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“Revision Eyelid Surgery” for Too-High Double Eyelid Creases

Written on: 18/10/2023

” Too-high double eyelid crease” is the most common issue in people who have undergone double eyelid surgery. It is one of the primary reasons for seeking corrective measures. For those facing this problem and wanting to lower their double eyelid creases, KOA Clinic is here to offer valuable advice.

Characteristics of Too-High Double Eyelid Creases

As mentioned in the article “All You Need to Know About Eye Surgery Revision,” too-high double eyelid crease is a common problem. They are caused by the crease of the eyelids being positioned too high. These excessively thick double eyelids are sometimes referred to as “Sausage Eyes.” This describes the appearance of the eyelids as thick and often protruding like sausages, with deep creases that make the eyes appear unnatural.

Is Reducing Double Eyelid Size Difficult?

It’s important to clarify that reducing the size of too-high double eyelid creases (making them smaller) is more challenging than making naturally thin eyelids appear larger. The difficulty in reducing double eyelid size is due to the following reasons:

1. Too-high double eyelid creases are inherently stronger than thin ones.

Apparently, the crease lines in individuals with thick eyelids tend to be deeper than those with thin eyelids. Therefore, if the excess thickness cannot be fully resolved, there’s a possibility that the eyelids will retain their high crease position even after correction. In some cases, the eyelids might become overlapped, creating what’s known as a “triple fold.” Hence, it can be concluded that “the thicker the eyelids, the more challenging the correction.”

2. Too-high double eyelid creases can lead to sleepy eyes.

Excessively thick eyelids can hinder the proper function of the eyelid-lifting muscle (Levator palpebrae superioris), resulting in less visible eye-opening and causing the eyes to appear droopy (Ptosis). Correcting the thickness might necessitate addressing ptosis correction simultaneously, as failing to do so might hinder the reduction of eyelid size.

3.Thick eyelids may have strong adhesion

In individuals with very thick double eyelids, the adhesion force of the double eyelid creases is very strong. When reducing the size of these thick eyelids, there’s a risk of damaging the eyelid-lifting muscle if not done meticulously. The surgical process requires separating the adhesions layer by layer to avoid damaging the muscles and other important tissues.

Key Considerations for Successfully Reducing Double Eyelid Size

Correcting thick eyelids to make them smaller and naturally beautiful isn’t the only important aspect. Another crucial consideration is “achieving balanced double eyelids.” This is because, in most cases, individuals with overly thick or excessively high eyelid creases often have uneven double eyelids as well.

When correcting eyelids, it’s crucial to ensure symmetry between both eyes. If only thick eyelids are corrected without considering the fact that both eyes might have differing sizes, it can lead to an unattractive appearance.

Successfully reducing and correcting the size of too high double eyelid creases while achieving a natural and aesthetically pleasing result requires careful evaluation, precise surgical planning, and, most importantly, allowing ample “time” for the revision surgery. The surgeon must assess the eye’s readiness, plan a clear surgical strategy, and exercise caution during the procedure. The goal is to achieve eyelids that appear natural, without excess thickness, and tailored to each individual’s eye

Revision Eyelid Surgery

What is the possibility of failure after surgery (Eyelids not becoming smaller)?

In most cases, when reducing the size of too-high double eyelid creases properly, the eyelids will consistently remain smaller. However, there might be various factors contributing to complexity. It’s advisable to consult with a qualified doctor at KOA Clinic for a thorough evaluation and the best possible outcome.

Where to Seek for Revision Eyelid Surgery?

For individuals who have undergone double eyelid surgery and have been disappointed with the results, whether due to excessive thickness, asymmetry, or dissatisfaction from any causes, KOA Clinic offers expert advice. Consultation can be done by reaching out to the clinic directly or sending pictures for evaluation through our LINE account, @koaclinic. The friendly and experienced doctors at KOA Clinic specialize in revision eyelid surgery and can help you achieve desired proportions and symmetry, providing a high level of patient care.

Eyelid Surgery

Read more about double eyelid surgery here https://www.koa-clinic.com/en/eyes-surgery/double-eyelid-surgery-that-was-previously-performed/

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