Early Correction for Multiple Eyelid Folds (Case Study: Improving Multiple Folds and Sunken Eyelids After Two Failed Early Corrections at Other Clinics)

Early Correction for Multiple Eyelid Folds (feat. Improving Multiple Folds and Sunken Eyelids After Two Failed Early Corrections at Other Clinics)

This is the photo taken when the patient first visited our clinic. The patient initially had double eyelid surgery at a clinic in the countryside, but when issues arose, they sought early correction at another clinic in Seoul. Unfortunately, problems persisted, leading to a second early correction attempt elsewhere, which ultimately resulted in sunken eyelids and multiple folds (triple folds).

In the case of early correction, it is impossible to change the actual double eyelid line itself. Early correction is only suitable for addressing specific issues such as the occurrence of multiple folds, asymmetry in pupil exposure, overcorrection of the pupils, or difficulty opening the eyes.

Q) Why is it impossible to change the double eyelid line during early correction?

This is because we are forced to use the existing incision line. If a new incision is made shortly after the initial surgery, the tissue between the new incision and the previous one will lose blood supply, leading to skin necrosis.

Q) When can the double eyelid line itself be corrected?

It is only possible after at least 6 months have passed.

Before Surgery

After Surgery: The line folds correctly and the sunken areas have disappeared.

Q) Is fat grafting necessary for the sunken, depressed areas of the eyelid?

While that is sometimes the case, more often than not, it is not required. This specific patient did not undergo fat grafting.

We are pleased that the surgery was successful. However, the patient mentioned they originally wanted a lower line, but the first clinic had removed a significant amount of skin.

Whether that can be corrected must be determined by observing the shape after at least 6 months.

Because the patient is currently lacking sufficient skin and has undergone three early corrections, some scar tissue may form around the incision line. This can cause the line to look slightly angled or create temporary, small multiple folds at the front or back of the eye.

These issues typically resolve with time, so there is no need for concern; we usually explain this to patients prior to surgery.

Frequently Asked Questions

Can I change the height of my double eyelid line with early revision surgery?

No, it is not possible to correct the double eyelid line itself during early revision surgery. If a new incision is made shortly after the initial surgery, there is a risk of skin necrosis due to blocked blood supply to the tissue between the existing and new incision lines, so the existing incision line must be used as is.

What symptoms can be improved with early double eyelid revision surgery?

Yes, symptoms such as multiple folds, asymmetry in the size of both pupils, overcorrection of the pupil, and difficulty opening the eyes can be improved. While line changes are difficult, these functional and structural side effects can be corrected through early revision surgery.

When should I have surgery to correct my double eyelid line again?

It is recommended to have surgery at least 6 months after the initial procedure. Sufficient time is needed for the tissue to stabilize and scars to soften, so after 6 months, the decision for reoperation should be made after accurately diagnosing the eye shape and skin condition.

If my eyes become sunken after double eyelid surgery, do I always need fat grafting?

No, fat grafting is not always necessary. While some patients may require fat grafting depending on their eye condition, it is more often not needed. The patient in the main text also improved sunken eyes and multiple folds without fat grafting.

Can scar tissue or small multiple folds appear around the incision line after early revision surgery?

Yes, if early revision surgery has been performed multiple times, scar tissue may rise around the incision line. This can cause the line to appear kinked or temporarily create small multiple folds, but these will naturally improve over time, so there is no need to worry excessively.