What causes double eyelids to come undone and require revision surgery?
Hello, this is Hyundai Aesthetic Surgery. Both in the past and today, many people, from young students to middle-aged and older adults, undergo double eyelid surgery. In particular, as more people have little fat in the upper eyelids or feel hesitant about an incision-based method, the relatively simple buried suture method has become widely popular. The buried suture method creates double eyelids without making an incision, using threads tied through tiny openings. For this reason, there have been subtle differences in surgical techniques from clinic to clinic.
Even the number of tiny openings made during double eyelid surgery has varied. Some methods used as few as 3 to 4 openings, while others used 10 to 12, and the way the knots were tied with thread also differed greatly from clinic to clinic. However, even this buried suture method has its drawbacks. Compared with the incisional method, its staying power is inevitably weaker. In particular, the fewer tiny openings that are made and the weaker the fixation, the less scarring there may be and the more natural the result may look, but the durability of the double eyelid line can decrease.
Also, with the buried suture method, if you are not satisfied with the double eyelid line, the threads can be released so the eyes return to their original shape. This can be considered both an advantage and a disadvantage of the buried suture method. However, having surgery with the buried suture method does not necessarily mean the line will come undone, and loosening is not limited only to the buried suture method. Patients who had the incisional method also sometimes inquire about revision surgery for loosened double eyelids. Loosening after the incisional method can occur when adhesion does not form properly during the surgical process, causing the double eyelid to come undone. So today, we will take a closer look at revision surgery for loosened double eyelids.
Although it cannot simply be said that the buried suture method always has weak staying power, skin sagging can inevitably occur over time, and this may cause the double eyelid to loosen. This can also lead to multiple eyelid folds. During revision surgery, the line can be corrected quickly by recreating it through natural adhesion or the incisional method. In general, many people looking into revision surgery for loosened double eyelids assume that, because it is a revision surgery, it must naturally be done only with the incisional method.
Likewise, even revision surgery for loosened double eyelids can be performed with the buried suture method. In fact, for those whose skin condition makes the buried suture method more suitable, this approach may actually provide stronger fixation. However, some people who feel burdened by an incision wish to have revision surgery with the buried suture method. Since the most suitable surgical method should naturally be chosen according to each individual’s eye structure and skin condition, this is advantageous in terms of durability and improvement, so it is best to receive a specialist’s diagnosis.
There are many people looking into revision surgery for loosened double eyelids, but many others also seek revision surgery for reasons such as dissatisfaction with the shape of the line after surgery, the development of multiple folds, scars, or sausage-like double eyelids. If your first surgery was unsuccessful, the most important thing for a successful revision is to gather opinions and diagnoses from various specialists at more than one clinic and determine which method is appropriate for your eyes. So when considering revision surgery for loosened double eyelids, do not hesitate to consult several specialists, and we hope your revision surgery succeeds in one attempt.
