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Case Analysis
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Revisional double eyelid surgery (2)
- auther
- teuim
- date
- 2012-08-07 12:33:36
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- 17686
5. Sleepy eyes with weak double eyelid When a double eyelid surgery is performed in eyes with ptosis, without ptosis correction, the ptosis can become more obvious. In a mild case, it is improved once swelling is reduced. If not, a second surgery is needed to fix the ptosis and then create a beautiful eye.
6. Overlapped lines on a double eyelid (Triple folds) After surgery, there may appear to be two lines, which are caused by excessive excision of the orbicularis oculi Muscle or the removal of too much fat. This can improve slowly and it is recommended that after three months if the problem still persists, that a second operation is performed. If it persists, it can be solved by adding fat as reoperation. As it is a mild problem, it can be sometimes solved by fat injection.
7. Too high double eyelid
Causes
1. When the lines are designed too high or it is fixed too high If there is sufficient skin below the line, it can be removed and reattached. However, if this is not the case, it becomes more complicated.
2. Lines appear higher than expected After separating the lines and fixing it lower, it has to be maintained by transplantation of fat or some filling substitutes to prevent relapse.
3. When fixation of a double eyelid was too strong. Many patients usually worry about the sausage effect that makes the eyelid skin look thick and swollen. This is caused by the high location of the line. Unfixed Mongolian fold plays also an important role in forming the sausage appearance, because the swelling does not reduce easily. If the line is too high, it can be easily fixed within the period of a month, or after a period of 6 months. The most difficult thing when undergoing reoperation is to make thick double eyelids look more natural. There is, however, a limitation in the improvement. This means that it may not look perfect. The important thing is the presence of the extra skin between the lines and the eyelashes, which makes the lowering of the lines not that difficult. After the incision including the original surgical line, the part fixed too high is released and fixed again at the lower points. But in the case the double eyelid is too high, additional surgery is needed using the surrounding tissues or transplanting fat. In a case where the eyes don’t open easily, the ptosis is sometimes present and then the correction of it is needed.
Example) Line positioned two times higher than normal
Example) Magic epicanthoplasty and revisional double eyelid surgery are performed
8. Excessive scarring Scars can be usually seen on a double eyelid surgery by an incision, but when operation is performed by the buried suture method, there will be no scar at all. And even with incisions, scars are much smaller than the past. There are cases where scarring occurs because of bad treatment, inflammation or constitutional factors, but after 6 months scar revision or scar removal surgery can be done.
Example) A case of the Magic epicanthoplasty and a revisional double eyelid surgery
9. When an upper eyelid looks swollen. The upper eyelid can look swollen when eyes have a thick eyelid, a deep eyeball socket, or when there is a short distance between eyebrows or thick brows, the brows hang low, or if there is a lot of fat in the eyelid. These conditions can be easily fixed with an operation if proper surgical plan is made before surgery.
Example) A case of the Magic epicanthoplasty and a revisional double eyelid surgery
10. When the swelling does not reduce after an operation. This can be caused when the double eyelid is made too large and no skin is removed from the eyes. This may cause damage in the tissues or poor circulation, preventing the reduction of swelling. If there is no improvement within six months, the scar can be removed by reoperation.
11. When eyes are depressed after a double eyelid operation:
It has to be filled with fat because it is caused by the removal of too much of the orbital fat.
Example) When combined operations are performed with a revisional double eyelid and transplanting fat
12. When eyelashes is looks too high
Raised eyelashes gives a good looking but when fixed is too high and strong, it can cause unnatural expression of the eyes. It can be easily weakened or lowered by surgery.
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