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Hello, this is Dr. Lee Woo-sung of Sketch Plastic Surgery.

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Today, we'll talk about the revision double-eyelid surgery

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The reason for revision surgeries and the methods.

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Firstly, when the crease line becomes thicker after surgery

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and therefore looks unnatural. 

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This happens often when the crease lines are up high. 

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In cases like this, the surgery is done so that the crease lines are lowered.

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Compared to other revision surgeries, 

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it might be a bit more complicated. 

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Secondly, when the crease has become undone. 

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If the scars aren't severe, the revision surgery can be done like other double-eyelid surgeries.

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But if the scars are severe, we must remove the entire scarred skin,

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including the scars in the inside area of the eyelids

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to make a new crease line that is smooth. 

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Thirdly, when the double-eyelids look different on each eye.

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We must determine what caused the differences, 

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and conduct accordingly. 

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We must check to see if it's only the level of double-eyelids
that different, 

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or if there's an asymmetry in your eyes. 

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Or if it's an issue with different amounts of fat above your eyes. 

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We must look at the diverse reasons before surgery. 

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When is the best time for the revision surgeries?

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It must take place at lease 6 months after your first operation.

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If you get a revision surgery before this time period, there are many cases

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where the patient gets deeper scars in the inner part of the eyes.

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Is revision surgery possible on just one eyelid?

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There are cases where that's required, but it's not very common.

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Since the methods are different with the first surgery,

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and because natural double-eyelids and those made with surgery

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are different, assymetry may become an issue later on.

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So I would strongly advise patients to get the revision procedure done on both eyelids.

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Can revision surgery be possible with the non-incision method when it was done in the incision method previously? 

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After it was first proceed with incision method

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the non-incision method is possible for the revision surgery for the small loose part of the lid 


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but if the patient wishes to change the entire shape, it's better to do it with an incision method.

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What are the precautions for a successful revision surgery?

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For a successful revision surgery, you must focus on what part of your surgery

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outcome does not satisfy you and what you want it to look like.

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You should examine the reasons for revision surgery

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and parts you want to redo

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before conducting the revision surgery for a higher success rate.

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How many times is the revision surgery possible?

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There's not a definite number, but I don't recommend it more than 2 or 3 times.

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Because with more revision surgeries, 

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even if it's been more than 6 months, 

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the scarred tissues will get thicker,

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and important muscles around the eyes that help you blink

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keeps getting removed so there is a bigger chance of side effects.

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Also, there are cases when patients cannot close their eyes or when the shapes become awkward, 

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so I recommend the least number of the revision surgeries

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Yes, we've talked about revision surgery for the double eyelid procedure

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The most important thing about double eyelid revision surgery is how your eyes look like

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And to figure out how you want to change it is the most important thing

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And to make an accurate judgment about your condition

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It's good to come to the hospital and consult a specialist

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So please come to the hospital and we will help you with your detailed consultation

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It was Dr. Lee Woo-Sung of Sketch Plastic Surgery

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Thank you