremely damaged double eyelids

Differences between extreme reoperation and general revision surgery

General revision surgery may simplify or omit certain steps depending on the condition,

but in extreme reoperation, when there is not enough skin reserve, or when the existing scar line is too high and too pronounced, making revision almost impossible,

the scar is not excised; instead, subcutaneous dissection is performed to create a new line underneath it.

To release scar adhesion, multiple layers of tissue are dissected and repositioned,

microfat tissue is inserted,

levator shortening is performed,

and dissection and excision of the orbicularis oculi muscle beneath the crease are carried out.

By mobilizing every available technique for restoring a natural double eyelid,

it refers to a concentrated application of all revision surgery techniques.

Planning for extreme reoperation

① If there is insufficient tissue or skin, it is stretched to the extent possible.

② If the levator muscle has almost no function, the limit of how much it can be lifted is calculated.

③ If the skin is very thick, a plan is made to thin the tissue by excising the orbicularis oculi muscle.

④ If scar adhesion is so severe that it cannot be flattened, microfat grafting is planned after scar release.

⑤ If the sausage-like appearance is severe, the plan is to remove it through incision-line dissection and partial excision of the orbicularis oculi muscle.

⑥ If the scar line is very high, a plan is made to flatten it instead of excising it.

⑦ If the scar line is very dark and sunken and cannot be excised, a plan is made to fill the depressed area.

⑧ If eyelash eversion is severe, a plan is made to correct ectropion by sub-lash-root dissection.

Before-and-after appearance of extreme reoperation

Revision surgery is truly difficult, and even very challenging cases can achieve good results if surgery is performed according to principles with sufficient planning.

However, surgery is not possible in every case.

If there is too little skin reserve, or if scar adhesion is very severe,

there are limits to surgery, and sometimes surgery cannot be performed at all.

If preoperative examination determines that revision surgery will be difficult,

we make it a principle not to establish a surgical plan at all.

Choices when surgery is very difficult during consultation

After visiting for a consultation and examination, there are times when, from the surgeon’s perspective, it is not certain that a very difficult eye shape can produce a satisfactory result.

In such cases, one cannot simply answer with confidence, but if one says it is difficult, trust in the hospital may decrease, and there is also a risk of being mistaken for an unskilled doctor.

From the surgeon’s perspective, if one tries to provide conscientious and principled care by accurately judging the patient’s condition and explaining what is difficult and that the outcome may be poor, some people understand, but more often people react negatively.

They come to think this doctor lacks skill and is below standard.

In the end, the surgeon is driven into a situation where, in order to avoid being called an unskilled doctor even for a very difficult operation, they have to give exaggerated consultations such as saying it will definitely turn out well; and if the patient is misled by such exaggerated consultation and proceeds with surgery, the situation can become even more hopeless.

From the patient’s perspective, it is very important to distinguish between consultation content that contains no exaggeration and a surgeon who stands by their principles.

There are various possible prognoses for revision surgery.

Some people think that if they meet an excellent doctor for revision surgery, they will automatically get a good result, but this is a very dangerous assumption.

Even with the most skilled doctor, there are cases where surgery improves the condition, cases where surgery will absolutely not improve it, and cases where the result may be insufficient.

Before surgery, you should keep these three cases in mind during consultation and make a realistic judgment by confirming whether surgery is possible, how much improvement can be expected if it is possible, or whether it is impossible.

Cases where revision surgery is difficult or impossible

There are many cases where revision surgery is impossible or difficult.

These include cases with insufficient skin reserve, cases where the scar line is too pronounced to release the adhesion, cases with skin and muscle that are excessively thick, cases where repeated revision surgery has made the tissue firm and thick, cases with severe sausage-like appearance but a high likelihood of recurrence because the tissue will be pushed down again even after surgery, and cases with severe ptosis.

Just as some patients can be saved and others cannot no matter how skilled and capable the doctor is, the same applies to double eyelid revision surgery.

When surgery is very delicate and difficult, patients must understand the limits themselves, but many people do not want to accept those limits.

If you go ahead with surgery only with the vague hope that somewhere there must be a hospital that can do it perfectly, you are setting yourself up to fall into a deep pit.

You must decide on surgery after properly assessing the limits and prognosis in your current condition.

Douhan Plastic Surgery

Pride in double eyelid revision clinic

Medical staff with extensive experience and stability

Director Shin Douhan, who has focused on more than one double eyelid revision case per day and thousands of cases,

works as a team with experienced nurses.

1:1 customized surgical plan

Based on each person’s double eyelid condition, we consider gender, overall facial harmony, and the patient’s wishes.

The proportion of correction from an out-line to an in-line, and performing epicanthoplasty or canthoplasty at the same time as double eyelid surgery, is steadily increasing.

If combined with double eyelid revision surgery in eyes that are suitable for epicanthoplasty or canthoplasty, the effect is doubled.

The height of the double eyelid line and the shape of the line (in-line, in-out line, out-line, etc.) are adjusted to reflect the patient’s preference,

and the current trend in double eyelid lines is 'naturalness.'

Double eyelid revision surgery with no side effects

People who undergo double eyelid surgery worry whether the line will loosen or whether scars will remain.

Side effects are reduced by Director Shin Douhan’s analysis and the ability to precisely perform the line exactly as analyzed.

In addition, delicate incision and suturing reduce the concern of asymmetry.

Results that are hard to imitate

There are many hospitals that perform double eyelid revision surgery, but even if the surgery name and method are the same, the resulting outcomes are not necessarily the same.

Through 20 years of extensive experience, we provide the optimal beautiful line for each patient.

Double eyelid surgery is often thought of as a simple operation, but revision surgery is quite complicated.

Double eyelid revision surgery involves a detailed process of newly designing the line and completely separating and dissecting the previously adherent double eyelid tissue.

Through this careful dissection process, there are no side effects such as the line becoming uneven later, adhesion, or curling upward.

With the skill to neatly organize not only the skin layer but also all tissue in the fat and muscle layers,

we can produce surgical results that are hard to imitate even in extreme reoperations.

Double eyelid revision surgery and eye shape correction at the same time

At our clinic, eye shape correction is included in double eyelid surgery, so we correct sleepy eyes and dull eyes where the pupil is hidden.

By tying and shortening the levator muscle that opens the eyes, we control how much of the pupil is visible and make the eyes look sharper.

Research, lectures, and educational activities on double eyelid revision surgery

The most trustworthy answers come from extensive clinical experience.

Double eyelid revision surgery is like a premium product perfected through years of experience.

Based on this accumulated experience, we also carry out research and educational activities.

Increase in consultations for double eyelid revision surgery

As new hospitals continue to spring up and perform double eyelid surgery indiscriminately,

the number of revision requests is also increasing, which is truly unfortunate.

If surgery fails after being performed multiple times, the skin reserve decreases, making subsequent revision surgery even more difficult and extreme.

Double eyelid surgery is important not only in terms of the first choice,

but when considering revision surgery, it should be approached carefully with the mindset that it is the last chance.

Craftsmanship for a beautiful, highly finished face

Among plastic surgeries, a doctor who performs double eyelid surgery must have the sense of both a doctor and a designer.

If one insists only on a certain standardized double eyelid line without understanding what makes a beautiful line,

a perfect line that suits each patient cannot be achieved.

If one lacks the eye to see it, or even if one has the eye but lacks the skill to reproduce it, a masterpiece will not be created.

We do our best down to the last stitch to provide each patient with beauty and satisfaction.

Honest surgery with sincerity

We recommend surgery if it is likely to achieve more than an 80% satisfaction rate, but we do not proceed with unnecessary surgery even if requested.

We aim to be a hospital that practices honest care based on skill and results.

A trustworthy premium hospital

There is a reason why a craftsman’s work is expensive.

It is because they create works that are that beautiful and valuable.

Douhan Plastic Surgery’s double eyelid revision clinic has pride and confidence in its surgery.

Proper surgery will become a turning point that gives you confidence throughout your life.

Rather than hospitals that recommend surgery at low prices and have multiple directors take turns performing the operation,

we aim to be a hospital that delivers expensive but satisfying results.

A highly finished surgery comes from the surgeon’s experience and fingertips, not from good surgical instruments.

Through systematic long-term clinical experience, we perform even highly difficult extreme reoperations with delicate and stable surgery that allows no margin for error.

We always approach surgery with the same heart and strive not to lose our初心!

http://www.doubblefold.co.kr

Surgical results are not a matter of luck.

Consistent and safe results are proportional to the surgeon’s skill and ability.

As revision surgery is repeated more times, the limitations and the possibility of surgery decrease.

Revision surgery must be decided carefully.

Even a board-certified plastic surgeon cannot perform revision surgery just any time, and the results vary greatly depending on the surgeon.

If you think revision surgery is absolutely easy or believe it can be finished quickly and simply, you are likely to be disappointed.

Our clinic has over 20 years of extensive clinical experience and know-how.

Revision surgery is by no means an easy operation.

Whether it is the buried suture method or the incisional method, since the eye tissue has already been deformed and damaged, the surgery must proceed based on sufficient experience and with prediction of the outcome.

Revision surgery is not something just anyone can do.

Although many hospitals perform revision surgery, the results are generally not very good.

Revision surgery is only possible after a great deal of experience and know-how have accumulated.

Because people choose based on low cost or advertisements to undergo revision surgery, the outcomes can be like a gamble, and in severe cases, some people undergo 7 or 8 double eyelid revision surgeries.

Our clinic prioritizes surgical effect and safety above all else.

In addition, extreme reoperation is performed using techniques that minimize side effects, and we confidently state that we have produced safe and consistent results.

Severe side effects such as thick lines, ptosis, ectropion, and asymmetry are side effects caused by doctors with insufficient experience.

For each patient, appropriate surgery must be performed while considering factors such as skin tension and musculoskeletal structure.

Whatever the surgery, creating high safety and error-free results is something made possible by the doctor’s ability.

There are also patients for whom revision surgery is unavoidably impossible due to insufficient skin reserve and various other issues.

After consultation, the exact possibility of surgery is determined. At our clinic, we only perform surgeries whose safety and effectiveness have been proven, and for any surgery, we proceed only when the postoperative effect and satisfaction are expected to be at least 80 points for that patient.

People who have failed double eyelid surgery several times worry about the results, but the outcome depends on the surgeon’s ability.

http://www.doublefold.co.kr