Revision Double Eyelid Surgery
We create the most ideal, beautiful eye shape to suit your own eyes.
Revision Double Eyelid Surgery
People usually consider revision surgery when they are unhappy with their eyes after the first surgery, when side effects have occurred, or when a scar remains.
There are things to check carefully when choosing a clinic for revision surgery.
It is best to decide after looking closely at points such as whether a specialist performs the surgery personally, whether the cause of the first surgery's failure is carefully identified, and whether the clinic has extensive experience in revision eye surgery.
At our clinic, we carefully analyze and identify the cause of the first surgery's failure, select the appropriate surgical method, and incorporate your wishes as much as possible so that we can deliver a more satisfying result.
Surgery Information
Surgery Information-
Surgery time About 1 hour -
Anesthesia Local anesthesia / sedation -
Hospitalization Not required -
Stitch removal After 5–7 days -
Follow-up visits 2–3 visits -
Recovery period After 7 days
May vary depending on the patient's condition and the surgical method.
Surgical Method
When the double eyelid line is too low
If the double eyelid line was set too low, it can be improved by redesigning the line to the one you want and choosing a surgical method suited to your eye condition and the design. If the line has dropped because the eyelid skin has sagged, it can be improved by removing the sagging skin and creating a new line at the desired height.
When the double eyelid has come undone
If the double eyelid line is weakly fixed, it can come undone over time. The loosened line is redesigned, and the method best suited to your eye condition is chosen from among the incisional, buried suture, and partial incision methods so that it holds as firmly as possible. If you are worried it may come undone again and want to be certain, the incisional method is the best solution.
When the double eyelid scar is severe
The biggest reason a scar looks severe is an uneven line. The approach should be to create an even, inconspicuous line rather than to erase the scar. When there is enough tissue or skin to spare, the scar tissue is removed as much as possible and the double eyelid line is corrected. When there is no eyelid tissue or skin to spare, the tissue must be rearranged while preserving as much of it as possible.
When swelling lasts a long time (so-called sausage eyes)
This mainly happens when tissue was not properly removed during surgery or the design was set too high from the start.
The existing double eyelid line is released, the fat tissue is removed, and the incision is sutured. If the design was too high, the scar tissue, fat, and muscle tissue are removed together and a new double eyelid line is created.
When the two sides are asymmetric
This happens when the design was wrong or the two lines were fixed differently.
It is possible to correct only one side to the height you want, but in most cases, revising both sides gives a better result.
When the double eyelid line is too large
When the double eyelid line was designed too high, an incision is made that includes the original incision line, the area fixed too high is released, and the line is lowered and fixed again. If there is a chance the fold will form again at the original high position, additional surgery using fat grafting or the surrounding tissue may be needed.
Candidates
- The double eyelid has come undone or is asymmetric
- The line is thick and unnatural
- The line is uneven or dented in the middle when the eyes are open
- You want to correct a low or barely visible double eyelid line
- A scar from a previous surgery needs improvement
Revision Double Eyelid Surgery Q&A
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When can I have revision double eyelid surgery?It is safe to have revision double eyelid surgery at least 6 months to a year after the first surgery. Operating before the swelling and scarring have fully settled can reduce the accuracy of the revision because the tissue is still unstable. However, if the line has come undone or there is severe asymmetry, earlier surgery may be possible at the discretion of the medical team. A thorough consultation and evaluation are needed to determine the best timing.
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Why is revision double eyelid surgery said to be more difficult?Revision is more difficult because the first surgery has caused tissue damage and adhesions (tissue sticking together due to scarring). The surgical plan must account for the scar at the skin incision and the state of the internal adhesions. Because an incorrect line must be corrected while still producing a natural result, it requires a more precise design and more refined technique than the first surgery. Because revision is highly demanding, it is important to choose an experienced board-certified plastic surgeon.
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Could I need another revision after revision double eyelid surgery?If it is corrected properly, no further revision is needed, but problems can recur depending on your skin condition and individual recovery. Revision may be needed if the line comes undone again, asymmetry remains, or the scar worsens. To prevent this, it is important to choose a surgical method suited to your eye structure and skin condition. After the first revision, allow a sufficient recovery period and have the surgical site checked regularly.
