[Duhan Plastic Surgery Double-Eyelid Revision] - [Guide to Revision Methods and Success Requirements]

#Double-eyelid revision #eye revision #double-eyelid revision #double-eyelid revision #a good place for eye revision #a hospital good at double-eyelid revision #a hospital good at double-eyelid revision #repeat double-eyelid surgery #double-eyelid

#double-eyelid surgery #thick double eyelids #asymmetrical double eyelids #loosened double eyelids #sausage eyes #sausage double eyelids #eyelash eversion #ectropion #double-eyelid scars #double-eyelid scar tissue #double-eyelid incision scar

#epicanthoplasty restoration #uneven-eye correction #eye-opening correction #ptosis revision #eye plastic surgery #a hospital good at eye revision #eye plastic surgery revision #eye-opening correction revision #plastic surgery clinic for eye revision #double-eyelid surgery

#double eyelids #a place good at double-eyelid revision #famous hospital for eye revision #double-eyelid surgery #double-eyelid revision #hospital for double-eyelid revision #eye plastic surgery clinic #a place good at repeat double-eyelid surgery #revision for uneven eyes

#hospital for double-eyelid revision #loosened double eyelids #double-eyelid revision #incision double-eyelid revision #famous place for double-eyelid revision #famous place for double-eyelid revision #Duhan #Duhan Plastic Surgery #Duhan eye plastic surgery

#Dr. Shin Duhan #famous place for eye revision #male double-eyelid revision #extra skin in double eyelids #eye revision hospital #double-eyelid revision #eye re-plastic surgery #repeat repeat double-eyelid surgery #double-eyelid revision review

#Gangnam eye revision #Apgujeong eye revision #one-sided double eyelid #incision eye revision #sausage phenomenon #thick double eyelids #double-eyelid scar correction #repeat epicanthoplasty restoration #a place good at eye-opening correction revision

#famous place for double-eyelid surgery #plastic surgery clinic good at eye revision #recommended for ptosis #lowering the double-eyelid line #reducing the double-eyelid line #epicanthoplasty reconstruction #lateral canthoplasty revision #Gangnam Station eye plastic surgery

#Gangnam Station eye revision #lateral canthoplasty reconstruction #double-eyelid restoration #double-eyelid line correction #epicanthoplasty revision #incision double-eyelid revision #triple double eyelids #triple eyelids #layered double eyelids #multiple-layer double eyelids

#Seoul double-eyelid revision #Seoul eye revision #male eye revision #middle-aged eye plastic surgery #Gangnam double-eyelid revision #Apgujeong double-eyelid revision #Sinsa double-eyelid revision #famous hospital for double-eyelid revision

#double-eyelid revision #double-eyelid revision #double-eyelid revision #double-eyelid revision #double-eyelid revision #hospital good at double-eyelid surgery #incision method revision #incision revision #full incision revision

#partial incision revision #fat grafting double eyelids #double-eyelid fat grafting #under-eye revision #lower blepharoplasty revision #double-eyelid surgery #buried suture double eyelids #types of double-eyelid surgery #famous place for eye-opening correction #eye stitching

#a place good at epicanthoplasty #a place good at double-eyelid surgery #a place good at double-eyelid revision #a place good at repeat double-eyelid surgery #eye plastic surgery #types of double-eyelid surgery #double-eyelid surgery #double-eyelid surgery #uneven-eye surgery #Duhan double-eyelid revision

#uneven double eyelids #hospital good at double-eyelid surgery #double eyelids #double-eyelid surgery for uneven eyes #eye surgery #a place good at double-eyelid surgery #one-sided eye revision #raising the double-eyelid line #eye enlargement surgery #eye shaping

#a place good at double-eyelid surgery #buried suture method #swelling after double-eyelid surgery #swelling after repeat double-eyelid surgery #double-eyelid line #removing double eyelids #plastic surgery clinic for double eyelids #double eyelids #repeat epicanthoplasty #swelling after eye-opening correction #eye-opening correction method

​http://www.doublefold.co.kr​

If you had double-eyelid revision surgery but got an unwanted result,

there can be various causes.

The biggest cause of failure is the patient thinking of double-eyelid revision surgery too lightly.

After a failed double-eyelid surgery, trying to fix the shape by thinking, “I can just correct it again,” leads to failure of the revision surgery.

Only when you yourself understand the cause of the failed surgery can you avoid failing again.

What is correction of a thick double-eyelid line?

A double-eyelid line that is excessively thick looks artificial and awkward,

and gives the impression of having been operated on only recently.

A natural and appropriate height is one where the line is just slightly visible when the eyes are open.

A thick double-eyelid line is one of the most common indications for revision surgery.

● Causes of a thick double-eyelid line

① The design was made too high during the first surgery

② The skin is thick

③ There is ptosis

④ Protruding eyes

⑤ Adhesion of the scar line

⑥ Excessive skin removal

● Revision method for a thick double-eyelid line

① The scar is excised.

② The tissue is precisely dissected between the levator aponeurosis and orbital fat so that tissue repositioning can take place.

③ Fat is advanced and repositioned to prevent adhesion of scar tissue after dissection.

④ To prevent the skin below the excision line from being pulled upward, the skin below the excision line is firmly fixed to the tarsal plate.

⑤​ A levator shortening procedure is performed so that the eyes open a little more widely.

As the eyes open more widely, the double-eyelid line becomes less prominent.

⑥. The tissue is firmly sutured in layers to complete the repositioning and prevent the tissue from being pulled upward.​

⑦ The stitches are removed a little later so that the scar does not widen and the repositioned tissue can stabilize.

● Examples of revision for a thick double-eyelid line

What is correction of an asymmetrical double-eyelid line?

A double-eyelid line with a large difference between the two sides looks awkward and gives a poor impression.

In cases of asymmetrical double-eyelid lines, the principle is to correct the unwanted side based on the side with the preferred line.

If neither side is satisfactory, both sides must be corrected.

● Causes of asymmetrical double-eyelid lines

① The heights of the double-eyelid lines are different

② Ptosis is present in one eye

③ One side’s double-eyelid line has loosened

④ The skin on one side has become stretched

⑤ Because of a lack of orbital fat, the eyelid has sunken and the line has been pulled upward

⑥ The line has been pulled upward due to scar adhesion​

● Surgical method for asymmetrical double-eyelid lines

If there is a difference in the height of the original double-eyelid lines, the heights must be matched.

If the surgery was done with buried sutures, the height of the line on the other side is adjusted to match the desired side using the same buried suture method or partial incision method.

If the newly created double-eyelid line has stronger tension, the existing buried-suture line usually loses strength and disappears on its own.

What is correction of a loosened double-eyelid line?

This refers to a case where the line becomes faint, thinner, or disappears.

When it loosens, the goal is to restore the original line.

If the original line is not satisfactory, a new line is created again.

● Causes of a loosened double-eyelid line

① The skin is thick

② There is a large amount of orbital fat

③ The orbicularis oculi muscle is thick

④ Scar tissue has not formed properly

⑤ Frequently rubbing the eyes out of habit

⑥ Performing buried-suture surgery even though it is not indicated

● Surgical method for a loosened double-eyelid line

If the line has loosened, the correction method should be considered differently depending on whether it loosened after an incision method or after a buried-suture method.

If it loosened after a buried-suture method, the first option is usually correction with a partial incision method. When it is judged that correction with a partial incision method will not work well, the line is recreated with a full incision method.

To prevent loosening, all scar tissue and fat tissue beneath the line must be completely removed, and the sutures must be firmly fixed to the tarsal plate.

● Surgical method for a loosened double-eyelid line - full incision method

If it loosened after an incision method, it can also be corrected with a partial incision method.

If the goal is to correct both the scar line and the height of the line, full incision correction is performed.

● Surgical method for a loosened double-eyelid line - partial incision method

If it loosened after a buried-suture method, correcting it again with a buried-suture method carries a high chance of loosening again, so the rule is to correct it with a partial incision method.

● Surgical method for a loosened double-eyelid line - microfat grafting

If the eyelid has sunken and the line has been pulled upward and loosened, microfat grafting can be used to correct the loosened line together with the sunken eyelid.

However, this applies only when the cause of loosening is solely the sunken eyelid.

The main purpose of the procedure is to correct the sunken eyelid, and correction of the double-eyelid line is a secondary goal.

If the line does not naturally restore itself even after the eyelid is restored, revision surgery must be performed.

Severe outfold line - making it into an infold line

An outfold refers to a line in which the inner line remains visible all the way to the end. A thin outfold line may suit some people depending on their features,

but in the case of a severe outfold, it creates an awkward appearance and should be changed into an infold line.

This is the flower and core of double-eyelid revision surgery, and the pinnacle of technique is transforming an outfold into an infold.

If the inner line is not neatly adjusted as desired, the overall line becomes awkward and it is difficult to achieve the desired line.

Transforming an outfold line into an infold line when there is no extra skin or when the scar is severe is

one of the most difficult procedures among double-eyelid revision methods.

● Causes of an outfold

① The double-eyelid line was designed too high overall

② The inner design line was set too high

③ Unnecessary or excessive epicanthoplasty was performed

④ Excessive skin removal

● Outfold surgical method

In most cases, it is only possible with full incision.

In some cases, buried-suture or partial incision methods are possible, but only when adhesion is weak and only part of the line has loosened.

When adhesion is strong or the scar line is pronounced, correction with buried-suture or partial incision methods is almost impossible.

The method is to precisely dissect between the orbital fat and the levator aponeurosis through a full incision, then reposition the inner orbital fat and also dissect and flatten the inner scar line.

This surgery requires a very high level of skill and accumulated experience.​

A thick sausage-like swelling below the incision line

This refers to a swollen appearance in which the area below the double-eyelid line bulges like a pouch, looking as if the surgery was done only a few days ago.

● Causes of a thick sausage-like swelling below the incision line

① The line was made too high

② The skin and orbicularis oculi muscle are thick

③ The buried suture for the double-eyelid line was stitched below the height of the incision line

④ The sutured area loosened and the double-eyelid line was pushed downward

● Surgical method for a thick sausage-like swelling below the incision line

① Sausage phenomenon after full incision method

In most cases, surgery is only possible with full incision, and part of the orbicularis oculi muscle below the incision line must be removed to reduce the thickness of the muscle. The sagging skin is pulled upward, tightened, and fixed.

② Sausage phenomenon after buried-suture method

This occurs because the line was designed too high and after surgery the line partially sags downward. It can be corrected by pulling the partially loosened line upward and firmly re-fixing the line in a tight manner.

Surgery is performed with a partial incision method or a full incision method.

Triple double-eyelid line

This is a case where three lines appear.

In such cases, they must be organized into a single line.

Usually, the upper line among the two lines is removed, and correction is made to match the lower single line.

● Causes of a triple double-eyelid line

① As the line loosens, it loses its center of tension and an additional line appears above the incision line

② Excessive fat removal causes another line to form above the incision line due to scar adhesion

③ The skin slides downward below the scar line, creating a new line

④ Excessive scarring at the sutured area causes a line to form above the scar

● Surgical method for a triple double-eyelid line

① When scar adhesion is not severe

In the case of a triple line caused by loosening of the line, the existing line is firmly fixed with a partial incision method so that the line above the incision line loosens on its own.

② When scar adhesion is severe

Surgery is performed with a full incision method.

The scar tissue is completely incised and removed, and correction is performed by dissecting and repositioning the orbicularis oculi muscle and orbital fat.

Eyelash eversion

This refers to a case where the skin below the incision line is pulled upward tightly and the mucosa beneath the eyelashes becomes visible.

If the mucosa is excessively exposed, it gives a poor impression, so correction is recommended.

● Causes of eyelash eversion

① Excessive skin removal

② Suturing under excessive tension by pulling too far upward during closure

③ Because there is no extra skin, the skin below the incision line gets pulled upward

④ Severe scar-line adhesion

● Surgical method for eyelash eversion

Correction is possible only through full incision.

If surgery is delayed, the everted shape of the eyelashes may become fixed and correction may no longer be possible.

In cases of eyelash eversion, surgery should be performed as soon as possible to achieve a corrective effect, but if correction is done several months or years later, it may not be properly corrected.

In other words, surgery must be done before the shape becomes fixed for any correction to be possible.

The scar line is incised, the skin below the incision line is lifted, and the tissue is dissected downward to release the tension of the skin that had been pulled tightly upward.

Usually, dissection extends to near the eyelashes, and in some cases part of the orbicularis oculi muscle is also removed.

After adjusting the relaxed skin to an appropriate height, it is fixed with sutures so it does not move, and the skin is closed.

When the scar line is pronounced

If surgery is performed with an incision method, a scar will inevitably form at the surgical site.

If the scar line is faint and light, there is no problem, but if the scar line is dark and deeply indented, it can cause discomfort even when the eyes are closed.

In such cases, the scar line needs to be lightened so that it is not easily visible even when the eyes are closed.

● Causes of a pronounced scar line

① The scar widens due to excessive skin removal

② The scar becomes darker because excess skin is not removed and the skin covers the incision line

③ A sunken scar occurs due to excessive removal of the orbicularis oculi muscle beneath the skin

④ Because there is no extra skin, the scar line gradually widens or becomes deformed

⑤ The habit of rubbing the eyes frequently after surgery

⑥ A constitutional tendency to form scars easily

● Surgical method for a pronounced scar line

The edges of the scar line are precisely designed so that only the scar portion is excised and removed, and the normal skin is delicately sutured together with the orbicularis oculi muscle beneath the skin.

If there is not enough extra skin, it may be necessary to delay the time for stitch removal, so it is also important to remove the stitches only after confirming that the area has healed enough to prevent the scar from widening.

If there is a thick so-called sausage-like swelling below the incision line, part of the orbicularis oculi muscle layer beneath the skin is removed and the skin is pulled upward and flattened to correct it.​

● Postoperative precautions when the scar line is pronounced

▷ After stitch removal, continue disinfecting for a few more days until the holes in the suture line close.

▷ Clean the scar line well with disinfectant so that foreign substances or dead skin cells do not accumulate there.

▷ Do not rub your eyes with your hands just because they feel tired or because discharge has collected. It is better to wipe them with a cotton swab.

▷ Rubbing the eyes can distort the double-eyelid line or make the scar unsightly, so never rub them.

​http://www.doublefold.co.kr​

Success requirements for double-eyelid revision surgery

① For revision surgery, above all, the patient must personally understand the cause of what went wrong with the double-eyelid surgery.

It is not easy to undergo revision surgery without understanding the cause of the problem.

② When the patient understands the cause and the attending doctor also identifies the cause, the patient and doctor can proceed with surgery with trust.

③ To understand the cause of the failed double-eyelid surgery, it is essential to consult in detail with an experienced board-certified plastic surgeon whenever possible.

You must receive surgery from a board-certified plastic surgeon.

Even revision surgery should not produce an unwanted result.

At the very least, you should confirm whether the surgeon who will perform the operation holds a board certification in plastic surgery before proceeding.

There are many hospitals that only appear to be plastic surgery clinics by name, while in reality non-specialists provide treatment.

It is important to identify this well and avoid surgery by non-specialists.

There must be ample experience with double-eyelid revision surgery.

Even among board-certified plastic surgeons, specialties differ somewhat.

If you are considering double-eyelid revision, you may get a better result by consulting a specialist who focuses on double-eyelid revision surgery.

Double-eyelid revision surgery is one of the more difficult procedures in cosmetic surgery.

Surgery by a specialist with clear know-how and accumulated experience in double-eyelid revision can help restore a more beautiful and natural eye shape.​

You should not think of double-eyelid revision too lightly.

If you think of double-eyelid revision as easy, the probability of failing again is very high.

Revision surgery is several times more demanding and difficult than the first surgery, and it is one of the highest-difficulty cosmetic procedures.

Therefore, it is better to think carefully and decide on surgery cautiously.

Proceeding with surgery with only vague expectations can lead to another poor result.​

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

For revision surgery to succeed, the first step is for the patient to understand why the eye shape became unattractive after the first operation.

To avoid experiencing surgical failure again, both the patient and the plastic surgeon should, through consultation, accurately understand why the first surgery went wrong and by what mechanism. Based on that, the correct revision surgery can be performed.

Therefore, through consultation, you must be able to clearly understand why the first surgery was incorrect and by what process the double-eyelid revision will be performed so that you can proceed with trust and obtain good results.​

The operation time should not be too short.

A typical double-eyelid surgery usually takes about 30 minutes to 1 hour.

However, full-incision double-eyelid revision surgery is not something that can be completed in a short time.

If the revision is finished in less than 1 hour, there is a high chance that the surgery was somewhat incomplete.

Unlike the first double-eyelid surgery, revision surgery involves releasing the original double eyelid, dissecting scar tissue, repositioning tissue, and performing delicate layered suturing, so the operation naturally takes longer, and good results can only be achieved when every step is carried out according to principle.

If revision surgery ends too quickly, it is like a runner cutting across the course and reaching the finish line early instead of following the proper route.

The same applies to revision surgery.

Only when every step is carried out fully and according to the rules can good results be achieved.

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

A large double-eyelid line and drowsy-looking eyes are called pseudoptosis, and most revision cases are such patients.

The goal of surgery is to make the double-eyelid line as thin as possible and to help the drowsy-looking eyes open more clearly.

If the surgery was successful, in most cases the eyes should open clearly as soon as the surgery ends.

If, even after revision surgery, the appearance immediately after surgery is not much different from before surgery, it is likely a failed surgery.

The immediate postoperative appearance should not look awkward; in most cases, that is what makes the appearance after the swelling subsides look natural. ​

There should be a slight lagophthalmos period after surgery.

If the eyes can close properly right from immediately after surgery, the surgery was done incorrectly.

Most revision cases do not have enough extra skin.

When surgery is performed in such a state, if the eyes need to close well, the skin must stretch from somewhere, and in most cases the skin below the incision line will stretch.

If that happens, the double-eyelid line becomes larger again, resulting in a surgery that is effectively no different from having done nothing.

Therefore, revision surgery is considered successful when the eyes temporarily do not close well after surgery.

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

The duration of lagophthalmos after surgery varies somewhat depending on the degree of ptosis correction and the amount of extra skin.

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

The stitches should be removed a little later.

The stitches should be removed later.

Usually, stitches are removed twice, on day 4 and day 7, depending on the amount of extra skin.

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

If the stitches are removed too early after revision surgery, the scar will widen and the tissue above the incision line may be pulled upward again, leading to a result that is effectively no different from having had no surgery.

Because the suturing in revision surgery is done when there is a shortage of tissue, the stitches must hold the tissues in place until they settle into their new position.

If the stitches are removed before they have settled, the tissues that have not yet stabilized may be pulled upward again, resulting in a failed surgery.

http://www.doublefold.co.kr