'The number of surgeries is proportional to the difficulty' Be ever more cautious with double eyelid revision surgery

[Medical Tribune] The eyes are a feature that determines one's impression, and having double eyelids can give a relatively clearer look. This is why people undergo double eyelid surgery to improve small or stuffy-looking eyes.

Eye surgery has now established itself as a popular plastic surgery procedure. People undergo eye plastic surgery not only for aesthetic purposes, but also when their eyes sag due to ptosis, causing eyelashes to poke the eyes.

As the demand for double eyelid surgery has increased compared to the past, the number of revision cases is also rising. Reasons for revision surgery include loosening of the fold, asymmetry, dissatisfaction with the surgical outcome, or the double eyelid line being too thin, or excessively large and high.

In particular, a double eyelid fold created higher than the natural eye line may result in swelling that does not subside long after surgery or a line that is excessively thick, often referred to as "sausage eyes."

Sausage eyes occur when the double eyelid line is made excessively high without considering individual characteristics. If the eyelid is sutured under excessive tension beyond what is necessary or the fold is created in an inappropriate position, the gap between the eyelid fold and the eye widens, resulting in heavily swollen tissue resembling a sausage.

▲ Director Kim Sung-hoon (Photo provided by SH Plastic Surgery)

Experts say that in this case, revision surgery to lower the double eyelid line is necessary. According to Director Kim Sung-hoon of SH Plastic Surgery, types of eye plastic surgery include double eyelid surgery, ptosis correction, and canthoplasty. Therefore, one must determine whether there is an original double eyelid line, and examine the structure of the eyes, fat, and skin condition to select the most appropriate surgical method.

Patients must also sufficiently observe their preferred impression and eye shape, and then consult with a specialist to choose a design that suits them. The same applies to eye revision surgery.

Director Kim says, "Revision surgery must be approached more meticulously and carefully." In addition to identifying the points of dissatisfaction and the causes of failure from the first surgery, a systematic and thorough consultation is also essential.

In the case of 'sausage eyes', since the excessive tissue adhesion must be delicately released, one must verify the medical staff's experience in ptosis correction and eye revision surgery, as well as a systematic aftercare system. As the number of revision surgeries is directly proportional to surgical difficulty, choosing a clinic that accurately analyzes the causes of failure is also important.

Director Kim emphasizes, "Double eyelid surgery is a demanding procedure that requires comprehensive consideration of various factors for each individual, such as the thickness of the eyelid skin, the strength of the eye muscles, the skeletal characteristics around the eyes, and excess skin. Failure to do so can lead to reasons for revision surgery, such as sausage eyes."

Source: Medical Tribune