[DuHan Plastic Surgery Double Eyelid Surgery] - [Frequently Asked Questions and Answers About Eye Plastic Surgery]

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Frequently Asked Questions and Answers About Revision Double Eyelid Surgery

Can I have my first double eyelid surgery done by a specialist in revision double eyelid surgery?

You should succeed with the first double eyelid surgery so that you do not end up having the unfortunate need for revision surgery.

The highest level of double eyelid surgery is revision double eyelid surgery, so the first surgery should be done properly to avoid needing revision.

Is revision double eyelid surgery something anyone can do?

Revision double eyelid surgery requires the highest level of skill and experience among cosmetic surgeries.

If you hastily undergo surgery at a clinic without experience or skill, there may be no improvement at all, and it can even damage your appearance.

Therefore, revision double eyelid surgery should be decided carefully, and you should be sure to have it done by an experienced specialist.

Can revision double eyelid surgery and epicanthoplasty be done together?

If a clinic recommends doing revision double eyelid surgery and epicanthoplasty at the same time, there is a high possibility that the clinic lacks some experience with double eyelid surgery, so you should pay close attention to this.

Epicanthoplasty (removal of the Mongolian fold) has the effect of making the inner line appear broader.

In principle, it should not be done together with revision surgery intended to reduce the line.

If you perform epicanthoplasty, which broadens the line, together with revision surgery intended to narrow the line, the inner eye line may become distorted or widened, and you may not get the desired result.

This is like two rowers on one boat, one rowing east and the other west.

Epicanthoplasty is a procedure that should be performed only when there is a clear indication. If it is truly necessary, the decision about whether to do it should be made several months after revision double eyelid surgery, once the eyelids have fully settled.

You should never carelessly make the mistake of doing revision double eyelid surgery and epicanthoplasty at the same time and create a poor result.

If the eyelid has sunken in, can fat grafting be done together with revision double eyelid surgery?

If the eyelid is sunken and the double eyelid line also looks unnatural, making revision double eyelid surgery necessary, fat grafting should be done first, and then revision double eyelid surgery can be performed 3 to 6 months later.

Revision double eyelid surgery should be performed only after the eye area has been restored to a flatter appearance through fat grafting.

When performing revision double eyelid surgery, the tissue must be dissected, and fat grafting cannot be done into the dissected tissue. If both procedures are done at the same time, it is like sprinkling fat into the empty space created by dissection, so the fat will not settle properly and only the double eyelid line will be ruined.

Therefore, doing both procedures at the same time is not reasonable, and if a clinic suggests doing so, you should keep in mind that it may be a clinic with somewhat limited experience.

I dislike my existing double eyelid line and want to completely undo it. Is that possible?

There are so-called procedures to “undo” a double eyelid, but such surgery should not be done.

Once more than a week has passed after surgery, whether it was done with the buried suture method or the incision method, there is in principle no such thing as surgery that “undoes” the operated eye shape.

That is because the incision line remains exposed whether the eyes are open or closed, which is truly unattractive, and the eyelid can often develop unevenness or look saggy.

Instead, the double eyelid should be made into a faint inner double eyelid so that the line is barely visible when the eyes are open.

Sometimes people have surgery to undo the line and end up with an even more unnatural eye shape, and then want to recreate the line. However, once surgery has been done to undo it, it is almost impossible to reoperate and create a line again, so you should keep this in mind.

I had surgery at another clinic. When can revision double eyelid surgery be done?

Usually, revision surgery is possible about 6 months after the last surgery.

The reason is that the scar tissue must heal and settle completely for the result of revision surgery to be good.

If reddish erythema or uneven hypertrophic scars remain in the scar tissue, surgery is difficult.

The time it takes for a scar to settle varies from person to person. Usually, after 6 months it settles to some extent, but depending on the individual, some people take longer, so revision surgery is possible only when all redness in the scar area has disappeared.

I am afraid of revision double eyelid surgery.

Having the same double eyelid surgery redone after a failure is several times more frightening than having it done for the first time.

That is because of the worry about what will happen if it fails again.

However, if you undergo surgery with a specialist in revision after 충분한 상담, you can achieve the desired result.

I had revision double eyelid surgery somewhere else, but it did not improve at all.

Is revision surgery still possible?

Depending on the condition, there are cases where it is truly impossible.

But if there is enough room for improvement through preoperative consultation, it can be restored to the original natural-looking eyes.

What if revision surgery fails again?

As a principle, if examination and tests before surgery show that there is no possibility, we do not attempt surgery at all.

However, if it is sufficiently possible, the surgery can succeed and the eyes can be restored to a beautiful appearance.

When can I return to daily life after revision double eyelid surgery?

After surgery, no bandages or tape are applied.

Therefore, daily life is possible immediately.

There may be some swelling and bruising, but in general there is less swelling and bruising than with the first surgery.

Even about a week after surgery, the eye shape does not look very unnatural.

Also, not applying bandages helps swelling go down more quickly and allows the line to settle somewhat sooner.

How many times do I need to visit the clinic after revision double eyelid surgery?

After surgery, you will usually visit about three times: the day after surgery, and on the days for stitch removal, day 4, and day 7.

However, if the distance between the clinic and your home is too far, it is acceptable to visit only on the day the stitches are removed.

The final stitches are usually removed around day 7.

How much swelling and bruising occurs after revision double eyelid surgery compared with the first surgery?

Compared with the case of revision double eyelid surgery and the case of first-time double eyelid surgery using the incision method, revision surgery generally has less swelling.

Revision surgery does not necessarily cause more swelling or bruising.

In fact, swelling and bruising are often milder than in first-time surgery, so you do not need to worry too much about them.

What happens to the scar after revision double eyelid surgery?

One of the goals of revision double eyelid surgery is to improve the original messy and dark scar as much as possible.

For about 3 to 6 months after surgery, there is erythema, so the scar line may be slightly noticeable.

This is a normal process experienced by anyone who has had double eyelid surgery by incision.

Usually, only after at least 3 to 6 months have passed does the scar line gradually fade and settle.

After 6 months, the scar line fades, and in most cases it becomes less noticeable than the original surgical scar.

Frequently Asked Questions and Answers About Restoring the Double Eyelid Line with Fat Grafting

Is it true that eyelid fat grafting has many side effects, so it should not be done at other clinics?

That does not mean all other clinics are like that.

The area that requires the highest level of experience and skill in fat grafting is the upper eyelid and the under-eye dark circle area.

It is an area that cannot be treated carelessly without accumulated experience and skill.

We always say in the consultation room that fat grafting is absolutely not a procedure that just anyone can do.

As with all surgeries, the outcome varies depending on the surgeon’s experience and know-how.

Although many clinics perform fat grafting, only a handful do it properly.

Fat grafting is easy to perform, but difficult to achieve proper results.

In principle, fat grafting can produce good results only when it is performed accurately.

Each clinic has a different method, and results vary greatly depending on experience.

You may have heard about or experienced poor fat grafting and developed a bad impression, but proper fat grafting can produce satisfactory results in a single session.

In particular, the upper eyelid (sunken eyelids, depressed eyelids) is an area that requires a great deal of experience, skill, detail, and precision, so not just anyone can perform it.

I had eyelid fat grafting at another clinic, and it has almost disappeared. Can it be done again in such cases?

Even after treatment at another clinic, if most of the graft has disappeared due to a low survival rate, repeat treatment is still possible.

However, it should be performed at least 3 months later.

The survival period of fat grafting takes at least 3 months, so once 3 months have passed since the last treatment, it can be done again.

Even if it is repeated at our clinic, the result is almost no different from the first treatment.

I had eyelid fat grafting at another clinic, and it is lumpy and makes it hard to open my eyes. Is that a side effect?

The goal of eyelid fat grafting is to restore sunken eyelids and functionally improve the ability to open the eyes, reducing eye fatigue.

To achieve this goal, the procedure must be done accurately and precisely.

With somewhat inexperienced fat grafting, the fat may be placed not in the orbital fat layer but in the orbicularis oculi muscle layer, causing irregularity, or it may be placed near the deep levator palpebrae superioris muscle layer, making it harder to open the eyes than before the procedure.

If such a side effect occurs, the fat must be removed again, which is a rather difficult issue.

To prevent side effects, it is better not to have the procedure done by someone with insufficient experience or by a non-specialist in plastic surgery.

What if filler is injected into the eyelid instead of fat grafting?

Because the eyelid is a structure that moves constantly, procedures that interfere with eyelid movement should not be done.

Fat grafting acts as a cushion and lubricant that makes eyelid movement smoother, but if a foreign substance such as filler is injected, it can cause serious functional problems with opening the eyes, apart from the eyelid shape itself. In severe cases, the swelling may not go down or the eye shape may become distorted.

Inflammation can even occur, so filler should absolutely not be injected into the eyelid.

Is eyelid fat grafting dangerous because it is close to the eyeball?

Not at all.

The risk is high only when the procedure is performed by a doctor with somewhat limited experience or by a non-specialist in plastic surgery. If it is done accurately by an experienced specialist, there is no need to worry.

Eyelid fat grafting should be performed with precise anatomical knowledge and know-how gained through extensive experience with double eyelid surgery, and if it is done according to principle and accurately, it is one of the safe procedures that is not dangerous.

I had eyelid fat grafting at another clinic, and a bulging side effect occurred. Can it be corrected?

Sometimes people come to our clinic for correction because their eyelids have become heavy and bulged due to excessive fat injection at another clinic.

Depending on the condition, the fat must be removed by suction. If a mass of fat can be felt by hand, it can be corrected by inserting a microcannula and suctioning it out.

However, 100% removal is impossible, and usually about 50% to 80% can be suctioned and corrected.

Frequently Asked Questions and Answers About Quick Double Eyelid Surgery

What is the biggest difference between quick double eyelid surgery (partial incision method) and the buried suture method?

The partial incision method is a way to obtain the advantages of the incision method, which is less likely to come undone.

The simple buried suture method creates the double eyelid line only by burying threads, so if the skin is thick or there is a lot of muscle and fat, it can easily come undone.

The partial incision method has several advantages, such as the ability to remove orbital fat, minimal scarring, and a low chance of coming undone.

Does the partial incision method leave no scar?

Like the buried suture method, it leaves almost no scar.

The period for a scar to settle is usually after 3 months.

Until 3 months, redness remains and it is a period when the scar is developing, so a slight scar may be visible until 3 to 4 months. After 3 to 6 months, the scar becomes almost invisible.

How much swelling and bruising occurs with quick double eyelid surgery?

There is almost no swelling or bruising, so daily life is possible immediately.

Even if some bruising occurs depending on the person, it is hardly noticeable and usually disappears in about a week.

When can I wash my face and apply makeup after quick double eyelid surgery?

Washing your face and applying makeup are possible from the day after surgery.

After washing your face, apply the disinfectant and ointment prescribed by the clinic, and then you can apply makeup.

Frequently Asked Questions and Answers About the Incision Method

Does the incision method leave a lot of scars?

Scarring cannot be avoided with the incision method, but the best result can be said to be a surgery where only a very faint incision line is visible when the eyes are closed.

If the surgery is done poorly, a sunken scar like a ditch may remain.

To minimize scarring with the incision method, precise suturing must be done during closure.

In other words, the degree of scarring depends on how the suturing is done and on your individual constitution.

If accurate and precise suturing is done, scarring can be minimized.

Is swelling and bruising more severe than with the buried suture method or partial incision method?

It is true that the incision method causes more swelling and bruising than the buried suture method or partial incision method.

However, the difference is about 1 to 2 weeks.

There are individual differences in swelling and bruising.

When can I return to daily life after the incision method?

With the incision method, stitches are usually removed on day 3 or 4.

However, since no bandage is applied, daily life is possible from the day after surgery.

Because the stitches are barely visible with the eyes open, there is not much difficulty in daily life.

Frequently Asked Questions and Answers About the Buried Suture Method

What is the biggest problem with the buried suture method?

The problem with the buried suture method is that the line may come undone partially or completely.

Statistically, it is more likely to come undone than the incision method or partial incision method, so once a buried suture line comes undone, even if the buried suture method is done again, there is still a high chance that it will come undone.

Does the buried suture method cause almost no swelling?

Because the line is created only by placing threads, swelling is minimal.

However, swelling varies from person to person, so in some cases it may last longer.

In particular, in the case of the single-knot continuous buried suture method, because the thread is buried continuously in a double layer, swelling often goes down more slowly than with other buried suture methods.

It cannot be said that the buried suture method causes relatively less swelling than other methods.

If the skin is thick, should the buried suture method be avoided?

If the skin is thick, there is a lot of fat, or the orbicularis oculi muscle is thick, the buried suture method should be avoided as much as possible.

If you try a buried suture method that does not suit you and the line does not look natural and partially comes undone, the result can be worse than not doing it at all.

Frequently Asked Questions and Answers About the Mongolian Fold

What is the Mongolian fold?

The Mongolian fold is also called the “inner canthal fold.” It refers to the condition in which excess skin at the inner corner of the eye covers part of the white of the eye.

In general, when a Mongolian fold is present, the eye shape tends to look cramped and the distance between the eyes appears wider.

Does epicanthoplasty leave a scar?

Most epicanthoplasty procedures leave some degree of scar.

Various methods of epicanthoplasty have been developed, but only a few are actually used.

A method that leaves as little scar as possible and looks natural is preferable.

Since surgical methods differ by clinic, it is better to have the procedure done in a way that leaves less scar, has no recurrence, and produces a natural result.

Are epicanthoplasty and inner corner eye surgery the same thing?

Yes, they mean the same thing.

Epicanthoplasty is also called inner canthal plasty, and the commonly used term is inner corner eye surgery.

However, outer corner eye surgery opens the outer side of the eye, so it is the opposite procedure from inner corner eye surgery.

Can double eyelid surgery and epicanthoplasty be done at the same time, or should they be done separately?

Both procedures can be done at the same time, and they can also be done separately.

You can have double eyelid surgery first and epicanthoplasty later, or epicanthoplasty first and double eyelid surgery later.

Frequently Asked Questions and Answers About Ptosis

What is ptosis?

Ptosis refers to eyes that look sleepy or droopy.

Normally, eyes should look bright and lively, but in the case of ptosis, the eyes look as if the person has just woken up from sleep and still looks drowsy.

However, drooping skin can also make the eyes look sleepy, so in such cases it is not ptosis; you should receive an accurate examination at a plastic surgery clinic to determine whether ptosis is present.

What problems occur when ptosis is present?

When ptosis is present, the eyes tire easily, opening the eyes feels uncomfortable, and the eyes have a sleepy impression.

Because it causes both cosmetic and functional problems, correction is needed to change the eyes into a brighter and more refreshed appearance.

Can ptosis occur even after double eyelid surgery?

Sometimes the eyes do not open fully after double eyelid surgery.

At first, the eyes may not open fully because of swelling, but if the eyes still do not open fully after the swelling goes down, there is a problem.

Ptosis can occur when the double eyelid line is made too high.

This is called pseudoptosis.

What is the difference between true ptosis and pseudoptosis?

True means real, and pseudo means false.

In other words, if the function of the levator palpebrae superioris is congenitally reduced, true ptosis is more likely. If ptosis occurs after double eyelid surgery, pseudoptosis is more likely.

Pseudoptosis is a condition in which the function of the levator palpebrae superioris is normal, but scar tissue from the double eyelid interferes with the muscle’s function.

Frequently Asked Questions and Answers About Lower Eyelid Fat Removal

What is the best method for lower eyelid fat removal?

For lower eyelid fat removal, no incision is made in the skin.

If an external incision is made, a scar remains, so usually a scar-free procedure through the conjunctiva is performed.

How much swelling and bruising occurs after fat removal?

There may be some swelling and bruising, but after about a week they almost disappear.

Do stitches need to be removed?

After the conjunctiva is incised and the fat is removed, the area is sutured with dissolvable thread, so stitch removal is not necessary.

Does the fat grow back?

Once removed, fat does not regenerate.

Fat removal has a permanent effect.

Frequently Asked Questions and Answers About Upper Eyelid Fat Removal

How much does the eyelid sink in after fat removal?

The effect of fat removal depends on the amount removed, and it also varies according to the thickness of the skin and the orbicularis oculi muscle.

If the amount of fat is relatively large compared with other tissues, the effect can be significant. If the skin and orbicularis oculi muscle are also thick along with the fat, the effect of fat removal becomes relatively smaller.

How much swelling occurs after fat removal?

Only slight swelling occurs.

There is not much swelling, so daily life is possible immediately.

How much incision is made in the eyelid, and how much scar remains?

If there is an existing double eyelid line, an incision of about 2 mm is made along that line.

If there is no double eyelid, the incision is made at the position where a double eyelid could form.

Because it is a very small incision of about 2 mm, scarring is almost nonexistent.

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Dr. Shin column

Eye plastic surgery tailored to each individual’s eye shape and characteristics

When experts see people who have had double eyelid surgery, the first thing they think is divided into categories such as “beautiful,” “it looks too obviously surgically done,” or “why did they get that kind of double eyelid surgery?”

The most important purpose of double eyelid surgery is, of course, to create beautiful eyes.

If the surgery is done simply to create a double eyelid line, it can instead damage the overall impression.

That is why double eyelid surgery is also called eye-shape correction surgery.

So, what kind of double eyelid is a beautiful double eyelid?

Many people think that if the double eyelid is clearly visible from the front after surgery, it means the surgery was successful. But if you look at TV commercial models or actors, there are almost none whose double eyelid lines are clearly visible from the front when they open their eyes.

However, when they lower their gaze slightly or try to close their eyes, a clear and beautiful double eyelid line appears.

I also think that models and actors really have well-done double eyelids.

Of course, I also perform double eyelid surgery at a level similar to that of actors and models, but creating such ideal and beautiful double eyelids is not easy.

Since each person’s eye shape is vastly different, surgery cannot be performed on everyone using the same method and design.

The design must be tailored to the individual’s characteristics, and the height of the double eyelid must be determined precisely.

And the surgery must be designed while anticipating how the line will look once it has finally settled after 3 to 4 months.

After the line has finally settled, the ideal double eyelid line is one that is barely visible, or only faintly visible by about 1 mm, when the eyes are open.

Also, the skin below the incision line should not appear puffy or protruded.

A double eyelid that looks bulged below the incision line is a phenomenon caused by the line coming undone and descending, and it is a problem of surgical technique.

And when you have double eyelid surgery, your eyes naturally look bigger.

However, some people’s eyes look half-closed after surgery.

Even if the double eyelid line is beautiful, if the way the eyes open is not refreshing, that is also an incorrect double eyelid.

Likewise, if the incision mark is visible when the eyes are closed, that is also an incorrect double eyelid.

If there is a visible incision mark even though the incision method was used, that is not acceptable.

A beautiful double eyelid should give others the impression that the eyes are large and attractive.

If someone says, “That person had a good double eyelid surgery,” it may sound like the surgery went well, but it also means that others can tell the person had double eyelid surgery, so in the end that cannot really be called ideal.

A successful double eyelid surgery should give others an impression that does not look surgically done and should create a natural eye shape.

At the same time, the eyes should look larger, the double eyelid line should be barely visible, there should be no visible incision trace when the eyes are closed, and the skin below the incision line should not protrude.

However, very few people meet all of these conditions.

That is how difficult and delicate double eyelid surgery is.

Even though it is the most commonly performed surgery by plastic surgeons, it is also one of the most difficult, because every person’s eye shape and characteristics are different, so many variables must be considered during surgery.

A person who repairs machines handles the same type of machine all the time, so once they become skilled, they make few mistakes and can repair the machine. But human tissue is not rigid like a machine, so many unexpected variables can lead to undesired results, which can leave both the doctor and the patient flustered.

However, if a doctor has experience and ability, even when an undesired result appears after surgery, there is no problem as long as it can be corrected immediately and a satisfactory result can be achieved.

In conclusion, double eyelid surgery is about creating beautiful eyes.

I hope people who want to undergo surgery understand that double eyelid surgery is not simply about making a double line in the eyelid.

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