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Case Analysis
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Revisional double eyelid surgery (3)
- auther
- teuim
- date
- 2012-08-09 10:59:08
- view
- 8998
13. Severe in-folder line makes head of eyes look stuffy
When performing a double eyelid surgery without improving hanging down skin or Mongolian fold, clear lines cannot be made, and only the end part can form lines. This can make the eyes look wider from each other and make it look incomplete. Also, it can get loosened and become smaller gradually after ther surgery. By combined operations (Magic epicanthoplasty and double eyelid surgery), it can be improved them into an in-out or out-folder line.
Example) A case when the Magic epicanthoplasty and a partial correction of double eyelid are performed together.
Example) A case when the Magic epicanthoplasty and a total correction of double eyelid are performed together.
14. Unnatural out-folder line without improving the Mongolian folds
When making out-folder in eyes with Mongolian folds, unnatural lines are made and they are likely to look weird on the inner corner of the eyes. Out-folder operation without the epicanthoplasty needs to be fixed firmly to prevent it from the loosening or fading.
In these cases, the swelling remains longer finally and most of it becomes sausage appearance. Magic epicanthoplasty or a revisional double eyelid surgery is needed. It only can be improved by the the Magic epicanthoplasty currently.
Example) A case when only the Magic epicanthoplasty is performed
Example) A case when the Magic epicanthoplasty and a revisional double eyelid are performed together.
Proper time for revisional surgery
Although beautiful eyes can be made as swelling comes down, in some cases, revisional surgery should be considered. Patients often worry as soon as the stiches are removed. However, much time is needed after an operation or treatment and then it is possible to reconsider a reoperation at least 6 months after.
Reoperation is divided into two parts. In one case, reoperation is performed as early as after about 2 weeks or about 6 months later. After 3 weeks from an operation, adhesion between tissues occurs and reoperation has to be done either before or afterward this happens.
First, we can solve a problem early, before lines are fixed. This should be determined by the doctor. This is simply performed by a supplemental operation. The surgeon needs to have a lot of experience to be able to perform these operations. When a surgeon is not experienced enough, he would need to refer the patient to another doctor. This is also difficult because it is hard to find a surgeon that would take over the responsibilities without fully knowing the condition of the patient.
Second, in general surgical knowledge, it is a principle to operate after swelling goes down completely, which takes at least 6 months. Methods or times differ based on condition, and it is desirable to determine it through a surgeon.
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