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SISUN PREMIUM EYE SURGERY

Double Eyelid Revision Surgery

We carefully assess what went wrong with the previous procedure to plan revision surgery, minimize scarring, and improve satisfaction with the results.

  • Surgery Duration
    60 min
  • Anesthesia
    IV Sedation / Local
  • Stitch Removal
    7 days
  • Hospitalization
    Same-day Discharge
  • Recovery Period
    7 days

*Individual results may vary. Side effects such as bleeding, infection, and inflammation may occur after cosmetic surgery. Please consult your doctor.

Double Eyelid Revision

Many patients who underwent double eyelid surgery to enhance their appearance
are experiencing significant distress due to unsatisfactory results.
Double eyelid revision involves greater tissue damage compared to the initial surgery,
making it a highly complex procedure that requires extra caution.

  • High Crease (Puffy Eyelid Creases)
  • Multiple Eyelid Creases
  • Unnatural Double Eyelids
  • Droopy Eyes (Ptosis)
  • Low Crease (Thin Line)
  • Asymmetric Double Eyelids
  • Loose Double Eyelids

Drawing on years of surgical experience, SISUN Plastic Surgery identifies the underlying cause of each concern and plans revision surgery to improve both appearance and function, with natural-looking results as the goal.

Double Eyelid Revision Candidates

  • Double eyelid crease is
    too high or too low
  • Double eyelid crease
    has multiple folds
  • Double eyelid has come undone
  • Double eyelid creases
    are asymmetric
  • Unsatisfactory results
    from previous surgery
Meticulous Assessment

Precise Cause Analysis

STEP01
Crease Height
Incorrect design, scar adhesion,
weakened fixation, ptosis, etc.
STEP02
Crease Shape
Incorrect design line
(In-fold, Out-fold)
STEP03
Degree of Adhesion
Excessive soft tissue removal
STEP04
Fixation Depth & Degree
Fixation too deep or too weak
STEP05
Ptosis Assessment
True ptosis
(weak eye-opening strength),
pseudo-ptosis (eyelid drooping)
STEP06
Crease Scar Severity
Incorrect design line
(In-fold, Out-fold)
STEP07
Eyelid Fat Volume
Orbital fat repositioning status,
orbital fat atrophy,
incorrect technique (non-incisional, incisional)
STEP08
Epicanthal Fold Presence &
Inner Corner Shape
Congenital epicanthal fold,
unsuccessful medial epicanthoplasty

The underlying problem may lie in one of the eyelid's three anatomical layers.

Each patient's concerns are different. Planning double-eyelid revision therefore requires a careful assessment of all three anatomical layers of the eyelid.

5 Essential Elements for Natural Double Eyelids
  1. A crease that is not too high
  2. Minimize skin, muscle,
    and soft tissue excision
  3. Fixation at proper depth,
    angle, and strength
  4. Normalize fat volume
    and positioning
  5. Correct eye-opening strength

Anterior Layer

Non-incisional Double Eyelid(Revision)+Upper Epicanthoplasty(Revision)+Lateral Canthoplasty + Lower Eyelid Surgery(6 months)

01. A Crease That Is Not Too High
An excessively high eyelid crease can look dramatic on its own but unnatural in relation to the rest of the face.
HOW?
Orbital fat is repositioned within the septum to help maintain a stable eyelid crease.

Incisional Ptosis Correction(Revision)(1 month)

Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty+Lower Eyelid Surgery(1 year 10 months)

Crease Lowering Learn More

Anterior Layer

Brow Lift+Lateral Canthoplasty + Lower Eyelid Surgery(Revision)(9 months)

02. Minimize Skin, Muscle, and Soft Tissue Excision
(The Law of Preservation)
Excessive tissue removal not only makes the double eyelid crease look unnatural,
but also leads to various problems such as an awkward eye shape, lagophthalmos,
and eye dryness.
HOW?
Skin, muscle, and soft tissue excision must be kept to an absolute minimum.

Excessive skin, muscle, soft tissue excision NO

Double adhesion removal OK

How should drooping skin be treated without excision?

By combining surgical methods such as brow lift and endoscopic forehead lift to lift the drooping skin,
natural double eyelids can be achieved without skin removal.

Middle Layer

Incisional Ptosis Correction(Revision)+Upper Epicanthoplasty(Revision)+Lateral Canthoplasty + Lower Eyelid Surgery(1 year 3 months)

03. Fixation at Proper Depth, Angle, and Strength
Even with the same crease height design, the fixation depth, angle, and strength can result in different appearances when the eyes are open.
HOW?
A double knot secures the crease with appropriate tension for a firm hold.

A low crease with shallow depth and a downward fixation angle may come undone,
while a high crease with deep fixation and an upward angle may result in a pinched appearance or puffy eyelid creases.

Faint crease, hidden crease
✓ Weak fixation
✓ Low crease with fixation angle
pointing downward
Natural double eyelid
✓ Secure adhesion at appropriate strength
✓ Linear connection of tarsal plate, aponeurosis, and skin soft tissue
✓ Natural adhesion of tissues
Puffy eyelid creases, mucosal eversion
✓ Strong fixation
✓ High crease with fixation angle
pointing upward

Middle Layer

Incisional Ptosis Correction(Revision)+Eyelid Fat Grafting(1 month)

04. Normalize Fat Volume and Positioning
If too much fat was removed during the previous surgery, the upper eyelid may become hollow and require more effort to lift. The crease may also fold unevenly, leading to multiple creases.
HOW?
Orbital fat is repositioned within the septum to help maintain a stable eyelid crease.
✓ Double dissection of adhered skin
✓ Fat repositioning
✓ Septum reinforcement

Posterior Layer

Incisional Ptosis Correction(Revision)+Lateral Canthoplasty(3 months)

05. Correct Eye-opening Strength
When the eyelid-lifting muscles are weak, the crease may be less defined and the eyes may look sleepy. Using the brow or forehead muscles to help open the eyes can also contribute to forehead wrinkles, while drooping lids may obstruct vision.
HOW?
Ptosis correction improves eyelid lifting to help the eyes open more fully.
Ptosis Correction (Levator Aponeurosis Shortening)
The aponeurosis and Müller's muscle are separated from the tarsal plate, then the levator muscle and Müller's muscle are pulled together and sutured.
The Relationship Between Double Eyelids and Inner Corner Epicanthal Fold
Successful double eyelid surgery doesn't end with simply fixing the crease line.
The shape of the crease is determined by the presence and shape of the epicanthal fold at the inner corner.

Non-incisional Ptosis Correction(Revision)+Axis Rotation+Lateral Canthoplasty + Lower Eyelid Surgery(3 months)

  1. Hook-shaped inner corner
    covered by epicanthal fold
  2. Axis Rotation
  3. Inner corner shape and
    double eyelid crease correction

Epicanthoplasty Reconstruction+Lateral Canthoplasty Reconstruction(1 month)

  1. Inner corner scar and
    out-fold double eyelid
  2. Epicanthoplasty Reconstruction
  3. Inner corner scar removal
    and in-out fold correction

For an ideal double eyelid crease, depending on the presence and shape of the inner corner epicanthal fold,
medial epicanthoplasty, upper epicanthoplasty, epicanthoplasty reconstruction, axis rotation and other surgical methods must be performed in combination.

Axis Rotation Learn More

SISUN's Double Eyelid Revision POINT

From start to finish, choose SISUN

We generally recommend waiting 6 months to 1 year before revision surgery.
Although it varies by patient condition, tissue must stabilize before a successful revision can be expected.

It generally takes 6 months to 1 year for stabilization. The revision should be performed after the eye tissue has settled, the surgical scar has softened, and swelling has subsided.

Many cases show gradual improvement over the 6-month period after surgery, so it is recommended to monitor progress before deciding on revision surgery.

Double Eyelid Revision

Select photos with a Click badge to read the full case on our blog.
Case 1
[높은 쌍꺼풀]
절개쌍꺼풀(재)+윗트임(재)+뒤트임+밑트임(7개월)
Before
After
Case 2
[높은 쌍꺼풀]
절개눈매교정(재)+윗트임+밑트임(1년10개월)
Before
After
Case 3
[여러겹 쌍꺼풀]
절개쌍꺼풀(재)(1개월)
Before
After
Case 4
[여러겹 쌍꺼풀]
절개눈매교정(재)+안와지방이식(1개월)
Click
Before
After
Case 5
[부자연스러운 쌍꺼풀]
절개눈매교정(재)+윗트임(재)+뒤트임+밑트임(5개월)
Before
After
Case 6
[부자연스러운 쌍꺼풀]
자연유착매몰(재)+윗트임+뒤트임+밑트임
Before
After
Case 7
[졸린 눈]
절개쌍꺼풀(재)(3개월)
Before
After
Case 8
[졸린 눈]
자연유착매몰(재)+뒤트임+밑트임+눈썹거상(1년5개월)
Before
After
Case 9
[낮은 쌍꺼풀]
자연유착매몰(재)+뒤트임+밑트임(10개월)
Before
After
Case 10
[낮은 쌍꺼풀]
자연유착매몰(재)+윗트임(재)+뒤트임복원+밑트임(3주)
Click
Before
After
Case 11
[풀린 쌍꺼풀]
절개눈매교정(재)+윗트임(1개월)
Before
After
Case 12
[풀린 쌍꺼풀]
비절개눈매교정(재)+윗트임(5개월)
Click
Before
After
* 환자의 사전동의를 받아 촬영한 사진입니다.
Double Eyelid Revision Q&A
Q. Does double eyelid revision leave a lot of scarring?
No. In fact, the revision can be performed while concealing scars from the previous surgery.
While scars from the previous surgery cannot be completely removed,
we consider the scar location and appearance when the eyes are closed to make existing scars as inconspicuous as possible
during revision. We also offer Healite, laser therapy, and scar injections for scar prevention.
Q. Can I get revision surgery right after double eyelid surgery?
Generally, if the double eyelid surgery was performed using the non-incisional method, revision is recommended after 4 months.
If the incisional method was used, revision is recommended after 6 months to 1 year.
This is because it is safer to proceed with additional revision after the surgical area tissue has stabilized and swelling has subsided.
In cases where complications such as inflammation or bacterial infection occur,
the revision should be performed after complete treatment, regardless of these timeframes.
Q. I previously had incisional double eyelid surgery. Can I get revision with the non-incisional method?
Even if you originally had incisional double eyelid surgery, non-incisional revision is possible.
However, if the skin has significantly stretched or is thick, or if there is severe scarring from the incision,
non-incisional revision may not be possible. This can be accurately determined through an in-person consultation.

Double Eyelid Revision SISUN TV

Double Eyelid & Ptosis Correction Doctor's Note