[BK Plastic Surgery] Eyelid surgery: Revisional Eyelid Surgery

BK Plastic Surgery Hospital

Eyelid surgery: Non-Incisional Ptosis Correction

People of all ages want to have plastic surgery with plastic surgery syndrome. 
Double eyelid surgery offers you a better image. 

However, double eyelid surgery without consultation with medical specialist is likely to be determined to be failure and dissatisfactory. 
So, many of them consider revisional eyelid surgery. 
Therefore, we would like to give you an information about the suitable time and treatment if  revisional eyelid surgery is needed. 

The topic for today is Non-Incisional Ptosis Correction.

Revisional Eyelid Surgery of BK Plastic Surgery Hospital

Non incisional ptosis correction is literally that a method is to correct ptosis-levator muscle weakness-without any incisions. 

Mostly ptosis caused by a weakness of muscle that raises the eyelids had been corrected by an incisional method that involves prolonged swelling and increased recovery time. In order to overcome the disadvantage, BK hospital is now performing the non-incisional ptosis correction. So patients can achieve both aesthetic and functional effects without any incisions. 

                                      <When is a perfect time for Revisional eyelid surgery?>

Since possible time for revisional eyelid surgery can be different for individual, it is better to make a decision after consultation with a medical specialist. 

We suggest 3-6 months to wait in average if the reason for revisional surgery is dissatisfactory results after previous surgery. However, if the results right after surgery were determined to be failure, it is better to undergo revisional eyelid surgery within 2 weeks before the surgical site completely heals.

< Cases requiring BK Revisional eyelid surgery>

There are various cases requiring revisional eyelid surgery. 
Revisional eyelid surgery should be operated after problems being solved  medical specialist will be satisfactory. 

● Thick Double Eyelid Fold

Double eyelids may look thick due to swelling after surgery. However, if the eyelids look still swollen after 1 year period, revisional eyelid surgery should be considered.

1. Incisional method used from previous surgery

The double eyelid crease including incision scar can be lowered, or the excess skin between double creases can be removed.

2. Non-incisional method used

If it has been less than 2 weeks since surgery, condition can be improved by removing the tied knots, but if it has been over 2 weeks, the surgical site is already healed that incision needs to be made during revisional surgery.

3. Uncorrected ptosis

With incision, ptosis can be corrected along with lowering the height of double eyelid crease using appropriate method for amount of skin to be removed.

● Asymmetrical Double Eyelid Fold

Since it is very normal to have asymmetrical eyes, revisional double eyelid surgery may not be necessary. However, if asymmetry of eyes seems severe over time, revisional double eyelid surgery should be considered. 

1. Asymmetrical double eyelid fold

New double eyelid is made on desired site after untying the existing double eyelid crease.

2. One side being loosened

The crease can be adjusted to balance the other side.

3. Difference in levator muscles due to ptosis on one side

Ptosis correction is performed to balance levator muscle in both eyelids creating symmetrical double eyelid creases.

● Indistinct or Reversed Double Eyelid Crease

Despite of thick skin or excess fat on eyelids, if double eyelid surgery using non-incisional method is performed without fat removal, the crease can become indistinct or reversed. 

1.Requiring fat/muscle removal

The tissue between previous and new double eyelid crease can be removed after lowering the crease with incision

2. Not requiring fat/muscle removal

2-3mm of partial incision can be required.

● Multiple Double Eyelid Creases

Since multiple creases on eyelids may create unpleasant appearance, correction should be considered.  

1. Surgical Method

After removing all the existing creases, a single crease can be created by untying the adhesive tissue. 

● Low Crease or Thin Fold

Due to aging process, droopiness of skin may cause double eyelids being too low or thin even if they were perfectly sized at the time of surgery. Also, requesting thin fold at the time of surgery due to anxiety may result dissatisfaction after a long period of time. 

1. Double eyelid fold being too thin

Condition can be fixed by untying the existing crease or making another crease over existing one. 

2. Thin fold due to skin above incision line covering the crease

Condition can be fixed by incision to remove droopy skin. 

● No Change or Smaller Appearance of Eyes After Surgery

When double eyelid surgery is performed without awareness of ptosis, or when shortness of vertical length with mere crease cause the shape of eyes to be round, the outcome may be dissatisfactory. 

1. Requiring ptosis correction

Condition can be corrected to strengthen levator muscle and connective tissue by creating new double eyelid crease which must be smaller than existing crease.

2. Length of eyes being too short

Horizontal and vertical length of eyes can be  balanced by lengthening the width with inner corner fold removal

● Severe Scar After Double Eyelid Surgery

Scar induced from double eyelid surgery usually disappears within 3-6 months. However, causes for creating severe scar can be due to inappropriate suture method or patient's skin condition(Keloid)

Surgical Method: Except for Keloid, condition can be improved by incision to remove scar followed by delicate suture if scar was induced from inappropriate suture method. 

<Tips for Revisional Eyelid Surgery>

Revisional eyelid surgery takes around 1 or 1 and a half hour, longer than the 1st trial. 

After 7 days of surgery Stitch should not b removed so quickly since suture needs to hold the rearranged skin structure until it settles.

It takes more time for recovery compared to 1st trial since the surgery is much longer and more complicated.

70% of swelling disappears after 1-2 weeks. The rest of swelling disappears after 1-2 months. Natural appearance after 6 months or above

If you are interested in Revisional Eyelid Surgery,

please visit BK Plastic Surgery today and 
make a reservation for free consultation now 
by simply clicking the banner below!

+82-2-544-0404

+82-10-5021-8886

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