What is a revision eye surgery?
A revision eye surgery makes more attractive and natural-looking eyes and it will heal your heart!
After eye surgery, some patients experience a unnatural eye shape, other functional difficulties or asymmetrical eyes. In this case, many of them consider a re-operation for different reasons. A re-operation should be carefully conducted in order to avoid a second or third re-operation. Therefore, well-experienced and skilled medical professionals should conduct a re-operation.
Proper time of a revision eye surgery
A revision eye surgery shouldn’t be conducted anytime and whenever you want. We recommend patients to have a re-operation 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 re-operation one to two weeks after the previous surgery. In other cases, we recommend patients to have a re-operation after the eye tissue is stabilized, generally three to six months after the previous surgery.
||Depends on the form of the surgery
||Short-term sedation or local anesthesia
||Removal of Stitches
||7 days after the operation
|Number of Postoperative visits
||removal of stitches on 7th day
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.
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.
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.
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 on both eyes.
If too much skin tissue was removed at the previous 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 cause triple folds.
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 re-operation.
JW Plastic Surgery provides an optimal solution.
The unsatisfactory result of a revision eye surgery is caused by a combination of factors. We accurately diagnose the causes when planning a re-operation. JW Plastic Surgery finds the best eye shape for each patient and corrects the problems of the previous operation.
JW’s revision eye surgery by types
01. Re-operations to correct height of double eyelids
When double eyelids are too high,
– We remove the scars on 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.
When double eyelids are too low,
We should create higher folds above the current lines by non-incision, partial-incision or full-incision methods. The case that adhesion of skin and scar tissues are severe, we will perform full-incision surgery to release old scars and adhered skin.
02. Re-operations to correct depth of double eyelids
When double eyelids are too thin and shallow,
They easily disappear over time.
When double eyelids are too deep,
They are still clearly visible but may look puffy and unnatural. This symptom appears especially when the double eyelids are too high and accompanied with blepharoptosis. In this case, we can recreate natural double eyelids by adjusting the location of the front part of eyelids.
When double eyelids are too low and deep.
Excessive adhesion of double eyelids causes an unnatural appearance. In this case, the existing double eyelids should be removed.
03. Re-operations to correct strength of ocular muscles
When blepharoptosis was not corrected.
If the strength of ocular muscles was not considered for the first operation, many symptoms of blepharoptosis can’t be improved 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.
04. Re-operations to correct a degree of adhesion
In case of excessive adhesion of skin
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 naturally disappear when you close. 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.
05. Re-operations 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.
06. Re-operations 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.
The causes should be accurately analyzed from various angles, considering height, depth, strength, adhesion, and volume.
During surgical planning, each factor should be accurately analyzed and potential issues should be considered.
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 a revision eye surgery.
JW’s revision eye surgery by types:
01. Revision 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, How to correct?
If only fat removal or re positioning 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 medial facial tissue should be lifted up. If the results of the first operation are unsatisfactory even after a mid-line face-lift, it may result from a lack of under-eye tissue. To resolve this, the range of under-eye fat transfer or mid-line 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 withaesthetic canthal suspension surgery.
02. Revision 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.
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.
- 01One-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.
- 02Customized surgery.
- In order to obtain optimal results, we use different surgical threads considering the patient’s conditions.
- 03Post-operative management system to prevent revision surgery.
- After customized surgery, we provide scar and swelling care services to prevent revision surgery.
- 04Localized 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
- 01You 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.
- 02Cigarettes 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.
- 03Before you come to the hospital, you must remove makeup, contact lenses, any accessories, nail polish, and pedicure on the day of surgery.
- 04You must stop eating any food at least four hours before an operation.
- 05We 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
- 01Placing the surgical sites on a higher position than your heart helps to reduce swelling.
- 02Apply an ice pack on the surgical site for the first three days.
- 03Avoid 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.
- 04Refrain from smoking or drinking, which may delay your recovery, for at least four weeks after an operation.
- 05You 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 17 years of experience and know-how
Our well-experienced and skilled medical professionals of JW Eye Surgery Center are endeavoring to provide quality medical services specialized in eye surgery.
※ Please note: In regards to before and after photos on this site, results may vary depending on each patients' individual case