What is Double Eyelid Revision Surgery?

Eyelid Revision Surgery
Why trust KOA Clinic for eyelid revision surgery?
Steps for Eyelid Revision Surgery (Reducing eyelid crease)
Revision eyelid surgery Information Table
Who is Suitable for Revision Eyelid Surgery at KOA Clinic?
Revision Eyelid Surgery Before/After Photos
Eyelid Revision Review
FAQ

Eyelid Revision Surgery

After learning about various issues regarding the double eyelid revision surgery,

KOA Clinic is here to recommend steps for reducing double eyelid creases. The surgical techniques for this revision procedure are quite diverse and depend on the individual’s specific issues. The most common problem encountered is excessive eyelid thickness combined with droopy eyelids (ptosis).

KOA Clinic is excited to share effective techniques for reducing the size of double eyelid creases. These techniques have been proven to be helpful in addressing other related issues as well.

Why trust KOA Clinic for eyelid revision surgery?

We are one of a few plastic surgery clinics that specialize in treating challenging revision eyelid surgery.
We are capable of addressing various issues resulting from previous double eyelid procedures, such as excessive eyelid thickness, sunken eyes, and triple-fold eyelid creases.
The surgery is performed by an experienced ophthalmologist and is supported by close post-operative care and follow-up.

If you are currently experiencing issues with your previous double eyelid procedures, particularly if your eyelids are excessively thick, you can read more about making double eyelid creases smaller here.

Steps for Eyelid Revision Surgery (Reducing eyelid crease)

Redesigning the new eyelid crease line, which usually is lower than the existing crease, to create a natural-looking eyelid.
Incision and Removal of the previous scar: The scar or adhesion of the previous eyelid crease is carefully dissected and separated from the underlying tissues. This step is critical because the previous eyelid tissue, being thicker and more rigid, may prevent the new eyelid from forming correctly. If any remnants of the old attachment are left, it could result in the persistence of a thicker eyelid appearance.
Adjusting the eyelid-lifting muscle (namely “Levator palpebrae superioris”) to address Ptosis which is usually associated with the thicker eyelid.
Reconstruction of the new eyelid crease.
Rearranging surrounding tissue to prevent the re-formation of a thicker eyelid.
If there’s an incident of sunken eyes, additional fat grafting may be considered to provide volume and enhance the appearance.
Suturing

Revision eyelid surgery Information Table

Surgery Duration	2 – 5 hours (depending on the complexity of operation)
Perioperative Pain Management	Local anesthesia and anti-anxiety medication
Suture Removal	7 days
Recovery Time	– First 3 days: Apply cold compresses frequently – 7 days: Bruising may appear, but it will generally subside within 7-10 days. – Recovery time is similar to the virgin case
Post-Surgery Notes	– Temporary incomplete eyelid closure might be noticed for about 1-2 months – Initial tightness or discomfort at upper eyelid, which improves gradually – Dry eye symptoms may occur in people who use computers or mobile devices extensively

Who is Suitable for Revision Eyelid Surgery at KOA Clinic?

Revision Eyelid Surgery at KOA Clinic is ideal for:

Individuals who are not happy with previous double eyelid surgery.
Those who have undergone revision eyelid surgery and still have concerns.
People who are looking for an experienced clinic for eyelid revision surgery.

Who is Not Suitable for Double Eyelid Revision Surgery at KOA Clinic?:

Individuals who are currently under treatment at another clinic.
People who expect a 100% guaranteed perfect outcome.

Revision Eyelid Surgery Before/After Photos

More Before/After Photos here.

Eyelid Revision Review

Frequently Asked Questions (FAQs) about Previously Performed Double Eyelid Revision Surgery:

It’s not possible to define a precise number. The more surgeries are performed, the more scarring tissues might become. The complexity of the procedure also increases with each surgery. Consult with your doctor for an evaluation.
We can deal with various issues resulting from previous double eyelid surgeries, such as sunken eyes, excessively thick eyelids, unattractive creases, and other eyelid deformities from previous surgeries. The treatment approach varies for each individual and is assessed by the doctor.
In revision cases, the doctor will correct old scars, improving the appearance of scars after the surgery.
Generally, revision surgeries might involve more discomfort. However, at KOA Clinic, various medications are provided to manage pain during the recovery period effectively.
In most cases, particularly with thick eyelids, ptosis correction is often necessary to achieve better results.
Addressing excessive skin removal requires allowing time for the skin to stretch sufficiently for subsequent surgery. This may take at least 6 months and can even extend to several years, depending on the case.

If there is persistently incomplete eyelid closure, skin grafting might be considered.
Yes, the surgery might impact the prescription in individuals who have undergone multiple double eyelid surgeries over time, potentially leading to changes in lens prescriptions for glasses. It’s recommended to consider this after 4 – 6 months post-surgery.
It can enhance vision by widening the field of view (especially for individuals with ptosis problems) and provide increased comfort for those who experience eye strain or headaches.