One of the procedures chosen by people who want large, defined eyes is double eyelid surgery. Its advantages are a clear crease and a visibly larger eye shape, but some people find the change falls short of what they expected after surgery, or experience side effects they never anticipated.
Side effects of eye surgery include the 'sausage' eyelid, where the crease remains so thick after all the swelling has gone down that it looks heavy; cases where the bulging tissue between the eye and the crease does not go away so the eyes actually look smaller after surgery; and cases where ptosis makes the eyes look small even after double eyelid surgery.
Dr. Yoosuk Chung of TheLINE Plastic Surgery said, "The symptoms mentioned above often appear all at once, and the double eyelid surgery someone had in order to get a natural eye shape ends up becoming another worry," adding, "Because harmony with the individual's face as a whole is what matters most in this surgery, the first step is to be consulted and assessed by a medical team specializing in eyelid revision surgery, who can accurately judge the current state of the eyes."
When performing eyelid revision surgery, it is important to assess precisely whether the pupil is naturally exposed, whether the skin at the crease looks natural, whether ptosis is present, whether the incision line has healed with normal adhesion, and whether the ratio between the crease and the exposed pupil is appropriate when the eyes move from side to side, and only then proceed.
Recently, eyelid revision using the relatively simple buried suture technique has also become possible, so ptosis correction can be done in a 'non-incisional eye shape correction' manner. That surgery creates knots between the muscle that opens the eye and the crease without any incision, producing a more natural eye shape, and it can also be applied to revision cases.
If the eyelid still covers the pupil and the eyes feel heavy, combining buried suture double eyelid surgery with canthoplasty can produce large, defined eyes. Options include Crystal Eye Surgery, a form of natural adhesion technique, which can give not only a natural crease but also harmony with the overall facial contour, so the eyes look more open.
If the creases are asymmetric or the sausage eyelid is severe, the incisional method can correct the problems of the previous surgery while appropriately removing the eye-opening muscle, fat and skin tissue to produce a clear change in the eyes.
Dr. Junmo Bang of TheLINE Plastic Surgery advised, "For eyelid revision surgery it is generally appropriate to wait at least 6 months after the first surgery," adding, "Earlier revision is possible in some cases, but in most cases it is better to have the revision after the eye tissue has stabilized."
