[Lari Plastic Surgery] One-Sided Loosening After Buried Double-Eyelid Surgery: Changes After Incision Revision Surgery for Multiple Eyelid Folds and Eye-Shape Correction

Buried double-eyelid surgery, which leaves almost no scarring and offers a quick recovery,

is the double-eyelid surgery method many patients choose first.

However, as time passes, the double-eyelid crease may loosen,

or multiple creases may begin to form.

Why does this loosening occur after buried double-eyelid surgery?!

Buried double-eyelid surgery creates a crease by connecting and inducing adhesion between

the eyelid skin and the inner tissue with sutures through small openings, without making an incision in the skin.

Although this method leaves less scarring and allows for a quick recovery, its fixation may be structurally weaker than that of the incision method.

In addition to weak fixation, other causes of loosening may include

the thickness of the patient's eyelid skin, the amount of fat, and the strength of eyelid opening.

Habits such as rubbing the eyes and individual physical characteristics may also affect the loosening of the double-eyelid crease.

When a double-eyelid crease loosens, many people think that it will simply return to the existing lower crease

or disappear completely.

However, when a surgically created crease loosens, it does not merely disappear.

Because of the adhesions created by the surgery, another new crease may form,

or two or three or more creases may appear instead of a single line.

These complex double-eyelid creases can make the eyes look unclear

and worsen asymmetry, preventing a natural and balanced appearance.

For women, they can also be very inconvenient when applying makeup, right?!

For this reason, when a double-eyelid crease loosens after buried double-eyelid surgery,

incision-based revision surgery is often recommended for a more stable result

rather than correcting it with another buried procedure.

With the incision method, the skin is incised so that the muscles and fat inside the eyelid can be viewed directly,

allowing the necessary fixation and eye-shape correction to be performed.

This can provide stable and definite improvement even in cases involving thick eyelid skin,

repeated loosening, or difficulty opening the eyes due to insufficient eyelid-opening strength.

Once multiple double-eyelid creases have formed, simply tying the sutures again will not resolve the issue.

Therefore, the inner tissue beneath the multiple creases must be carefully separated and organized,

and a new crease must be precisely designed.

For this reason, revision surgery using the incision method can be effective.

Why Both Eyes Are Revised Even When Only One Side Has Loosened

This is a situation frequently encountered in consultations:

only one double-eyelid crease has loosened!

At first, it may seem that only the loosened side needs revision surgery,

but in practice, both eyes are often corrected.

Symmetry issues between the eyes

If only one side undergoes incision-based revision surgery while the existing buried crease on the other side is left unchanged,

the depth and shape of the creases may appear different.

Differences in postoperative durability

The eye fixed using the incision method and the eye fixed using the buried method have different structural stability,

so there may be a difference in how well the creases are maintained over time.

Of course, it cannot be said that a crease fixed using the incision method will never loosen.

However, because the probability of loosening is statistically much higher for a crease fixed using the buried method,

there is a possibility that asymmetry will gradually worsen over time.

Psychological concerns

If surgery is performed on only one side, swelling will naturally occur on only that side, right?!

During the recovery period, one eye will be swollen while the other is not.

When the two eyes look different in this way, it is inevitably very noticeable to the patient.

To reduce psychological anxiety while achieving symmetry, both eyes should undergo revision surgery at the same time.

This patient had undergone buried double-eyelid surgery more than 10 years earlier.

After the crease loosened, one eye had a thin inner double-eyelid crease, while the other had a multiple-fold crease with several wrinkles.

The patient had lived with asymmetrical eyes for a long time.

Although the patient's eyelid-opening strength was not particularly strong, they wanted a large, thick, and prominent double-eyelid crease.

Therefore, revision double-eyelid surgery was performed using the incision method rather than the buried method,

along with eye-shape correction suited to the desired result.

Through a consultation with the surgeon, the desired crease height was adjusted to reduce the difference between the two eyes.

The loosened crease was refixed using the incision method,

and the eyes changed to the desired double-eyelid creases and eye shape without overlapping wrinkles in other areas.

Like this patient, who initially considered buried-method revision surgery but ultimately underwent incision-based revision surgery,

the surgical method for eye procedures can vary widely depending on the individual's eye structure and current condition

in order to achieve the desired result.

Therefore, rather than relying on an online consultation or a consultation based only on photographs,

an in-person consultation in which a doctor directly examines the face is the most accurate.

(Especially double-eyelid surgery rather than eye-opening procedures!!)

If you are confused by the extensive and non-expert information available about the situations discussed above

or other concerns regarding your current eyes,

rather than worrying alone, consult with a specialist to establish a clear direction

and achieve a more satisfying result.