Filler & Botox

HOMEEye SurgeryRevision eye surgery

Revision eye surgery

  • Surgery durationDepends on the form of the surgery
  • AnesthesiaShort-term sedation or local anesthesia
  • Hospitalizationnot required
  • Removal of stitches7 days after the operation
  • Number of
    postoperative visits
    2~3 times
  • Recovery periodremoval of stitches on 7th day
What is an revision eye surgery?

An revision eye surgery designs more attractive and natural-looking eyes and it will heals your heart!

After eye surgery, some patients experience an unnatural eye shape or other functional difficulties due to unsatisfactory results or asymmetrical eyes. In this case, many of them consider a reoperation for different reasons. A reoperation should be carefully conducted in order to avoid a second or third reoperation. A reoperation should improve upon the unsatisfactory results of the previous surgery and may cause unexpected problems during surgery. Therefore, well-experienced and skilled medical professionals should conduct a reoperation.

Proper time of an revision eye surgery

An revision eye surgery cannot be conducted anytime and whenever you want. We recommend patients to have a reoperation on the incision site at least six months after the previous surgery and at least three months later if the surgical site is still swollen. In case of a patient who underwent blepharoptosis correction, he or she may be able to have a reoperation one to two weeks after the previous surgery. In other cases, we recommend patients to have a reoperation after the eye tissue is stabilized, generally three to six months after the previous surgery.

Components of beautiful and natural-looking double eyelids

In order to create beautiful and natural-looking double eyelids, eye surgery should be conducted in consideration of the height and depth of double eyelids, the volume of eyelids, adhesion, and the strength of ocular muscles. If such components are not harmonized, the results of the operation may be unsatisfactory or the eye shape may look awkward on the patient’s face. In this case, a reoperation may be required.

  • 01 Height
    As each individual has different eye shapes and skin conditions, it is important to find the most natural and optimal height of double eyelids for you. Thick double eyelids make you look edgy from a long distance, but make you appear vacant from a close distance. On the contrary, thin double eyelids look natural from a long distance, but make you look fierce from a close distance. Therefore, it is important to find the most optimal height of double eyelids in order to prevent such gap.
  • 02 Depth
    The depth of double eyelids is determined by the direction of the front and rear parts of the eyelids and their length. Even though the height of double eyelids is the same, the eye shape changed depending on the depth of double eyelids. Thin double eyelids may easily disappear and deep double eyelids look unnatural.
  • 03 Strength
    Accounting for 80% of revision eye surgery, the strength of ocular muscles is one of the most important elements. Most people’s faces are asymmetric and have a different strength of ocular muscles. An operation should be conducted, that considers the strength balance of the ocular muscles of both eyes.
  • 04 Adhesion
    If too much skin tissue was removed during double eyelid surgery, it may cause excessive adhesion and hollows under the double eyelids. In this case, the eye shape is unnatural. In the opposite case, it may case triple folds.
  • 05 Volume
    If the eyelids are too thick, the upper eyelids may cover the double eyelids and the double eyelids may look extremely thin or not be visible at all. In the opposite case, the double eyelids may be overly exposed and look awkward and unnatural, which may require a reoperation.

JW Plastic Surgery provides an optimal solution for those who are considering a reoperation.

The unsatisfactory result of an revision eye surgery is caused by a combination of factors. We accurately diagnose the causes when planning a reoperation. JW Plastic Surgery finds the best eye shape for each patient and corrects the unsatisfactory results of the previous operation.

JW’s revision eye surgery by type

01Reoperations that consider the height of double eyelids

When double eyelids are positioned excessively high

We remove the scars of the existing double eyelids and create new double eyelids of a proper size.
If the scars cannot be removed due to a lack of skin tissue, we make an incision under the existing double eyelids to remove them. Then, we create new double eyelids of a proper size.

02Reoperations considering the depth of double eyelids

When double eyelids are excessively thin

If double eyelids are too thin, they easily disappear when you drop your eyes.



When double eyelids are excessively deep

If the double eyelids are excessively deep, they are still clearly visible even when you close your eyes. This symptom appears when the double eyelids are positioned excessively high and are generally accompanied with blepharoptosis. In this case, we can recreate natural double eyelids by adjusting the location of the front eyelids.



When double eyelids are positioned excessively low and deep

Excessive adhesion of double eyelids causes an unnatural appearance. In this case, the existing double eyelids should be removed. According to the results of a reoperation, non-incision double eyelid surgery may be required.

03Reoperations considering the strength of ocular muscles

When blepharoptosis was not corrected

If the strength of ocular muscles is not considered for the first operation, many symptoms of blepharoptosis may not be improved but still remain after the operation.
Even though the strength of ocular muscles is considered during the first operation, the symptoms may sometimes recur over time. In this case, a reoperation should be conducted after finding the causes.
In case of a reoperation for blepharoptosis correction, the height or shape of double eyelids may change. To prevent this, new double eyelids should be made after removing the pre-existing double eyelids.



In case of overcorrected blepharoptosis

It is normal that the upper part of the pupils is covered by about 1 to 2mm of the eyelids when you open your eyes. When blepharoptosis is overcorrected, the pupils may not be covered enough. In this case, you may look surprised or fierce. In addition, you may have trouble in closing your eyes or suffer from dry eye syndrome, which requires reoperation.
Over-corrected levator palpebrae superioris muscles (elevating muscle of upper eyelid) should be separated from the tarsal plates to lower the eyelids. Then, they should be connected using the eyelid tissue or through fascia grafting.
In this case, the double eyelids may get bigger. Therefore, the size of the double eyelids may need to be adjusted again.



When the strength balance of the ocular muscles of both eyes is not considered

Even though the patient’s eyes are equal in size before an operation, their size may become different from each other after blepharoptosis correction. If blepharoptosis correction is conducted for one eye with weaker muscular strength, the other eye may become smaller after an operation.
The ocular muscles and other various factors determine the size of the eyes. Therefore, a reoperation should be conducted after analyzing such factors.

04Reoperations that consider a degree of adhesion

In case of excessive adhesion of double eyelids

In case of excessive adhesion, the shape of the double eyelids does not change at all when you open or close your eyes. These are called static double eyelids. Static double eyelids look unnatural and awkward.

Tip - JW Plastic Surgery’s dynamic double eyelids
Double eyelids should be clearly visible when you open your eyes and disappear when you close them. Natural-looking double eyelids are properly controlled by the levator palpebrae superioris muscles (elevating muscle of upper eyelid).



In case of undesired adhesion

Undesired adhesion may cause triple folds. In this case, adhesion should be corrected in desirable shape to create beautiful double eyelids.

05Reoperations considering the size of eyelids

In case of thick eyelids

We create new double eyelids after adjusting the size of the eyelids by removing unnecessary fat or muscles.



In case of thin eyelids

Double eyelids should be remade at a proper location so that the eyelids can cover the upper part of the double eyelids. In case of a lack of eyelid tissue, fat transfer is sometimes conducted to increase the size of the eyelids. If the eyelids become smaller by age, the thin eyelids may disturb the movements of the levator palpebrae superioris muscles (elevating muscle of upper eyelid) and, consequently, blepharoptosis may be accompanied. In this case, medical professionals should check if the patient has blepharoptosis before an operation.

06Reoperations considering various causes

Reoperation may be required due to a combination of causes. In this case, the causes should be analyzed first for recovery and then a reoperation should be conducted to create new double eyelids.

  • STEP 01

    Causal analysis
    If two or more issues occur, their causes should be accurately analyzed from various angles, considering height, depth, strength, adhesion, and volume.

  • STEP 02

    Surgical planning
    Surgical planning is conducted to solve complicated issues. During surgical planning, each factor should be accurately analyzed and potential issues should be considered.

  • STEP 03

    Operation
    An operation should be performed according to the plan. The surgery duration and method of revision eye surgery, which is considered a difficult surgery, vary depending on different factors. Therefore, well-experienced and skilled board certified eye specialists should perform an revision eye surgery.

JW’s revision eye surgery by type

01Revision lower blepharoplasty

If only fat removal or repositioning is conducted during the first operation, it may seem okay right after the operation, but the skin under the eyes will start sagging soon over time.



If you don’t like your eye shape after an operation

If you do not like your eye shape after lower blepharoplasty, a proper surgical method should be applied depending on the symptoms.

How to correct
If only fat removal or repositioning is conducted during the first operation, it may seem okay right after the operation, but the skin under the eyes will start sagging soon over time. In this case, the median facial tissue should be lifted up. If the results of the first operation are unsatisfactory even though it was conducted with a midline face-lift, it may result from a lack of under-eye tissue. To resolve this, the range of under-eye fat transfer or midline face-lift should be extended.



In case of the lower eyelid turns outwards

Ectropion (lower eyelid turns outwards) may be caused if under-eye tissue is excessively removed or if the patient’s lower blepharoplasty conditions are not considered enough. In this case, the patient may not be able to close his/her eyes completely and experience inconvenience when washing his/her face. In addition, he/she may experience a foreign body sensation and dry eye syndrome. Ectropion (lower eyelid turns outwards) requires a revision lower blepharoplasty.

How to correct
If a patient experiences ectropion (lower eyelid turns outwards) after lower blepharoplasty, it can be resolved with aesthetic canthal suspension surgery.

02Revision canthoplasty

If you are unsatisfied with the results of an epicanthoplasty or a lateral canthoplasty or if the Larcrimal lakes(triangular space at the medial angle of the eye, where the tears collect are overly exposed) we can correct the results through revision canthoplasty.



epicanthoplasty reconstruction
  • STEP 01

    Build a V-Y advancement flap on the inner canthus.

  • STEP 02

    Close the V-Y advancement flap.

  • STEP 03

    Design a Z-plasty.

  • STEP 04

    Perform a Z-plasty.

Tip - Why should a Z-plasty be performed?
The most common problem that may occur after revision canthoplasty is that the shape of the inner canthus may change to a U-shape. A Z-plasty can prevent potential transformation that may occur after surgery using a triangular flap, and form the inner canthus into a beautiful shape.



Revision lateral canthoplasty

If the mucosa is overly exposed, the location of the lower eyelids have changed, a patient experiences ectropion (lower eyelid turns outwards), or the shape of the outer corners of the eyes have changed to the shape of webbed feet, such problems can be resolved through revision lateral canthoplasty.

  • STEP 01

    Make an incision on the scar of the previous lateral canthoplasty and the exposed mucosa.

  • STEP 02

    If a patient experiences ectropion (lower eyelid turns outwards) due to the relocation of the lower eyelids, conduct aesthetic canthal suspension surgery to set the outer corners of the eyes back in their original location.

  • STEP 03

    Stitch the incision by layer, considering the original structure of the outer corners of the eyes.

JW Director Choi Hong-Lim MD specialized in revision eye surgery

JW Director Choi Hong-Lim MD has been devoting himself to lower blepharoplasty research for the benefit of patients.

As a result, he has accumulated a wealth of clinical experience in lower blepharoplasty, while developing fourth-generation lower blepharoplasty techniques.
In addition, he has been participating in various academic activities and providing lectures and demonstrations to spread his advanced techniques and skills. He is now getting a lot of attention for his remarkable achievements and expertise at home and abroad.
Published numerous theses on plastic surgery at home and abroad and wrote a plastic surgery textbook in the US





The features of JW’s revision eye surgery

JW’s revision eye surgery team provides differentiated revision eye surgery based on a wealth of experience and knowhow.


  • 01 One-to-one consulting system for patient convenience From diagnosis to post-operative treatment
    Through our one-to-one consulting system, we do our best to design beautiful and natural-looking eyes.
  • 02 Customized surgery In order to obtain optimal results, we use different surgical threads considering the patient’s conditions.
  • 03 Post-operative management system to prevent revision surgery After customized surgery, we provide scar and swelling care services to prevent revision surgery.
  • 04 Localized anesthesia system for pain relief We minimize pain by applying localized anesthesia using 34-gauge needles, instead of sedation anesthesia.
Cautions before revision eye surgery
  • 01 You must stop taking medications that may disturb hemostasis (oral contraceptive pills, hormonal drugs, vitamin E, aspirin, etc.) at least one week before an operation. If you are currently receiving treatment for high blood pressure, heart disease, diabetes, or thyroid disease, you must inform your doctor or consultant in advance.
  • 02 Cigarettes may cause phlegm, sneezing, or bleeding after an operation. We strongly recommend for you to stop smoking for one to two weeks before an operation.
    A serious cold may reduce your trachea and respiratory functions. Please inform a doctor or consultant in advance if you happen to be suffering from a serious cold on the day of surgery.
  • 03 Before you come to the hospital, you must remove makeup, contact lenses, any accessories, nail polish, and pedicure on the day of surgery.
  • 04 You must stop eating any food at least four hours before an operation.
  • 05 We recommend you to wear comfortable clothes, which will not irritate the surgical sites, a mask, cap, and sunglasses. In addition, we advise you to come with a guardian or use public transportation.
Cautions after revision eye surgery
  • 01 Placing the surgical sites on a higher position than your heart helps to reduce swelling.
  • 02 Apply an ice pack on the surgical site for the first three days.
  • 03 Avoid severe friction and acupressure massage around the surgical sites for at least one month after an operation. Use a sauna or take a hot bath at least one month later.
  • 04 Refrain from smoking or drinking, which may delay your recovery, for at least four weeks after an operation.
  • 05 You may engage in some light exercise such as a walk right after an operation. However, you must refrain from heavy exercise such as aerobics, tennis, and swimming, for at least three to four weeks after an operation.
Medical professionals of JW Eye Surgery Center

Medical professionals of JW Eye Surgery Center who possess over 16 years of experience and knowhow

Our well-experienced and skilled medical professionals of JW Eye Surgery Center are endeavoring to provide quality medical services specialized in eye surgery.

Cautions before Eye surgery
  • 01You must stop eating any food at least four hours before an operation.
  • 02You must stop taking any medications that might disturb hemostasis (oral contraceptive pills, hormonal drugs, vitamin E, aspirin, etc.) at least one week before an operation. If you are currently receiving treatment for high blood pressure, heart disease, diabetes, or thyroid disease, you must inform your doctor in advance.
  • 03Cigarettes may cause phlegm, sneezing, or bleeding after an operation. We strongly recommend that you stop smoking for two weeks before an operation.
  • 04A serious cold may reduce your trachea and respiratory functions. Please inform your doctor in advance if you happen to be suffering from a serious cold on the day of surgery.
  • 05Bring clothing you can easily change into without irritating the surgical sites, such as a shirt or a big T-shirt.
  • 06We recommend that you take a bath and wash your head on the day before an operation. You must remove makeup and wash your teeth on the day of surgery. In addition, you must remove your contact lenses, any accessories, nail polish, and pedicure.
Cautions after eye surgery
  • 01You can wash your face with water from the day after the stitches are removed. You may take a shower but should refrain from using a sauna or a public bath.
  • 02You must take the medications on time as prescribed by a physician and refrain from taking aspirin or hormonal drugs.
  • 03Refrain from smoking or drinking, which may delay your recovery, for at least four weeks after an operation.
  • 04Apply an ice pack on the surgical site for the first three days. Then, apply a warm pack on the site for two to three days. Placing the surgical sites on a higher position than your heart helps to reduce swelling. Refrain from drinking water before you go to sleep to prevent swelling.
  • 05As each individual has different health conditions, bruising or swelling may disappear at different rates. Please allow time until bruising or swelling disappears.
Please note: In regards to before and after photos on this site, results may vary depending on each patients' individual case