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Revisional double eyelids surgery


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Hi
Thank you for sharing! I’m looking for a PS to do my eyelids blepharoplasty.
 
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Hey everyone! Long time lurker, first time poster.

I just want to ask whether anyone has experience or an idea of what will happen if my surgeon reopens my incision and releases the fixed sutures that connect to the levator muscle in creating the fold. Basically I regret undergoing this surgery and I want to reverse it - my surgeon said that once stitches are taken out (1 week post-op) he can remove the fixed sutures underneath my eyelid and in the long-run will end up with monolids. Of course it will not look exactly as I did before the surgery given I had a little fat and skin removed, but apparently it will settle into a lower crease/monolids. What do people think of this? Should I trust my surgeon? I feel a bit wary about this proposal because he made it sound too easy to just undo the incisional double eyelid result!
 
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Were your levator muscles detached in the first place? Did you have ptosis before?
If your levator muscles were not detached, i would guess that by releasing the stitches, in the worse case scenario, you would go back to what you previously look like before the DES.
 
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Thanks for replying Fortunecat. I originally had monolids and a small crease created by wearing false eyelashes. I am assuming my weak temporary crease confused the surgeon which resulted in an unnatural result. Anyway, I'm not exactly sure what you mean by if my levator muscles were detached beforehand. I had monolids naturally so I'm assuming they were detached to begin with. My surgeon created the fold/crease by creating fixation/sutures to the levator muscle. I don't think I had ptosis - just a heavy/puffy eyelid.

I think I will go ahead with the revision 1 week post-op to undo it because I know I won't be happy with this completely ridiculous and unnatural crease/fold! I'm just worried that this will mess up my eyes even more somehow...
 
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Actually, your surgeon is right. Its that simple. When the stitiches are removed 1 week post-op, he can just "pull" open the wound and cut away the stitches. The only concern i guess, would there be scarring though?
I had ptosis correction mainly. My levator muscles were detached. The oculoplastic surgeon had to attach thedetached levator muscles together in order for me to be able to "lift up" my eyelids when i opened my eyes.
 
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I really hope so! I’d rather deal with the scarring than to have this unnatural fold. The other concern is whether having some fat and skin removed will affect the result...but I’m assuming I’ll just end up with a thinner eyelid. Fingers crossed this will all pan out okay for me...I’ve been worried sick.
 
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Hey guys and gals. So I'm patiently waiting for the day to get my stiches removed to do the revision to undo the attachment to levator. I spent a lot of time researching today and I'm having a lot of doubts because it seems that operating on a fresh incision/surgical site is not a good idea. I know my eyes will still have swelling and a little bruising when I do undergo the anticipated revision...does anyone have any insight on this?

Also, I did epicanthoplasty as well and I've realised that the inner corners are uneven. One eye has more skin/fold, whereas the other has more inner corner showing and is sharper looking. I showed my doctor photos of this and apparently the assymetrical epicanthoplasty can be revised at 1 week post-op as well. They will reopen the inner fold area where they will cut a little skin off to match the other eye and then re-stitch.

Is this a really, really bad idea? I wonder if my surgeon is just giving me false hope or if they are actually willing to go through with this early and immediate revision cos it would be really unprofessional if they were lying to me. I'm scared sh**less about whether this will ruin my eyes even more or whether it will actually minimise/undo some of the effect of the initial surgery and make me more satisfied. What do u all think???
 
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Nice, glad ur revision went well.

I went to shinseung last time, however i wasnt liking the consultation there ;( it feels very unclear that time.

Still looking for a clinic to do my revision, did mine at April 31 last time and not happy ;,(. This is going to be my third revision. Hope i find the right clinic this time....
 
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I feel you , i hope you find the right one .
I just did there so i just saying it
 
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  • 2 weeks later...
hi, I am planning to go to Seoul for double eyelid revision in around mid 2019. Anyone want to catch up?
I had my first full incisional double eyelid surgery in my country, as the result, I had suffered from severe scars and hypertrophic scars in the inner corner of my eyes. Thus, I came to Seoul in November 2018 to do my revisional surgery but the doctor did not help me with the scars and my results turn out worst. I am now 1.5 months post operation, I still suffering from the same old situation and my eyes now are very uneven, I think maybe because of the swelling. So I will wait until 6 months post operation. But from my experience, I properly need to do revision again. Anyone know any clinics that are good with tiny and tight stitching? please recommend me because it can help with scarring.

And anyone going in 2019 want to catch up please add my kakaotalk id: Cindy1202
 
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  • 3 weeks later...
Hi all,

Posted this in another thread too, but here's up my update,

I had my double eyelid revision with Dr. Kang in October, it has now been about a little over three months since the procedure.

Firstly, Dr. Kang and his staff are very nice and welcoming, Dr. Kang is nice, soft spoken, and does understand some english. During your consultation he has ample pictures to show you on eyelid height, some photos on scarring and revision photos that show both eyes. It can be a little misleading that the photos on his website only show one eye and does not show them looking down to see the scar or his stitch work which is also an important factor in deciding on your revision. Most MDs will say though that the success of a revision or double eyelid surgery would be what your eyes look like when they're open.

My issue - I had a very high crease with puffy tired looking eyes. During the consultation, we discussed lowering the crease and reducing the sausage look and fold appearance. Now, 3 months post-op I will say my crease height is much lower than before, it's still a bit sausage looking, but I wasn't naturally born with double eyelids to begin with so I'm satisfied with how they look when eyes are open. I think I am still healing with the scar so it's difficult to assess what the outcome will be. Right now scarring is still present, a little bumpy in some parts, tender and sensitive to touch at times -- I could be a slow healer. His method is different than other peoples, I don't know how to explain it but the way he excises the scar and stitches doesn't create a fold line like the first double eyelid surgery. I don't know if I'm the biggest fan of this method because while it does make the scar flat, the way it looks from a mirror with your eyes looking down is a bit strange. It could be because my scar is still healing and recovering, so I'll wait to give a final assessment until 6 months to a year mark.

Overall though, Dr. Kang did lower my crease by a lot, he is capable of taking a high crease and lowering it. Symmetry and scarring is questionable but it's a still a bit too early to say. I think my double eyelids were asymmetrical to begin with and so the end result now is still a bit of assymetry, not sure. Anyways, hopefully this is helpful to all you ladies on your search.

It's hard to find a surgeon who is good at double eyelid revision in Korea especially when we do not live there and rely on forums and sites like this. Dr Kang is a popular md on this forum, however I'm sure he's not the only one in Korea who can do double eyelid revisions. It's hard to say without knowing the language and diffiult to know if they've had enough experience for your procedure, but they're out there I'm sure. Consult and ask around if possible and during the consultation, ask for pictures, the more pictures they have, the better. It will help to know exactly what kind of procedure and results you want and ask the md what their stitches looks like, whether they're going to excise any skin AND/OR fat and photos of scar healing. Good luck and feel free to ask me any questions.
 
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  • 2 weeks later...
Does anyone have any recommendations for a good surgeon who specialises in DES revision, and can make a low crease higher? I had my initial DES surgery 2 months ago and am very unhappy with my results as they are extremely hooded. I was told it was 7mm crease which I no longer believe because I am pretty sure 7mm is meant to be much higher than how my eyes look now. Any advice/recommendations would be very appreciated!
 
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