Eye Plastic Surgery Complications: Double Eyelid Revision Surgery Must Be Carried Out After Checking the Key Points to Stay Safe

You may have often heard the term “double eyelid revision surgery.” It refers to surgery performed to address a wide range of problems related to double eyelids.

The reason this term is not unfamiliar is also related to the popularity of double eyelid surgery. Double eyelid surgery is the most common type of plastic surgery, but there are many surgical methods ranging from simple to complex, and the evaluation of the preoperative condition must be treated as equally important. In addition, you should remember that surgery should be performed by a specialist with diverse and extensive experience, because an accurate assessment can only be made with a sufficient understanding of the eye’s complex anatomical structure and the dynamic process of opening the eyes.

However, because eye surgery is considered commonplace, many people proceed lightly without 충분한 consultation and preparation, and as a result, cases in which they end up considering revision surgery are also increasing.

How should double eyelid surgery and ptosis correction be performed to reduce the risk of revision surgery?

When performing eye surgery, the procedure is not simply about creating a double eyelid fold, but also about the overall image. The shape of the eyes can be changed by considering both inner and outer corner incision procedures, as well as upper and lower corner procedures. Bigger eyes are not always prettier eyes, and the degree of ptosis correction surgery is adjusted to match the patient’s eyes. The degree of ptosis correction is determined and performed based on the size of the black part of the eye. At this time, the size of the double eyelid fold is also adjusted according to the position of the eyeball; depending on how prominent the eyeball is, the fold may be made larger or smaller. In addition, surgery is performed after accurately checking the eye’s position and function.

In the case of eye surgery, it is safe to proceed only after checking the eye’s position, eyebrow position, and the position of the black part of the eye, and then determining whether improvement through a simple double eyelid line is possible or whether the degree of ptosis correction and resection should be decided.

The appropriate case is also determined based on each individual’s anatomical features. If the double eyelid fold is weak, the skin is thin, and there is no sagging skin, the non-incision buried suture method is appropriate. If the skin is thick and there is slight sagging, it is better to perform a partial incision together with fat removal. If the skin is thick so that the double eyelid fold does not form well and the sagging is severe, or if ptosis correction is absolutely necessary, applying the incision method can increase satisfaction.

A folded eyelid that loosens? Where does the cause lie?

When the double eyelid created after eye plastic surgery loosens, it depends on the degree of adhesion. If a moderate amount of scar tissue forms and adhesion develops well, the double eyelid is maintained. If too much scar tissue forms, it interferes with adhesion and the fold loosens. If too little scar tissue forms, adhesion does not occur and the fold loosens.

Also, as people age and the eyes sag, the adhesion area naturally stretches, so the double eyelid disappears or becomes less visible.

Incision methods are generally known not to loosen, but they can also loosen depending on the presence of scar tissue, and partial incision or buried suture methods loosen more easily than incision methods. This is one reason why incision methods are mainly recommended when the skin tissue is thick.

Therefore, when having eye surgery, it is important not simply to create a double eyelid fold, but to perform the surgery with the overall image in mind, in terms of changing the image and increasing satisfaction. Attempts are also made to change the overall shape of the eyes by considering upper and lower corner procedures along with inner and outer corner procedures, and this too is safest when performed after accurately checking the eye’s position and function.

Complications of eye plastic surgery and how to address them

The solutions that can arise after eye surgery begin with identifying the surgical method and the complications.

The most representative cases are complications after double eyelid surgery and complications after ptosis correction surgery, and the solutions differ depending on the surgical method.

Complications after double eyelid surgery

The most representative symptoms are loosening of the double eyelid and asymmetry. Common issues that appear after eye surgery are the double eyelid becoming loose or becoming too pronounced. In the beginning, the double eyelid may appear stronger, but over time it becomes softer.

In the case of asymmetry, most cases already had asymmetry before surgery. By checking the position of the eyeballs, the function and position of the eyebrows, and the position of the eyes before surgery, it is possible to improve them through surgery that matches both eyes as closely as possible.

Complications after ptosis correction surgery

The representative issues are overcorrection, undercorrection, lagophthalmos where the eyes do not close, and asymmetry.

A particularly common problem after ptosis correction is overcorrection. Immediately after surgery, the eyes may not close. In most cases, the ptosis-corrected area settles over time and becomes more natural, but if ptosis is severe, overcorrection may be necessary even if the eyes do not close, and in such cases the surgery is performed after 충분한 consultation with the patient.

How should you care for yourself after double eyelid revision surgery?

Double eyelid revision surgery is most often associated with loosening and inflammation, so there are many precautions related to these issues. Because bacterial infection can cause inflammation, which can affect not only the skin but also the eyes, you should avoid touching the surgical area with your hands to prevent inflammation. In addition, do not let water get into the wound; when washing your face, use a wet towel, and when applying ice packs, it is better to put them in a plastic bag first.

It is also advisable to refrain from drinking alcohol and smoking. Drinking before surgery lowers liver function, which can cause anesthesia to work improperly or create a risk of waking during surgery. Smoking also contains substances that damage the immune system and interfere with blood circulation, which can worsen the wound, so caution is necessary both before and after surgery.

However, the most important point is not to get carried away by trying to meet current beauty standards, but to find a surgery that can bring out your own strengths. To minimize concerns about side effects as much as possible, it is safest to carefully gather information before plastic surgery about whether the procedure is suitable for you and how postoperative care will be handled, and then make a decision.

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