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Double eyelid revision

Treatment Effect

Treatment Effects

- Short-term effects: Post-operative swelling gradually subsides, and the initial eye shape begins to emerge, although slight redness and bruising may still persist.

- Long-term effects: Typically, within 3 to 6 months after surgery, tissue recovery stabilizes, resulting in a more natural double eyelid shape that enhances the appearance and aesthetic appeal of the eyes. However, final outcomes may vary depending on individual differences and surgical conditions.

Is this suitable for me?

Suitable Candidates:

- Individuals who experienced unsatisfactory results from their initial double eyelid surgery, such as excessive width, narrowness, asymmetry, or noticeable scarring.

- Individuals whose double eyelid crease has completely disappeared or who have developed a hidden double eyelid.

- Individuals with functional eye issues, such as ptosis (droopy eyelids), that affect both aesthetics and vision.

Unsuitable Candidates:

- Individuals with acute eye infections or inflammation; revision surgery should be considered only after the inflammation has subsided.

- Individuals with severe systemic diseases, such as heart disease, diabetes, or hypertension, who cannot tolerate surgery.

- Individuals with unstable psychological states who have excessively high and unrealistic expectations for surgical outcomes.

Select Device

Select Equipment

- Surgical instruments: Professional ophthalmic surgical instruments, such as scalpels, forceps, and scissors, must be sharp and precise to ensure the delicacy of surgical procedures.

- Lighting equipment: High-quality surgical lighting provides clear visibility, assisting doctors in performing accurate operations.

- Auxiliary equipment: Devices such as microscopes may be used in complex reconstructive surgeries to facilitate more precise handling of ocular tissues.

Select Brand

Equipment Selection

- Surgical Instruments: Professional ophthalmic surgical instruments, such as scalpels, forceps, and scissors, are required to be sharp and precise to ensure the delicacy of surgical procedures.

- Lighting Equipment: High-quality surgical lighting provides clear visibility, assisting doctors in performing accurate operations.

- Auxiliary Equipment: Devices such as microscopes may be used in complex reconstructive surgeries to facilitate more precise handling of ocular tissues.

Price

Price

The cost of double eyelid revision surgery varies depending on several factors:

- Surgical complexity: The more complex the revision, such as narrowing wide eyelids or correcting severe asymmetry, the higher the price, typically ranging from 870,000 to 5,200,000 KRW.

- Regional differences: Prices in first-tier cities and developed regions are generally higher than in second- and third-tier cities.

- Doctor's experience: Highly experienced and well-known doctors usually charge higher fees.

- Hospital tier: Large tertiary hospitals or specialized plastic surgery clinics may have higher prices compared to smaller clinics.

Expected Outcome

Expected Results

Generally, a successful double eyelid revision surgery can address the shortcomings of the initial procedure, resulting in a more natural and symmetric eyelid shape, thereby enhancing the overall aesthetic appeal of the eyes.

However, it is important to recognize that because the eye tissues have already undergone one surgery, the results of the revision may not achieve the same ideal state as a flawless primary surgery, and certain limitations may exist.

Combination Therapy

- Other eye plastic surgery procedures: Can be combined with epicanthoplasty to further improve the overall shape of the eyes, making them appear brighter and more vibrant.

- Laser treatment: For cases with prominent scarring, laser therapy can be combined with revision surgery to reduce scar visibility and promote skin healing.

Adverse Effects and Complications

Side Effects and Complications

- Bleeding: Bleeding may occur during or after the surgery. Minor bleeding can be managed with methods such as compression, while severe bleeding may require additional surgical intervention to achieve hemostasis.

- Infection: Improper postoperative care can lead to eye infections, characterized by symptoms such as redness, swelling, pain, and fever. Prompt treatment with antibiotics is necessary.

- Hypertrophic Scarring: Some individuals may experience hypertrophic scarring, which can affect the aesthetic appearance of the eyes. This can be treated with medications, laser therapy, and other methods.

- Unsatisfactory Results: Issues such as persistent asymmetry or inappropriate width of the double eyelids may occur, necessitating revision surgery.

- Nerve Damage: Improper surgical techniques may damage ocular nerves, leading to abnormal sensation or restricted motor function in the eye area.

Select Instrument

Selecting Equipment

Focus primarily on whether the instruments and equipment used during surgery are advanced, precise, and safe. As previously mentioned, surgical instruments should be sharp and durable, lighting equipment should provide clear and stable illumination, and auxiliary devices such as microscopes should perform well. When choosing a hospital, it is advisable to inquire about the status of equipment updates and maintenance.

Project Contraindications

Project Contraindications

Pre-operative contraindications:

Avoid taking medications containing aspirin within two weeks before surgery, as aspirin reduces the clotting function of platelets and increases the risk of surgical bleeding.

Do not wear makeup before surgery; keep your face clean.

Women should avoid the menstrual period, pregnancy, and lactation periods.

Post-operative contraindications:

Avoid getting the area wet in the short term after surgery to prevent infection.

Avoid strenuous exercise and external impact to the eyes to ensure optimal surgical results.

Avoid consuming spicy foods, seafood, and other irritating foods; quit smoking and alcohol.

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Project Contraindications

Pre-operative contraindications:

Avoid taking medications containing aspirin within two weeks before surgery, as aspirin reduces the clotting function of platelets and increases the risk of surgical bleeding.

Do not wear makeup before surgery; keep your face clean.

Women should avoid scheduling surgery during menstruation, pregnancy, and lactation periods.

Post-operative contraindications:

Avoid getting the area wet in the short term after surgery to prevent infection.

Avoid strenuous exercise and external impact to the eyes to ensure optimal surgical results.

Avoid consuming spicy foods, seafood, and other irritating foods; quit smoking and alcohol.

Side effects

Side Effects

In addition to the previously mentioned bleeding, infection, hypertrophic scarring, unsatisfactory results, and nerve damage, other potential side effects include prolonged eye swelling, difficulty opening the eyes, and dry eyes. These side effects typically subside gradually over time; however, if symptoms are severe or persist, timely medical attention should be sought.

Self-Symptom Check

Symptom Self-Assessment

- Double eyelids that are too wide or too narrow: You can measure the width of your double eyelids with a ruler and compare it to the standard aesthetically pleasing width (generally 6–8 mm). If they are significantly too wide or too narrow, revision surgery may be necessary.

- Asymmetry: Observe in the mirror whether the shape, width, and height of the double eyelids on both sides are consistent. Significant differences may indicate an asymmetry issue.

- Prominent scarring: Check the eye incision area for any obvious raised, red, or hardened scars.

- Hidden double eyelids or disappearance of the double eyelid crease: Check if the double eyelid is indistinct or has completely disappeared.

Select treatment plan

Selecting a Treatment Plan

The selection of a treatment plan requires comprehensive consideration of the following factors:

- Type of initial surgery failure: Such as excessive width, narrowness, or asymmetry, requiring different revision methods. Excessive width can be adjusted through incisional revision; narrowness can be addressed with suture-based revision or incisional revision to appropriately widen the crease.

- Individual eye conditions: Including eyelid thickness, degree of skin laxity, and amount of orbital fat. Individuals with thin eyelids and little fat may be better suited for suture-based revision; those with thick eyelids and loose skin may require incisional revision.

- Personal needs and expectations: Communicate thoroughly with your doctor about your desired double eyelid shape and outcome. The doctor will formulate the most suitable treatment plan based on these factors.