0 00:00:00.425 --> 00:00:01.875 Yes, hello 1 00:00:01.875 --> 00:00:05.925 I’m Kim Soondong, the head of SOON Plastic Surgery 2 00:00:07.275 --> 00:00:10.775 Today we'll talk about revision surgery for Asian blepharoplasty 3 00:00:11.025 --> 00:00:24.426 What are the reason and types of revision procedures with Asian blepharoplasty? 4 00:00:24.426 --> 00:00:28.126 There are many reasons behind on redoing the procedures 5 00:00:28.876 --> 00:00:31.726 Firstly, if we talk about the thickness of the eyelid 6 00:00:32.326 --> 00:00:35.176 In a case where the eyelid is thick 7 00:00:35.676 --> 00:00:39.376 It could become thick because of the design itself 8 00:00:39.826 --> 00:00:43.027 or if you have those "sleepy" eyes and don't fix that 9 00:00:43.827 --> 00:00:46.177 the eyelid could become thicker than imagined 10 00:00:46.677 --> 00:00:49.777 Also even though the eyelid is not that thick 11 00:00:50.227 --> 00:00:55.977 the skin itself being thick could give that thickness to the lids 12 00:00:56.477 --> 00:00:59.777 In these cases, we'll redo the procedure according to its reasons 13 00:01:00.477 --> 00:01:03.227 The second reason for doing the surgery again is 14 00:01:03.227 --> 00:01:05.727 When the double eyelids come undone 15 00:01:06.427 --> 00:01:09.928 There are many reasons why they come undone 16 00:01:10.278 --> 00:01:13.628 For patients with thicker skin layers, not only the non-incision method 17 00:01:13.628 --> 00:01:16.728 but even the incision method could cause loosening of the eyelid 18 00:01:17.078 --> 00:01:22.628 Also those with "sleepy" eyes tends to use their brows to lift their eyes open 19 00:01:23.328 --> 00:01:27.428 which affects the eyelids and could cause the loosening of the eyelids 20 00:01:27.778 --> 00:01:31.928 And thirdly, epicanthus folds could cause the loosening of the eyelids 21 00:01:32.178 --> 00:01:37.679 Having epicanthus fold could cause loosening on the inside of the eyelid 22 00:01:37.679 --> 00:01:41.379 In this case, usually the inside of the lid comes undone through the incision method 23 00:01:41.379 --> 00:01:46.929 But with non-incision method there are cases where the whole eyelid could come undone 24 00:01:48.229 --> 00:01:50.529 Thirdly, a severe scarring 25 00:01:51.029 --> 00:01:53.979 is one of the reasons for redoing the procedure 26 00:01:54.679 --> 00:02:00.129 When you have a severe scar on the part where the incision was made 27 00:02:00.579 --> 00:02:04.330 procedure is performed again to remove the scarring 28 00:02:04.630 --> 00:02:08.380 In this case, surgery is possible when there is enough skin 29 00:02:08.930 --> 00:02:12.180 Second, there are cases when the scar is not that severe 30 00:02:12.180 --> 00:02:16.480 but the patients feel as though they are 31 00:02:16.480 --> 00:02:19.630 So in a case like this where the patient's skin tend to be thick 32 00:02:20.180 --> 00:02:25.230 it could cause misunderstanding of a severe scarring 33 00:02:25.230 --> 00:02:28.480 because their thick skins tend to give thickness to the eyelids 34 00:02:28.930 --> 00:02:33.731 We can make the double eyelids really thin in this case 35 00:02:34.131 --> 00:02:36.281 Second, we can stretch the thick skin 36 00:02:36.831 --> 00:02:41.331 By lifting the forehead 37 00:02:42.081 --> 00:02:45.981 Lastly, the procedure would be performed again if the eyelids are not symmetrical 38 00:02:46.631 --> 00:02:50.731 There are many reasons for being non-symmetrical 39 00:02:51.131 --> 00:02:55.181 such as having a non-symmetrical design, having one of the eyelid thicker or thinner 40 00:02:55.631 --> 00:02:58.931 and there are a lot of cases where "sleepy" eyes tend to be non-symmetrical 41 00:02:59.231 --> 00:03:02.732 so if one eye tends to be more on the "sleep" side it could lead to being non-symmetrical 42 00:03:03.132 --> 00:03:07.132 So for cases like these, we would perform the procedure again according to its situation 43 00:03:07.732 --> 00:03:14.032 When should the revision surgery be performed? 44 00:03:14.532 --> 00:03:19.332 The revision surgery should be performed once the first procedure has been healed 45 00:03:19.782 --> 00:03:21.832 That takes about 6 months 46 00:03:22.282 --> 00:03:27.483 But there are cases where it can be performed in 3 months or sometimes immediately 47 00:03:28.733 --> 00:03:32.283 This is because different people have different eye conditions 48 00:03:32.983 --> 00:03:36.133 Consult with a doctor about the exact time 49 00:03:36.133 --> 00:03:38.233 on your revision surgery 50 00:03:39.483 --> 00:04:05.684 Is it possible to fix the non-symmetrical eyelids and can the procedure be done in just one eye? 51 00:04:05.834 --> 00:04:10.184 Yes, patients tend to ask if it's possible to perform the procedure 52 00:04:10.184 --> 00:04:12.534 on one eye to fix the non-symmetrical problem 53 00:04:12.534 --> 00:04:15.034 Of course you can 54 00:04:15.534 --> 00:04:20.234 If double eyelids can be balanced by surgery on one eye, you don’t need to do it for both eyes 55 00:04:20.834 --> 00:04:23.685 And another question patients tend to ask is 56 00:04:23.685 --> 00:04:25.685 would it be possible to have both eyes symmetrical 57 00:04:25.685 --> 00:04:27.435 It's hard to say that they will 58 00:04:27.435 --> 00:04:28.985 symmetrical 59 00:04:28.985 --> 00:04:33.135 But we can say “we can make them as similar as possible” 60 00:04:33.785 --> 00:04:40.585 Is the non-incision method possible for revision surgery that was done with the incision method? 61 00:04:40.585 --> 00:04:43.935 Yes, even if you got the double eyelids with an incision method 62 00:04:44.285 --> 00:04:46.935 revision surgery can be done with the non-incision method 63 00:04:46.935 --> 00:04:51.736 This is possible when the lines are the same as the previous procedure 64 00:04:51.886 --> 00:04:55.636 Or when you want to lift them more 65 00:04:55.636 --> 00:04:59.486 Non-incision method is possible 66 00:05:00.036 --> 00:05:05.736 What is the maximum number of revision surgery? 67 00:05:05.986 --> 00:05:08.186 So with how many times revision surgery can be performed 68 00:05:08.636 --> 00:05:10.836 There actually is no number limits 69 00:05:10.836 --> 00:05:14.836 How many times can you squeeze a pimple? You can squeeze it as long as it's healed 70 00:05:14.836 --> 00:05:18.937 Similarly to that, revision surgery for double eyelid doesn’t have much to do with the number of times 71 00:05:19.437 --> 00:05:24.037 But performing multiple revision surgeries means 72 00:05:24.037 --> 00:05:29.237 it could be impossible because you don’t have enough skin left from all that incisions 73 00:05:29.587 --> 00:05:32.987 So number of times is not what it matters 74 00:05:33.237 --> 00:05:35.487 If there’s enough skin to do the surgery again 75 00:05:35.987 --> 00:05:39.887 Or you have half-open eyes matter more 76 00:05:40.637 --> 00:05:48.288 Things to know for successful revision surgery for double eyelid surgery 77 00:05:48.588 --> 00:05:50.638 For a successful revision surgery for double eyelid surgery is 78 00:05:51.188 --> 00:05:55.038 You should know the reason for the failure 79 00:05:55.588 --> 00:05:58.638 And not only knowing the cause 80 00:05:59.038 --> 00:06:02.588 There should be technology which can give the solution 81 00:06:02.888 --> 00:06:08.488 For a successful revision surgery, you have to look for a skillful doctor 82 00:06:09.038 --> 00:06:12.339 And find a verified hospital 83 00:06:12.339 --> 00:06:16.489 For correction of eye shape and removal of epicanthus folds 84 00:06:17.739 --> 00:06:21.539 Yes, so today we talked about revision surgery for Asian blepharoplasty 85 00:06:21.889 --> 00:06:24.689 Hope the information helped you and 86 00:06:24.689 --> 00:06:26.289 I'll see you next time