Early Revision Case of Ptosis Correction (feat. Retraction, Multiple Folds After Failed Skin-Lowering)

Early Revision Case of Ptosis Correction (feat. Retraction, Multiple Folds After Failed Skin-Lowering)

Pre-operative appearance

As seen in the photos, one side has developed multiple overlapping folds.

The lower arrow indicates the newly created incision line, while the upper arrow points to the previous surgical incision. Re-adhesion occurred at the old incision site, resulting in a triple eyelid fold.

Furthermore, the eye opens excessively wide, indicating overcorrection.

As shown in the video, the patient’s left eye (right side on the screen) exhibits retraction symptoms where the eye opens excessively, along with the formation of multiple folds.

It is crucial to ensure that multiple folds do not form immediately after the surgery.

This leads to the most stable outcome.

The principle of revision surgery is to thoroughly release existing adhesions and prevent them from forming again.

In early revision, the goals are to balance the eye size and prevent multiple folds; the double eyelid shape itself is not the primary focus of correction at this stage.

This is the appearance at the 6-month mark.

The shape is excellent, no multiple folds have occurred, and the scarring is quite minimal.

I am very pleased that the surgery was successful.

Before Surgery

After Surgery

Frequently Asked Questions

What causes multiple folds to form after ptosis correction?

It is because re-adhesion occurs along the old surgical incision line. As in the example in the main text, if adhesion occurs along the previous incision line instead of the newly created one, multiple folds like a triple eyelid can form.

What is the most important principle for revision ptosis correction surgery?

It is to properly release the existing adhesions and prevent them from re-forming. Taking measures to prevent multiple folds from occurring immediately after surgery is the most stable way to achieve results.

Is double eyelid correction also performed during early revision of ptosis correction?

No, double eyelid correction is not performed during early revision. The main goal of early revision is to focus solely on matching the size of both eyes and improving to prevent the formation of multiple folds.

What is the symptom of retraction among the side effects of ptosis correction?

It refers to the phenomenon where the eye opens excessively when opening the eyes. If one eye opens significantly wider than the other after ptosis correction surgery, retraction symptoms can be suspected, and this can be resolved by matching the eye size through early revision.