Duhan Plastic Surgery Double Eyelid Revision Surgery - Sausage Eyes, Double Eyelid Scars

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What is double eyelid revision surgery

Duhan Plastic Surgery ~ In the middle of double eyelid revision surgery ♬

When the double eyelid line is too large, uneven, or has loosened

It refers to surgery that corrects the double eyelid line and restores a natural yet refreshed double eyelid shape.

Double eyelid surgery is not simply about creating a double eyelid line.

The goal is to make the eyes look bigger and more refreshed, and to create bright, lively eyes and a sophisticated eye shape.

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

Likewise, the purpose of double eyelid revision surgery is to correct the eye shape so that it looks more refreshed and natural.

What is a double eyelid that is too thick?

A double eyelid line that is too large almost never looks good, no matter the case.

A natural line is one that is only slightly visible when the eyes are open.

A large line is a representative example of an unattractive double eyelid and is one of the most common indications for revision surgery.

What if the area below the line looks swollen (the sausage phenomenon)?

This refers to swelling below the double eyelid line, commonly called the sausage phenomenon.

It can give the impression that the surgery was done only a few days ago and make viewers feel uncomfortable.

Causes of the sausage phenomenon include thick skin and orbicularis oculi muscle, designing the line too high, or partial loosening of the line.

Correction is performed by partially removing the orbicularis oculi muscle and then pulling the skin taut.

What if the double eyelid line is too deep and dark?

A double eyelid line can also look awkward if it appears too deep or too dark.

This may be caused by sagging skin or a sunken incision site.

The line should be clear, but a double eyelid line that looks too deep is also considered an unattractive double eyelid.

What is an excessive outfold line that extends past the inner eye corner?

An excessive outfold double eyelid line often looks unnatural because it gives a strong artificial impression.

An infold line that disappears in the middle because of the epicanthal fold is also awkward, but an outfold line that extends long past the inner eye corner is also unnatural and creates a strong impression, so it falls into the category of an unattractive double eyelid.

Candidates for double eyelid revision surgery - when the line is too large

In general, a double eyelid line that is only slightly visible looks natural and beautiful.

If the double eyelid line is too thick, the eyes can look sleepy and make the other person perceive the face as strong and rough.

Causes include a line designed too high, scar adhesion, ptosis, or a lack of excess skin.

Correction involves smoothing out the existing high line or cutting it away, then designing a new line at the proper height and creating the line again.

However, the height of the new line varies from person to person, and it is important to consider the amount of excess skin and the size of the eyes to design the most natural height for the individual.

Candidates for double eyelid revision surgery - when the outer double eyelid line is thicker than the inner line

The ideal double eyelid line naturally becomes wider from the inner corner of the eye toward the outer corner.

If the inner line is wider than the outer line, this is an abnormal shape and becomes a target for correction.

Causes include unnecessary epicanthoplasty, an incorrect design line, or excessive skin removal.

Correction involves creating a new design, smoothing the existing scar line, making the inner line as close to an infold line as possible, and correcting it so that the line widens naturally from the inner corner to the outer corner.

What is the problem with an excessive outfold line?

It must be reduced or changed into an infold, which is one of the most difficult revision techniques.

To reduce the double eyelid line, the inner line must be properly reduced.

If the double eyelid line is thick and the inner line is also very wide, it becomes an outfold.

Only by reducing the outfold into an infold can a natural overall line be created.

One of the most difficult revision techniques is turning an outfold into an infold.

If the line cannot be properly reduced to an infold, the desired line cannot be created correctly.

Sausage double eyelids and ptosis correction

This refers to a swollen appearance where the area below the double eyelid line bulges out like a sac and looks as if the surgery was performed only a few days ago.

It is usually possible only with full incision surgery, and some 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 then fixed in place.

What causes sausage double eyelids?

When the double eyelid line is made too high
When the skin and orbicularis oculi muscle are thick
When the buried suture for the double eyelid line is tied below the height of the incision line
When the sutured area loosens and the double eyelid line is pushed downward

Sausage double eyelids after the buried stitch method?

This is a phenomenon that occurs when the double eyelid line is designed too high and the line partially sags after surgery.

The partially loosened line is pulled upward and securely tightened again to fix the line.

The procedure is performed with partial incision or full incision surgery.

Examples of sausage double eyelids and ptosis correction

If the sausage phenomenon is present, it can be corrected through double eyelid revision surgery.

First, it is necessary to understand exactly what went wrong in the initial surgery and how it should be improved in order to achieve good results.

During the consultation, various examinations and tests are performed to predict the postoperative outcome, and surgery is performed only when there is a sufficient possibility of improvement after surgery.

If there is enough excess skin, revision surgery is entirely possible.

The purpose of revision surgery is largely twofold.

Restoring a larger, more refreshed eye shape and

restoring a natural double eyelid line.

After revision surgery, the double eyelid line is made thinner and more natural.

A thick sausage phenomenon occurs when the skin is thick and the line is designed too high.

It happens as the skin pushes downward.

The surgery should remove the existing scar line and create a new line below it.

Some of the orbicularis oculi muscle beneath the skin, which is the cause of the sausage appearance, should be partially removed

to make it thinner.

If ptosis is present, revision surgery

also makes the eyes open wider and corrects sleepy-looking eyes.

The surgery takes about 2 to 3 hours,

the recovery period is about one week,

and stitches are usually removed about a week after surgery.

Director Shin Duhan

http://www.doublefold.co.kr

When the double eyelid scar line is clearly visible?

This is when someone had double eyelid surgery, but when they slightly look downward, the incision mark is highly noticeable and the double eyelid looks unattractive, as if it were cut with a knife.

The causes may include constitutional factors, but also improper suturing and choosing the wrong time to remove the stitches.

It should be corrected by scar correction surgery, which involves excising the scar and then suturing it meticulously.

Candidates for double eyelid revision surgery - when the incision scar is too severe

If the scar is highly visible when the eyes are closed after incision double eyelid surgery, it should also be corrected with the incision method so that little to no scar remains.

Causes include improper suturing of the incision line, removing stitches too early so the scar gap becomes wider, removing stitches too late so the stitch marks remain, and constitutional individual differences.

The correction method is to excise the existing scar and then suture the muscle and skin separately in layers, very precisely, so that they do not shift against each other.

It is also important to remove the stitches at the appropriate time so that they do not affect the scar.

Candidates for double eyelid revision surgery - when scar adhesion is present

After a previous double eyelid surgery, the scar above the incision line may adhere, creating a second line above the original line and resulting in a double line.

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

Causes include not performing orbital fat repositioning, atrophy of orbital fat, or excessive fat removal.

The correction method is to release the adhered incision line and make it into a single line.

In all cases of double eyelid surgery, the incision line should become the double eyelid line.

How should very high double eyelid scars be handled?

In many cases, surgery is performed without excising the existing scar line.

In principle, the existing scar line should be excised, but if the scar line is too high and cannot be removed, there are cases where the scar must be left in place and the surgery performed by smoothing it out.

① When the double eyelid scar line is very high and dark

The new double eyelid line must be set just below the existing scar so that the scar can be removed.

Although the existing scar line can be excised, the line must be set high, so it cannot be reduced as much as desired.

② When the double eyelid scar line is very high but faint

Instead of excising the existing scar line, it is dissected and smoothed out.

Then the existing scar line remains faintly and is slightly visible when the eyes are closed.

However, the advantage is that a new double eyelid line can be created where desired, allowing the line to be reduced sufficiently.

How should a very wide scar be handled?

There is the issue of reducing the line after scar excision and the issue of preventing distortion of the double eyelid shape.

Causes of a dark double eyelid scar line include improper suturing, a lack of excess skin causing the scar line to spread, and frequent rubbing of the eyes.

To solve the problem when the double eyelid scar line is large, the scar should be excised while considering the amount of excess skin, and the tissue should be dissected and meticulously sutured in layers rather than with simple suturing to reduce the scar.

In addition, care must be taken to prevent distortion of the double eyelid due to the excision of a wide scar tissue, and the more scar tissue is removed, the greater the limitation in reducing the line.

What is the problem when scar tissue is very thick after multiple double eyelid revision surgeries?

There is the difficulty of making the line properly because the scar tissue is hard and thick.

The more times double eyelid surgery is repeated, the harder the skin tissue becomes and the thicker the scars become.

It is not easy to smooth out thick, hard tissue and remake the line.

The line may not form properly because of the hard scar tissue.

The existing hard scar tissue must be excised as cleanly as possible, and the scar tissue located under the skin must also be neatly removed in order to create a new line.

When the double eyelid scar line is dark

When surgery is performed with the incision method, scars inevitably occur at the surgical site.

If the double eyelid scar line is faint and light, there is no problem, but if the scar line is dark and deeply sunken, it needs to be corrected so that the line is not easily visible even when the eyes are closed.

What causes a double eyelid scar line?

Scar widening due to excessive removal of skin
Darkening caused by not removing excess skin, which allows the skin to cover the incision line
Indented scars caused by excessive removal of the orbicularis oculi muscle beneath the skin
When there is no excess skin, causing the scar line to gradually widen or become deformed
Habit of rubbing the eyes frequently after surgery
Constitutional tendency to scar easily

What is the surgical method for correcting a double eyelid scar line?

The edges of the double eyelid scar line are precisely designed, only the scar tissue is excised and removed, and the normal skin is meticulously sutured together with the orbicularis oculi muscle beneath the skin.

If there is no excess skin, it may be necessary to delay the time of stitch removal, so it is also important to remove the stitches only after confirming that the wound has healed enough not to widen the scar.

If there is a thick bulge below the incision line, commonly called the sausage phenomenon, part of the orbicularis oculi muscle beneath the skin is excised and the skin is pulled upward and smoothed to correct it.

Examples of double eyelid scar line correction surgery

What are the postoperative precautions when the double eyelid scar line is dark after surgery?

◇ After stitch removal, continue disinfecting for a few more days until the holes in the suture line have filled in.

◇ Wipe the scar line well with antiseptic solution so that foreign substances or dead skin do not accumulate there.

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

◇ Rubbing the eyes can distort the double eyelid line or make the scar messy, so never rub the eyes.

The timing of double eyelid revision surgery is

At minimum, revision surgery is possible only after at least 6 months have passed since the last surgery.

The reason for waiting 6 months is to wait for the scar tissue from the previous surgery to soften.

Because scar tissue has a strong tendency to stick together,

if surgery is performed again before the scar tissue has fully matured,

unpredictable results may occur.

The time when these changes have subsided can be considered the time when revision surgery is possible,

and that is judged to be about 6 months after surgery.

In the end, only after 6 months, when the scar tissue has softened and the previous surgery has fully settled,

can the outcome of a later revision be predicted.

If, after 6 months, there is a pulling sensation and the sausage phenomenon, revision is performed with the full incision method.

During the consultation, surgery is decided only after various examinations and tests are performed to predict the postoperative outcome,

and only when there is a sufficient possibility of improvement after surgery.

If there is enough excess skin, revision surgery is entirely possible.

A thick sausage phenomenon occurs when the skin is thick and

the line is designed too high and fixed,

causing the skin to push downward.

The surgery is performed by making an incision along the existing scar line,

and some of the orbicularis oculi muscle beneath the skin, which causes the sausage appearance, is partially removed

to make it thinner.

Director Shin Duhan

http://www.doublefold.co.kr

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 double eyelid revision surgery.

3. Before double eyelid revision surgery, we perform various examinations and tests during consultation to predict the postoperative outcome.

4. We perform surgery only when examinations and tests show that there is enough room for improvement.

If we judge that we cannot produce the result the patient wants, it is our policy not to attempt surgery.

5. We identify what was wrong with the previous surgery through examinations, provide a sufficient and clear explanation, and suggest the best surgical method for the best result.

6. We explain the surgical process and recovery clearly so that patients fully understand, and we do not omit explanations about possible side effects that may occur after surgery.

7. We provide thorough postoperative care after surgery.

We closely monitor the postoperative progress to confirm that recovery is proceeding properly.

8. We make every effort and continue researching so that people who want double eyelid revision surgery will not need to visit another hospital again.

How can eye revision surgery for complications from eye plastic surgery be avoided?

As double eyelid surgery has become more common,

there have been more cases of side effects or dissatisfaction due to indiscriminate surgery.

In particular, double eyelid surgery is often thought of as a simple procedure.

However, because even slight differences in height or shape can create major changes in appearance,

there are many cases of side effects,

and double eyelid revision surgery is a difficult procedure.

As we always emphasize in the consultation room, in order to succeed with double eyelid revision surgery,

it is necessary to accurately understand where and how the first surgery went wrong,

and how it should be improved, in order to achieve good results.

​http://www.duhans.com​