Double Eyelid Revision FAQ

Double eyelid revision surgery is generally done at least 6 months after the first surgery, once the tissue has softened and stabilized. Revision requires considering scars and adhesions from the previous surgery and the amount of remaining skin, so accurate diagnosis matters even more than with a first surgery. However, if there is infection or a sudden change in the crease, it is best to see a doctor first regardless of timing.

Double eyelid revision surgery is mainly considered when the crease has come undone or faded, when the crease is so high that it looks like 'sausage eyes,' when the creases are asymmetric, or when scars or multiple folds are noticeable. Before deciding, we first check whether the concern is simply swelling that is still resolving.

Yes, double eyelid revision surgery can lower a 'sausage eye' crease, but it is more challenging than the first surgery. The adhesions of the existing crease are released and a new crease is created at a lower position, and fat or tissue may be added if tissue is lacking. Depending on the remaining skin and scar condition, there are limits to how much the crease can be lowered, and traces of the old crease may remain, so accurate diagnosis is important.

If a natural adhesion double eyelid has loosened and the eyelids are thin with little skin drooping, revision can be done with natural adhesion again. However, if it loosened because the eyelids are thick or have a lot of fat, or if it has loosened several times, it may loosen again for the same reason, so the incisional method is often recommended. The method is decided after checking the existing double eyelid and the condition of the remaining tissue.

Revision after incisional double eyelid surgery is mostly done with the incisional method. Adhesions and scars from the previous surgery must be released and the line recreated, which is often difficult to correct with natural adhesion. However, if the line has only faded slightly or needs a fine adjustment, natural adhesion may be possible, and this is decided at consultation after checking the existing line and scar.

Swelling after double eyelid revision surgery often lasts longer than after the first surgery. It depends on scarring and tissue condition from the previous surgery, and also differs by method. Aftercare such as face washing, makeup, and avoiding alcohol and smoking is the same as for the first surgery.

An incisional double eyelid can be released or softened with revision surgery, but it is difficult to fully return to the original monolid. The adhesion that forms the line is released, and fat or tissue is placed in between so it does not reattach. The incision scar will remain, and a faint crease may also remain. Rather than removing the line entirely, changing it to a lower, natural line is also considered.

The cost of double eyelid revision surgery depends on the previous surgical method, the problem to be corrected (loosening, a high line, asymmetry, scarring), whether fat or tissue is added, and whether combined procedures such as ptosis correction are done. The extent of revision surgery varies widely with your eyelid condition, so the exact cost can be given after consultation.