Gangnam Station Double Eyelid Revision Surgery: Let’s Look at Extreme Eye Cases (White-Eyed Appearance, Multiple Fold Creases)

Hello. This is Lie and Well Plastic Surgery.

The eye shape is an important factor that determines the overall impression of the face,

and it can appear differently depending on each person’s features and characteristics. In particular, in cases such as white-eyed appearance or multiple fold creases,

so-called “extreme eye cases,” concerns about changes in one’s appearance can feel greater.

These eye shapes are not simply a matter of appearance; in some cases, structural characteristics and functional factors act together to create them, so a more careful approach is needed. That is why today, we would like to talk about the process through which the direction of Gangnam Station double eyelid revision surgery was decided and managed, focusing on a case that came in as an extreme eye case.

Before surgery

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This patient visited us after having had double eyelid surgery in the past, with a double eyelid line formed in a shape they did not want, leaving the overall balance of the eyes significantly disrupted.

In particular, the difference in height and line depth between the left and right eyes was pronounced, and the asymmetry was strongly noticeable in the overall impression. In such cases, rather than simply modifying the line, it is important to carefully analyze the existing structure and the cause first,

and then cautiously set the direction for Gangnam Station double eyelid revision surgery.

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Looking at the left eye, a multiple fold crease had formed. In the previous surgery, a relatively large amount of upper tissue had been removed,

so this was a case in which the problem was not simply the shape, but a structure that placed strain on the movement of opening the eyes itself.

In cases like this, rather than approaching it by simply organizing the visible folds,

it is important to release the existing scar tissue and adhesions one by one and restore the original layered structure.

In particular, in revision surgery, the key is to “prevent the same problem from happening again.”

A strategy that minimizes internal adhesions is needed so that the eyes can move naturally without a feeling of catching when opening them.

For this, a method of using the septal tissue to create a protective layer that helps the movement stay smooth may be considered.

You can understand this as an approach that aims for both functional stability and a natural-looking eye shape.

However, since tissue damage had already progressed significantly,

a structural reinforcement approach was needed rather than a simple correction.

To prevent the unwanted double eyelid line from forming again,

we planned Gangnam Station double eyelid revision surgery that would maximize the use of the fat remaining inside to provide line stability.

Also, because this case was the third surgery after having already undergone surgery twice,

the internal tissue reserve was not sufficient.

In particular, since the amount of inner fat was limited, a small amount of fat grafting was performed together to supplement the needed volume and cushioning effect. This can be understood as an approach that considered both functional stability and maintaining a natural line.

After surgery

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This photo shows the condition about one month after surgery. It was a case that aimed to improve the multiple fold crease while also carefully addressing the range of eye opening, which had appeared similar to white-eyed appearance, so that the balance between the left and right sides would be aligned.

Rather than simply correcting the shape of the folds,

the treatment direction was set while also considering the functional movement of opening and closing the eyes and the overall change in impression.

As explained earlier, extreme eye cases can show a recovery pattern different from that of general eye surgery. Depending on the tissue condition and surgical history, the recovery period may be relatively long,

and changes are usually observed over a period of about 6 months to 1 year.

As time passes, tension in the eyes gradually eases and the line settles in more naturally,

and in many cases, a more stable left-right balance can be seen around 6 months.

Why does the left eye look larger?

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During the revision surgery, eyelid correction was also performed,

but the greater the amount of correction, the higher the possibility of recurrence over time, with the eye tending to return to its original state.

After fully explaining this characteristic, we discussed it with the patient and initially

set the surgical direction while allowing for a slight asymmetry.

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This can be seen as a decision that prioritized long-term stability and natural change over short-term balance in appearance.

As time passes, the tissue settles and the movement of the eyes becomes smoother,

it can be expected that the balance will gradually improve, and in extreme eye cases, this step-by-step approach has important meaning.

With that, we will conclude this discussion of an extreme eye case. If you are deeply concerned because of the condition of your extreme eyes or your surgical history, we recommend that you do not judge the situation on your own, but confirm your current condition through a thorough consultation.

Because extreme eye cases vary in cause and appearance from person to person, careful treatment based on experience and know-how is important.

If you are dealing with similar concerns and are looking into Gangnam Station double eyelid revision surgery, please feel free to inquire anytime and receive a consultation about the direction that is right for you.

Thank you.