Timing for Double Eyelid Revision Surgery: A Personal Perspective

In such cases, it is incredibly stressful for both the patient and the doctor.

From the patient’s perspective, they might think, ‘Is this surgeon actually skilled?’ or ‘Will it go wrong again?’ or ‘I’m scared of getting more injections...’
From the doctor’s perspective, there can be a sense of regret, thinking that it would have been perfect with just a slight adjustment.

Generally, plastic surgeons, including myself, are considered highly skilled if their revision rate is under 10%.
I can certainly say mine is well below 10%.

However, even I occasionally perform revisions on my own patients.
In fact, even my own older sister had a slight bit of skin sagging remaining after her surgery last summer, so I performed a touch-up a week later.
There are specific timings for eye or double eyelid revision surgery.

1. Revision within 1 week to 1 month after surgery
- This most commonly involves ptosis correction revisions.
It is done when there is over-correction or under-correction, or when there is a restriction in opening the eyes.
Patients are often referred to us from other clinics within this 1-month window.

This patient visited us after being recommended by another clinic.
I am grateful to the patient for trusting and choosing us.


2. Revision between 1 month and 6 months
During this period, the wound has not matured and the scar tissue has not settled, so revisions are rarely performed.
Occasionally, we proceed if the patient takes full responsibility or if the eye shape makes social life impossible.
The case below is a patient referred from another clinic about a month after their initial surgery.

3. Revision after 6 months
This is the most common timeframe for double eyelid revision.
Since the wound has matured significantly, it is a period where even minute differences can be corrected.

The timing of revision surgery should be determined based on the patient’s condition.
Furthermore, because the approach to ptosis correction revision varies by timing, you must consult with a specialist.
The advantage of revision within 1 month is that correction is somewhat easier before existing adhesions fully form.
For dissatisfaction with the double eyelid shape, I personally recommend waiting until after 6 months once the wound has stabilized.
While my opinion does not represent all surgeries and is a personal view, I believe most surgeons share a similar perspective.