2026-05-29
[Real Case] Double Eyelid Revision Surgery to Naturalize Unnatural Eyelids from Decades Ago
A 40s woman sought revision surgery for unnatural double eyelids from 30 years ago. Her thick, deep, and angular lines were corrected to a natural, soft curve, and her droopy eyes were improved with ptosis correction.
![[Real Case] Double Eyelid Revision Surgery to Naturalize Unnatural Eyelids from Decades Ago](/uploads/uberps1/223580202672/feb8b9794ce79505.jpg)
#EyeRevisionSurgery #PtosisCorrection #GangnamEyeRevision #GangnamStation #GangnamPlasticSurgery #DoubleLineCorrection #MiddleAgedEyeSurgery #DrParkSunhee #Wevers #SeoSeungjo #ShimJeonghwan #DermalAdhesion #DermalAdhesionRevision
Hello everyone~
💎Your beauty universe! This is Dr. Park Sun-hee from Wevers Plastic Surgery :)💎
Today, I'd like to review a case of eye revision surgery.
A woman in her 40s, who had incisional double eyelid surgery 30 years ago, visited our clinic.
She expressed dissatisfaction with her thick, unnatural double eyelids and the angular appearance of her lines.
She also mentioned feeling a weakening in her ability to open her eyes over the past month,
and that even when she tried to open her eyes naturally, they felt less open than usual.
She had never received Botox on her face, and at the time of her visit, she was not excessively using her forehead muscles.
Pre-Surgery Analysis
Her current double eyelids are large and deep. The line is not a smooth curve,
but rather an angular straight line, and the area below the line protrudes, giving a ‘sausage line’ appearance.
She has skin laxity, and the distance between her eyes and eyebrows is relatively close.
Her skin is thin, and her eyes are proptotic. Observing the size of her pupils, it's clear that her eyes appear less open, giving a sleepy impression.
The patient wanted to alleviate the discomfort she felt when opening her eyes after surgery.
She wished for a clearer, more alert impression when opening her eyes naturally.
She also wondered if her unnatural double eyelids could be transformed into a more natural and soft curved line.
Diagnosis and Surgery
She had consulted with other plastic surgery clinics, some of which recommended a forehead lift.
However, a forehead lift would not effectively improve the unnaturalness of her double eyelid line,
so we decided on double eyelid revision surgery and ptosis correction.
The patient also mentioned severe dry eyes.
During the examination, her eyes were not incompletely closed, but when she closed her eyes,
she used her orbicularis oculi muscles extensively, resulting in many fine wrinkles around the orbicularis oculi.
6 Days Post-Op
This is the appearance after suture removal on the 6th day post-op. Although there is still swelling,
both double eyelid lines are smooth curves, and her eyes appear larger and more refreshed than before.
The double eyelids have naturally thinned, and the eye shape has become more rounded.
Despite the swelling, she has a softer impression.
When her eyes are closed, they appear natural, without incomplete closure or pulled areas.
2 Months Post-Op
All the swelling has subsided.
The thick, large, and deep double eyelids have been transformed into thin, natural lines.
Without excising skin, the double eyelid line was lowered by changing the fixation point.
Even with her eyes closed, the fine wrinkles around her eyes, previously caused by orbicularis oculi muscle use, have reduced.
Before Surgery / 7 Days Post-Op / 2 Months Post-Op
In this post, I reviewed a case of eye revision surgery.
I will continue to provide more detailed information through reviews of various cases.
If you have any questions, please leave a comment, and I will answer them.
Frequently Asked Questions
Is reoperation possible for double eyelid surgery performed decades ago?
Yes, it is possible. Even in cases like the 40-year-old female patient mentioned in the text, who had incisional double eyelid surgery 30 years ago resulting in a thick and unnatural line, eye reoperation can improve it to a natural and thinner line.
How can thick and creased 'sausage' double eyelid lines be improved?
It is improved by changing the fixation position of the double eyelid to lower the line, without skin excision. This can transform deep, creased, straight double eyelids into thin, soft, curved, natural lines.
What surgery is needed if the power to open the eyes has weakened?
Ptosis correction surgery is needed. If the eyes don't open fully, giving a sleepy impression, and it's uncomfortable to open them, performing ptosis correction along with double eyelid reoperation can improve the impression to a clear and distinct look when the eyes are naturally open.
When does the swelling completely subside after eye reoperation?
Typically, most of the swelling subsides about 2 months after surgery. While there is still swelling when the stitches are removed on the 6th day after surgery, by the 2-month mark, the swelling will have gone down, and the thick double eyelids will settle into a thin and natural line.
Can an unnatural double eyelid be corrected with a forehead lift?
No, a forehead lift alone has limitations. It is difficult for a forehead lift to directly improve the unnaturalness or 'sausage' appearance of the existing double eyelid line, so combining double eyelid reoperation with ptosis correction is more effective.