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Case Analysis
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Revisional double eyelid surgery (1)
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- teuim
- date
- 2012-08-07 12:19:50
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- 11834
Revisional double eyelid surgery
Understanding the revisional double eyelid surger
Example) A case where both a revisional double eyelid surgery , lateral canthoplasty and the Magic epicanthoplasty are done to make them refined and structurally harmonized.
The eyelid surgery is the most reoperated surgery ever. As other common plastic surgeries, it is taken because of the unsatisfied outcome of the patient. So, the first surgery has to be done very prudently. And when considering a reoperation, the eyes have to be treated exceptionally carefully. And enough consultations should be taken. Depending on the type of surgery, the surgical methods and the recovery conditions differ.
Classifications for the reoperation of the double eyelid
There are two reasons people having their double eyelids reoperated. 1) When the patient may not be satisfied with his/her look, a subjective matter. 2) When it is needed to take the reoperation from an objective point of view.
1. Awkward looking eyes Awkward and unnatural eyes give a feeling of huge discomfort. This usually is caused by very poor surgical techniques and ignoring the anatomical structure of the patients’ eyes. It needs to be corrected, and the remaining Mongolian fold is mainly the other critical reason for it. The Magic epicanthoplasty with a double eyelid reoperation may be needed at the same time.
Example) A case where only the Magic epicanthoplasty is done on the awkward looking out-folder line to make them refined especially in inner corner region.
Example) A case where both a revisional double eyelid surgery and the Magic epicanthoplasty are done to make them refined and structurally harmonized.
2. Eyelids that are too close to the edge.
An eyelid that is too close to the edge of your eye’s skin can be corrected with surgery. In this case, an incision(including excision of skin) is necessary.
When the Mongolian fold is severe and a double eyelid is buried into the skin, a complex operation is needed. After fixing the Mongolian fold, more clear lines can be seen.
3. Loosened and faded lines
Eyelids are likely to fade whenever possible. However, this can be fixed properly. Ordinary surgeons may think of correcting this problem only by tying the sutures firmly. However, this may result unsuccessfully. There are many reasons for it, but the two main reasons are:
First, when the double eyelid line is weak, correction for it is needed into a more strong fixing method.
Second, the Mongolian fold can be another critical reason. It is because of the Mongolian fold that hides the lines or weakening of the levator muscle, so the eyes look a little closed even though they are fully opened. By knowing these reasons and correcting it, proper lines can be maintained.
Example) Process of a double eyelid getting loose
Example) Results after the correction of faded lines. Magic epicanthoplasty combined with an revisional double eyelid surgery
4. Asymmetric Double Eyelids
No matter how beautiful the eyes, upon close inspection, the double eyelids will be slightly different. Due to the differences between each eye, it is important to find out whether the surgery will cause each eye to look different.
For various reasons, the two eyes can look different for a period of several months due to either anesthesia or swelling. After the swelling is reduced for a month, we can determine whether it must be corrected.
When the differences between the eyes are visible, it is usually due to the slight difference in the line of the double eyelid, or a difference between an in-folder and an out-folder which can be fixed with Magic epicanthoplasty. And in the case that the difference caused by exposure of the pupil, it is caused by ptosis only to one side, and can be solved by ptosis correction.
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