2026-05-29
Undoing Incisional Ptosis Correction: Early Revision for Complication Prevention
Learn why early revision is crucial for correcting overcorrection or asymmetry after incisional ptosis surgery to prevent long-term complications and reduce stress.
Undoing Incisional Ptosis Correction: Early Revision (Complication Prevention) - Source: Choi Dong-il’s Blog
When performing incisional ptosis correction, the most critical factors to watch for are overcorrection, undercorrection, and asymmetry.
Consequently, there are cases where incisional ptosis correction must be adjusted early. This post introduces cases where the incisional ptosis correction is undone or loosened.
Early revision surgery is significantly helpful in preventing complications and is a method that greatly reduces stress for both the patient and the surgeon.
Usually, even if asymmetry appears well-corrected immediately after surgery, factors such as local anesthesia can lead to one side becoming overcorrected or undercorrected as time passes.
The photo below shows a case where one eye appears overcorrected. This is the process of slightly loosening the ptosis correction.
Let’s look at the patient’s left eye in this image.
If one side is overcorrected like this after surgery, it is better to perform an early revision rather than just waiting blindly.
Typically, if a difference is noticeable when stitches are removed around 1 week post-op, the correction can be done immediately. In other cases, it may be performed around 2 weeks post-op once more swelling has subsided.
Correction is easily achieved if the ptosis correction points are properly repositioned.
However, if the condition has persisted for a long time, the surgical method changes entirely.
All adhesions must be released.
The issue can only be resolved by releasing all adhesions involving the levator aponeurosis, Müller’s muscle, and the conjunctiva.
The surgery usually takes about an hour.
One side appears overcorrected.
This is a patient who is more than 6 months post-op.
The overcorrected portion has been resolved.
In cases where overcorrection has persisted for a long time, the procedure should be performed by an experienced plastic surgeon to minimize complications as much as possible.