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Duhan Plastic Surgery Clinic · 두한성형외과 DUHANISM · April 13, 2020
Revision surgery # Best place for revision surgery # Best place for revision surgery # Plastic surgery revision # Revision plastic surgery # Plastic surgery revision surgery # Revi...
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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.
Clinic: Duhan Plastic Surgery Clinic
Original post date: April 13, 2020
Translated at: April 25, 2026 at 6:29 AM
Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.
What Is a Successful Double Eyelid Revision Surgery?!
Successful Double Eyelid Revision Surgery 01. - The surgery time must not be short!
A typical double eyelid surgery usually takes about 30 minutes to 1 hour.
However, double eyelid revision surgery is not a procedure that can ever be completed in a short time.
If a double eyelid revision surgery is finished in about 1 hour, there is a high possibility that it was not a proper operation.
Unlike the first double eyelid surgery, revision surgery takes longer because it proceeds through the process of releasing the original double eyelid, dissecting scar tissue, reorganizing the tissue, and performing precise layered suturing. For good results, every step must be carried out according to principle.
Saying that double eyelid revision surgery ends quickly is like a marathon runner not following the proper course and cutting across to reach the finish line faster.
The same applies to double eyelid revision surgery.
Only when the surgery is carried out properly under the correct principles can good results be obtained.
Successful Double Eyelid Revision Surgery 02. - The eyes should open widely immediately after the revision surgery!
If there is little difference between the condition immediately after surgery and before surgery, the operation is often a failure.
A double eyelid line that is too large and eyes that look half-closed are called pseudoptosis, and most revision cases involve these patients.
The goal of surgery is to make the double eyelid line as thin as possible and to open the half-closed eyes more clearly.
If the surgery has been done well, the eyes should open clearly as soon as the operation is finished; that is a successful surgery.
If the appearance immediately after double eyelid revision surgery is not awkward, it usually becomes natural after the swelling goes down later.
Successful Double Eyelid Revision Surgery 03. - After revision surgery, the eyes should not close properly for a while when sleeping for a period of time.
Double eyelid revision surgery is considered successful when the eyes are temporarily not able to close well after surgery.
A surgery in which the eyes close properly right after the operation is considered an incorrect surgery.
In most double eyelid revision cases, there is not enough excess skin.
When surgery is performed in this insufficient state, the skin must stretch somewhere for the eyes to close properly, and in most cases that stretching occurs below the incision line.
If that happens, the double eyelid line becomes large again, resulting in an outcome that is hardly worth having surgery for.
However, during the adaptation period, the skin above the incision line gradually stretches, and after some time the eyes close naturally.
The period during which the eyes do not close well after surgery varies depending on how much skin is lacking.
Of course, if there is enough excess skin, the period needed to settle will be shortened.
Successful Double Eyelid Revision Surgery 04. - The sutures must absolutely be removed later.
The stitches should be removed a little later.
Usually, the 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 usually removed about 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 revision surgery, the scar can widen and the tissue above the incision line can be pulled upward again, leading to an outcome that is hardly different from not having surgery at all.
Because revision surgery involves suturing tissue that is in short supply, the stitches must hold the tissue in place until it settles into its new position.
If the stitches are removed before the tissue has settled, the tissue that has not yet stabilized may be pulled upward again, resulting in a failed surgery.
Frequently asked Q&A about double eyelid revision surgery!
| Question) I want my first double eyelid surgery, but is it okay to receive it from a doctor who specializes in double eyelid revision surgery? Answer) If the first double eyelid surgery is successful, there will be no unfortunate need for revision surgery. Since the highest level of double eyelid surgery is revision surgery, the first operation should be done properly so that revision surgery is not needed. |
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| Question) Can anyone perform double eyelid revision surgery? Answer) Double eyelid revision surgery requires the highest level of skill and experience among plastic surgeries. If you hastily receive revision surgery at a hospital that lacks sufficient experience or skill, it may not improve at all and may even ruin your appearance. Therefore, revision surgery should be decided carefully, and you must have it performed by an experienced specialist. |
| Question) Can double eyelid revision surgery and medial canthoplasty be done together? Answer) If a hospital recommends doing double eyelid revision surgery and medial canthoplasty at the same time, it is likely a hospital with somewhat insufficient experience in double eyelid surgery, so you should be extremely careful. Medial canthoplasty (epicanthoplasty) has the effect of making the inner line thicker. In principle, it should not be done together with revision surgery intended to reduce the double eyelid line. If a procedure meant to reduce the double eyelid line is combined with medial canthoplasty, which has the exact opposite effect of thickening the line, the inner eye line may become distorted or thicker, preventing the desired result. This is like two boatmen rowing the same boat in opposite directions, one east and one west. Medial canthoplasty is a procedure that should only be performed when clearly indicated. If medial canthoplasty is truly needed, it is correct to decide whether to do it only after the double eyelid revision has fully settled, several months later. You should not carelessly combine double eyelid revision surgery and medial canthoplasty, as this can lead to poor results. |
| Question) I had double eyelid surgery at another hospital. When can I have revision surgery? Answer) Usually, double eyelid revision surgery can be performed about 6 months after the last operation. The reason is that the scar tissue must heal and fully settle for revision surgery to produce good results. If redness or lumpy hypertrophic scarring remains in the scar tissue, surgery becomes difficult. The time it takes for a scar to settle varies from person to person. In general, after about 6 months the scar settles to some extent, but some people take longer depending on their constitution, so revision surgery is possible once all redness in the scar area has disappeared. |
| Question) I dislike my existing double eyelid line and want to completely release it. Is that possible? Answer) There are cases of so-called surgery to loosen double eyelids, but such surgery should not be done. Once more than a week has passed after double eyelid surgery, in principle there is no such thing as surgery that “releases” the operated eyelid, whether it was done with buried sutures or incision method. This is because the incision line remains exposed whether the eyes are open or closed, which looks truly unattractive, and the eyelid often becomes uneven or appears loose. Instead, the double eyelid should be made into a hidden double eyelid so that the line is barely visible when the eyes are open. Some people undergo a releasing procedure because their eyes look even more awkward and then want to recreate the line, but once a releasing procedure has been done, it is almost impossible to create the line again through revision surgery, so you must keep this in mind. |
| Question) My eyelid has hollowed out. Can fat grafting be done together with double eyelid revision surgery? Answer) If the eyelid is sunken and the double eyelid line is also awkward, making revision surgery necessary, fat grafting should be done first, and then double eyelid revision surgery can be performed 3 to 6 months later. After fat grafting, revision surgery should only be done once the eyes have been restored to a flatter appearance. During revision surgery, tissue must be dissected, and fat cannot be placed into the dissected area. If fat grafting and revision surgery are done at the same time, it is like sprinkling fat into an empty dissected space, so the fat will not properly take hold and the double eyelid line will only be damaged. Therefore, doing both procedures at the same time is not appropriate, and if a hospital suggests doing them together, it is likely a hospital with somewhat limited experience. |
| Question) I am scared to have double eyelid revision surgery. Answer) Redoing a double eyelid surgery that already failed is several times more frightening than having the first surgery, because of the fear of failing again. However, if you have enough consultation and entrust yourself to a revision surgery specialist, you can obtain the desired result. |
| Question) I had double eyelid revision surgery elsewhere, but it did not improve at all. Is revision surgery still possible? Answer) Depending on the condition, there are indeed cases where it is truly impossible. However, if consultation before surgery shows enough room for improvement, it can be restored to a natural original eye shape. |
| Question) What if revision surgery fails again? Answer) As a rule, if examination and tests before surgery show no possibility, we do not attempt surgery in the first place. However, if it is sufficiently possible, the revision surgery can succeed and restore a beautiful eye shape. |
| Question) When can I return to daily life after double eyelid revision surgery? Answer) After surgery, no bandage or tape is applied. Therefore, daily life is possible right away. There may be some swelling and bruising, but in general there is less swelling and bruising than with the first surgery. Even after about a week, the eye shape is not very awkward. Also, not using bandages helps the swelling go down faster and allows the line to settle a little sooner. |
| Question) How many times do I need to visit the hospital after double eyelid revision surgery? Answer) After surgery, you will usually visit three times: the day after surgery, and on day 4 and day 7 for suture removal. However, if the hospital is very far from your home, it is acceptable to visit only on the day the stitches are removed. The final stitch is usually removed around day 7. |
| Question) How much swelling and bruising occurs after double eyelid revision surgery compared with the first double eyelid surgery? Answer) When comparing revision surgery with the first double eyelid surgery done by the incision method, revision surgery usually has less swelling. Revision surgery does not necessarily mean more swelling or bruising. In fact, swelling and bruising often appear milder than in the first double eyelid surgery, so there is no need to worry too much about swelling and bruising. |
| Question) What happens to the scar after double eyelid revision surgery? Answer) One of the goals of double eyelid revision surgery is also to improve the messy and dark scar from the original surgery as much as possible. For about 3 to 6 months after surgery, there may be redness, and the scar line may stand out somewhat. This is a normal healing process for anyone who has had double eyelid surgery by the incision method. Usually, only after at least 3 to 6 months have passed does the scar line gradually become less visible and settle. After 6 months, the scar line usually fades and becomes less noticeable than the original surgical scar. |
Restoring Botched Double Eyelids
What Is Extreme Revision Surgery?!
What is extreme revision surgery?
The goal of extreme revision surgery is to restore to a normal eye shape eyes that have had double eyelid revision surgery several times, had foreign substances such as fillers injected into the eyelids, had bulky fat grafts causing severe irregularity and adhesion, or have severe ptosis.
It refers to surgery that restores severely damaged double eyelids to a near-normal eye shape when the condition of the double eyelids is very poor and restoration to a normal eye shape is difficult or nearly impossible.
Examples of severely botched double eyelids?
What is the difference between extreme double eyelid revision surgery that restores botched double eyelids and ordinary double eyelid revision surgery?
Ordinary double eyelid revision surgery may have simple techniques or omitted steps depending on the condition.
In extreme double eyelid revision surgery, when there is not enough excess skin or the existing scar line is too high and too dark, making revision surgery almost impossible, the scar is not excised; instead, subcutaneous dissection is performed and a new double eyelid line is created beneath it.
It means fully mobilizing all available techniques for restoration to natural and beautiful double eyelids, including multiple tissue dissection and repositioning to release scar adhesion, insertion of micro-fat tissue, shortening of the levator aponeurosis, and dissection and partial excision of the orbicularis oculi muscle below the incision line.
What are the differences between extreme double eyelid revision surgery for restoring botched double eyelids and ordinary double eyelid revision surgery?
| 01. If tissue or skin is lacking, we measure the limit of how much can be extended and then extend it. |
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| 02. If the function of the levator palpebrae superioris is almost absent, we calculate the limit to which it can be lifted. |
| 03. If the skin is very thick, a plan is made to excise orbicularis muscle tissue to make the tissue thinner. |
| 04. If scar adhesion is very severe and cannot be released, micro-fat grafting is planned after scar dissection. |
| 05. If the sausage phenomenon is severe, the plan is to remove it through incision-line dissection and partial excision of the orbicularis oculi muscle. |
| 06. If the scar line is very high, the plan is to flatten it rather than excise it. |
| 07. If the scar line is very dark and sunken and cannot be excised, the plan is to fill in the depressed area. |
| 08. If eyelash eversion is severe, sublash dissection is performed and a plan is made to correct the eversion. |
Examples of applying extreme double eyelid revision surgery to restore botched double eyelids
Even for very difficult and challenging cases of double eyelid revision surgery, good results can be achieved if the operation is performed according to principles with sufficient planning.
However, double eyelid revision surgery is not possible in every case.
If there is too little excess skin or if scar adhesion is very severe, there are limits to surgery, and sometimes surgery is not possible at all.
If preoperative examination determines that revision surgery will be difficult, the principle is not to make a surgical plan at all.
| Choosing during consultation when double eyelid revision surgery is very complicated or difficult During consultation, after examination, there are cases where the operating surgeon is not confident about creating a highly difficult eye shape or achieving a satisfactory result. In such cases, one cannot simply say the answer is definitely yes, but if they say it is difficult, the hospital’s credibility may drop or they may be mistaken for an inexperienced doctor. From the surgeon’s perspective, if they want to provide an honest and principled treatment, they must accurately judge the patient’s condition and explain what is difficult and why the result may not turn out well. Some patients accept this, but many do not. If patients are seduced by exaggerated consultations and proceed with surgery, the situation can become even more desperate. From the patient’s perspective, it is very important to distinguish between consultation that includes no exaggeration and a surgeon who practices with conviction. |
| There are several possible prognoses after double eyelid revision surgery. Some people think that if they meet a highly skilled doctor for double eyelid revision surgery, they will unconditionally get a good result. This is a very dangerous way of thinking. Even with a skilled doctor, there are cases that improve through surgery, cases that cannot improve, and sometimes cases where the result is insufficient. Before double eyelid revision surgery, you should keep the three cases above in mind and receive consultation, then make a realistic judgment by checking whether surgery is possible, how much improvement can be expected if it is possible, or whether it is impossible. |
| Cases in which double eyelid revision surgery is difficult or impossible There are many cases in which double eyelid revision surgery is impossible or difficult. These include cases where there is not enough excess skin, where the scar line is so dark that adhesion is hard to release, where the skin and muscle are excessively thick, where revision surgery has been done several times and the tissue has become hard and thick, where there is severe sausage-eye phenomenon but it is likely to recur because it will be pushed back down even after surgery, and cases of severe ptosis. When surgery is very complicated and difficult, patients themselves must understand the limitations, but some people do not want to accept them. If you undergo surgery with only vague hope, you are inviting yourself into a very deep pit. You must judge the limits and prognosis in your current condition and decide whether to proceed with surgery. |
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