What Should Be Considered Most When Performing Double Eyelid Revision Surgery?

[Eye Revision Surgery Column by Director Kim Jong-myeong of Diva Plastic Surgery]

The popularity of double eyelid surgery holds a high position within the field of plastic surgery. This is because it is a medical procedure that can transform the eyes into a more beautiful and refreshed-looking shape through a simple operation.

However, this high popularity can also lead to side effects. There is a great deal of indiscriminately spread information on the internet, and various temptations such as discount events are also especially common. As a result, it is also true that more people are easily deciding to undergo surgery and then considering revision surgery because they are not satisfied with the results.

Satisfaction with the results is often largely aesthetic, but in some cases functional or psychological problems may also arise. Therefore, the process of restoring an unsatisfactory eye shape through revision surgery and creating a beautiful eye shape again needs to be treated as important. Concerns about the cases and timing in which eye revision surgery is needed must be made accurately and carefully.

Revision surgery is needed in cases where the double eyelid is excessively thick, where the left and right eyelid folds have become asymmetrical, where the eyes do not close properly after double eyelid surgery, or where there is excessive scarring from the double eyelid line or the incision area.

First, in cases where the double eyelid is excessively thick, it may be necessary to loosen the existing line and remove unnecessary fatty tissue to create a more natural result, and it may also be necessary to lift and fix sagging skin or improve the result by setting the double eyelid line higher than before.

In cases that have become asymmetrical, it is possible to improve the condition by removing differences in the height of the double eyelid lines and correcting the muscles of both eyes, or by applying eye-correction surgery in combination to recreate the double eyelid line and improve the symptoms.

In cases where the eyes do not close properly, the problem can be solved by weakening the overcorrected eye muscles. In cases where severe scarring remains on the eyelid area, it is possible to achieve a more natural and smooth eye shape by incising the scarred area, precisely removing the scar tissue, and then suturing it.

The timing of surgery is also an important point to consider. It is recommended to wait at least six months until the tissue has stabilized, the redness at the surgical site has disappeared, the hardened scar tissue has softened, and the inflammation has completely subsided.

However, even in the early stage, if the result is unsatisfactory or the scarring or swelling is excessively severe, there are cases accompanied by ongoing pain in which surgery must be performed within two weeks, before the surgical area hardens. That is why it is important to assess the condition with experienced medical staff.

Eye revision surgery requires identifying the exact cause and accurately diagnosing the problem, while also carrying out a customized design suited to each individual's anatomical characteristics. Therefore, it is safer to be even more cautious than with the first surgery.

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