[Real Patient Case] Revision Eye Surgery (Incisional Double Eyelid) + Ptosis Correction + Under-Eye Fat Repositioning

#IncisionalDoubleEyelid #RevisionEyeSurgery #PtosisCorrection #UnderEyeFatRepositioning #DermalAdhesion #DoubleLineIncision #DoubleEyelid #GangnamDoubleEyelid #InLine #InOutLine #SemiOutLine #GangnamEyeSurgery #GangnamRevisionEyeSurgery

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Many people desire larger eyes rather than smaller ones.

Because small eyes can make the face appear flat, the number of people considering

double eyelid surgery is increasing significantly.

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Double eyelid surgery is largely divided into the non-incisional (suture) method and the incisional method.

For eyes with a lot of fat or thick eyelid skin and muscles,

the double eyelid fold may loosen over time.

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Today, we will look at a real patient's case who underwent revision double eyelid surgery, along with their photos.

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Incisional Double Eyelid (Revision) + Ptosis Correction + Under-Eye Fat Repositioning

This patient had incisional double eyelid surgery, ptosis correction, and epicanthoplasty 12 years ago.

Over time, the double eyelid folds loosened, and multiple creases formed on both eyes,

causing the double eyelid lines to become asymmetrical.

As the asymmetry progressively worsened, she was attending consultations to get revision surgery.

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Pre-operative Analysis

Patient's Condition Before Surgery

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✅ Asymmetrical double eyelid lines

✅ Loosened double eyelids with multiple creases on both sides

✅ Tired-looking impression due to dark circles

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Due to the multiple creases on both the left and right eyes, the lines were uneven,

giving an aged, tired, and stuffy impression with an unnatural eye shape.

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Desired Eye Shape

The patient wanted the overall double eyelid height to be a line slightly higher than the left eye,

and hoped to correct the asymmetry and multiple creases for a harmonious look on both sides.

She also wanted to improve the dull impression caused by the bulging under-eye fat.

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Diagnosis and Surgery

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✅ Semi-out line double eyelid + Ptosis correction

✅ Under-eye fat repositioning

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The multiple creases on the upper eyelids were improved with incisional double eyelid surgery and ptosis correction.

Although the patient wanted a semi-out line for the double eyelid,

creating a semi-out line would make the front line too thick, so we decided to create a clear in-out line

that is higher than the previous line.

For the under-eye area, the overall bulging fat and dull appearance

were to be improved through under-eye fat repositioning.

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Post-operative Progress

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2 Weeks After Surgery

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This is the appearance after stitch removal at 2 weeks post-surgery.

There is not much swelling, and the double eyelid lines on both sides are beautifully symmetrical.

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2 Months After Surgery

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✅ Clear in-out line achieved

✅ Dull under-eye area improved

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Through incision + ptosis correction, the multiple creases disappeared, and the double eyelid lines became clear,

showing significant improvement.

Additionally, by performing under-eye fat repositioning together,

the bulging under-eyes and the shadowed, tired impression were improved.

As the under-eye area became flatter overall,

the patient achieved a younger and brighter appearance.

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Today, we looked at a revision double eyelid surgery case.

➰ We will return with another case review next time. ➰

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Want a quick consultation?💖

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Frequently Asked Questions

After double eyelid surgery, I developed multiple folds. Can this be corrected with revision surgery?

Yes, it can be corrected through incisional double eyelid revision surgery and ptosis correction. By re-establishing the double eyelid with an incision and correcting the eye shape, the asymmetry and multiple folds can be eliminated, creating a smooth and clear line.

I want to have a semi-out line for revision surgery. Is it always possible?

No, it may vary depending on the patient's eye condition. In the case presented, the patient wanted a semi-out line, but there was a concern that the front line would become too thick. Therefore, under the medical team's diagnosis, the surgery was performed with an in-out line to achieve a natural and clear result.

My undereyes look puffy and dull. What surgery can help?

Undereye fat repositioning surgery can help. If the fat under your eyes is generally bulging, creating shadows and making you look tired, undereye fat repositioning can flatten the area, improving your appearance to look brighter and younger.

When are the stitches removed after eye revision surgery?

Stitches are usually removed around the second week after surgery. The patient in the case study also had their stitches removed in the second week after surgery, and at this time, significant swelling had subsided, and both double eyelid lines began to settle symmetrically.