Undoing Incisional Ptosis Correction: Early Revision Surgery for Side Effects - Patient Case Study

Today’s post is about

Undoing incisional ptosis correction through early revision surgery. The goal is to improve side effects caused by the initial ptosis correction.

A patient visited our clinic for a consultation.

Originally, when this patient first came to me for a consultation, I advised that ptosis correction was not particularly necessary. However, they ended up having the procedure done at another clinic. They returned to see me on the day their stitches were scheduled to be removed.

The procedure resulted in asymmetry and various side effects that the patient was struggling with.

Symptoms included light sensitivity, headaches, a pulling sensation, glare, asymmetry, dry eyes, and stinging sensations.

The patient’s right eye (left side in the photo) was particularly problematic.

As indicated by the arrow on the left, there is a crease on the outer corner. The arrow on the right shows the ptosis correction was overcorrected, resulting in a peaked, triangular shape.

Furthermore, the patient’s left eye still had persistent multiple folds.

There were also multiple folds in the inner corner area.

The following video illustrates the condition:

For early revision, we must use the existing incision line. This is because it is impossible to create a new incision line during the early recovery phase.

Therefore, I explained beforehand that because the two sides were different, some asymmetry in the double eyelid fold might remain. Our primary focus was to resolve the side effects of the ptosis correction as much as possible.

In my experience, symptoms experienced after ptosis correction often improve if early revision is performed immediately to undo the correction. However, if too much time passes, these issues become much harder to resolve.

The surgery involves entering through the existing incision line, removing all previous ptosis correction sutures, and carefully releasing adhesions.

Afterward, various measures are taken to prevent re-adhesion. Without these steps, side effects such as triple folds (multiple creases) may occur.

For more information on triple fold side effects, please refer to the following blog post:

https://blog.naver.com/medicdoctor/223051533802

This is the appearance immediately after surgery. The eyes look more comfortable right away, and the symmetry of the pupils appears improved.

This is the appearance at the 1-week mark when stitches were removed. Even though the ptosis correction was completely undone, the eyes open well, and the patient reports feeling much more comfortable.

In fact, the symmetry has actually improved.

If you are considering early revision, it is best to do it as soon as possible, ideally within 2 weeks for the best results.

Once past 3 weeks, the procedure becomes very burdensome, and by the 4th week, surgery is often impossible until the tissues fully heal.

The eyes look much more relaxed, and the lines have become more natural.

Since it has only been one week since the surgery, I expect the results to become even more aesthetically pleasing as time passes.

This concludes today’s post on early revision for incisional ptosis correction side effects.

Frequently Asked Questions

When is the best time for early revision surgery for ptosis correction side effects?

Yes, it is best to do it within 2 weeks if possible. Early correction yields better results when performed as soon as possible; after 3 weeks, surgery becomes burdensome, and from the 4th week, surgery is often impossible.

Is a new incision made during early revision surgery?

No, the existing incision line is used as is. In the case of early correction, it is impossible to make a new incision, so the surgical site is reopened, all existing ptosis correction sutures are removed, and adhesions are released.

What are the symptoms of ptosis correction side effects?

Typical symptoms include light glare, headaches, pulling sensation, photophobia, dry eyes, and stinging. Additionally, aesthetic problems such as overcorrected, triangular-shaped eyes, asymmetry between both eyes, or multiple eyelid folds may occur.

Do side effects immediately improve if ptosis correction is reversed?

Yes, early revision often leads to immediate improvement. You can observe your eyes becoming more comfortable and pupil symmetry being restored right after the surgery. However, improvement may be difficult after a long time, so quick action is necessary.

Can double eyelids form after removing ptosis correction sutures?

Yes, if re-adhesion occurs, double eyelid side effects can develop. To prevent this, during surgery, adhesions are thoroughly released, and various safety measures are implemented to prevent re-adhesion, minimizing the occurrence of side effects.