What is the best time for revision of failed double eyelid surgery?

Sep 09, 2024 Source: Cainiu Health
Dr. Han Xuefeng
Introduction
Generally speaking, there is no such thing as an "optimal time for repairing failed double eyelid surgery." Typically, the repair procedure is performed 3 to 6 months after the initial surgery. The specific timing for repair depends on the type of double eyelid surgery performed, which may include incisional, suture (buried suture), three-point fixation, full incision, or skin grafting techniques. It is recommended to consult a doctor to determine the appropriate timing.

Generally speaking, there is no such thing as an "optimal time for repairing failed double eyelid surgery." The typical repair timeframe is 3 to 6 months after the initial surgery, although the exact timing depends on the specific surgical method used. Common techniques include incision method, suture method, three-point fixation method, full incision method, and skin grafting blepharoplasty. It is recommended to consult a doctor before deciding on a revision.

Symptoms of failed double eyelid surgery:

Symptom

Overly wide double eyelid

Too narrow or disappeared double eyelid

Asymmetrical double eyelids

Noticeable "sausage-like" appearance (bulky fold)

Scar hypertrophy

Image example

Possible cause

Swelling

Loose skin

Procedural inaccuracy

Improper technique

Scar-prone constitution

Analysis of double eyelid surgical methods:

Procedure name

Incision method

Suture method

Three-point fixation method

Full incision method

Skin grafting blepharoplasty

Description

An incision is made on the upper eyelid, excess skin and fat are removed, then stitched together

Sutures are used to anchor the upper eyelid skin, with knots tied along the suture to create a crease

Three small incisions are made on the eyelid, and sutures are used to fix the tissue and form a double eyelid

The upper eyelid is fully incised, excess skin and fat are removed, then sutured into place

A skin graft is placed over the tarsal plate of the upper eyelid; once healed, it forms a double eyelid crease

Duration

10–15 years

2–5 years

5–10 years

Permanent

10–15 years

Recommended repair time

3–6 months

1–3 months

1–3 months

3–6 months

6–12 months

Reference cost

3,000–8,000 RMB per session

3,000–8,000 RMB per session

3,000–6,000 RMB per session

6,000–12,000 RMB per session

7,000–30,000 RMB per session

Advantages

1. Wide applicability
2. Stable results

1. Simple procedure
2. Recovery period of 1–2 months

1. Minimal trauma
2. Natural-looking results

1. Wide applicability
2. Long-lasting, stable results

1. Repairs damaged skin
2. Good aesthetic outcome

Potential risks

1. Significant trauma
2. Possible scarring

1. Risk of local nerve injury
2. Suture granuloma may occur

1. Cannot remove excess skin
2. Small depressions may form

1. Bruising and swelling
2. Scar hypertrophy

1. Bleeding and swelling
2. Risk of infection

Indications

Thick eyelids or excessive fat in monolids

Thin eyelids, no puffiness, no skin laxity

Thin eyelid skin, long eye fissure

Thick eyelids or loose skin

Repair needed after eyelid trauma or scarring

It is recommended to consult a qualified medical professional and choose the appropriate timing for revision surgery based on individual circumstances.