0 00:00:00.001 --> 00:00:00.802 Hello 1 00:00:01.000 --> 00:00:03.794 I’m Dr. Kim Soondong, the head of SOON Plastic Surgery 2 00:00:04.111 --> 00:00:07.722 (Today’s topic is revision surgery for double eyelid surgery) Today we'll talk about revision surgery for Asian blepharoplasty (double eyelid surgery) 3 00:00:07.722 --> 00:00:10.746 (Various kinds of revision surgeries for double eyelids) There are various kinds of revision surgeries for double eyelid surgery 4 00:00:10.746 --> 00:00:11.778 And for today we'll talk about 5 00:00:11.778 --> 00:00:15.762 (Correcting Sausage eyelids!) correcting what we know as the Sausage eyelids 6 00:00:15.801 --> 00:00:17.222 Sausage eyelids 7 00:00:17.222 --> 00:00:19.045 are when the eyelid lines were made too thick 8 00:00:19.045 --> 00:00:22.664 (It was named that way because it looked like a sausage) making it look like a sausage hence the name 9 00:00:22.664 --> 00:00:24.965 If you want to correct the sausage eyelids 10 00:00:24.965 --> 00:00:25.791 Firstly 11 00:00:25.791 --> 00:00:29.568 (Know the root cause!) You need to know the exact cause of it 12 00:00:29.568 --> 00:00:30.346 Secondly 13 00:00:30.346 --> 00:00:33.346 (You need the skills that can help correct the root cause!) You need to have the skills to correct the root cause 14 00:00:33.346 --> 00:00:35.497 Let’s watch the video 15 00:00:35.497 --> 00:00:37.376 (A typical case of sausage eyelids) This is a typical sausage double eyelids 16 00:00:37.376 --> 00:00:39.804 What is the root cause for this patient? 17 00:00:39.804 --> 00:00:43.026 (The double eyelids line has become thicker) Firstly, the design of the eyelid line is thick 18 00:00:43.026 --> 00:00:44.257 And especially 19 00:00:44.257 --> 00:00:46.828 (Not enough correction for sleepy eyes!) There’s not enough correction for her sleepy eyes 20 00:00:46.828 --> 00:00:48.558 This is post-surgery 21 00:00:48.558 --> 00:00:50.090 Through the eye shape correction 22 00:00:50.090 --> 00:00:51.860 There’s has been some correction for her sleepy eyes 23 00:00:51.860 --> 00:00:53.955 and the line has been brought down lower 24 00:00:53.955 --> 00:00:56.580 For this person, during the eye shape correction 25 00:00:56.580 --> 00:00:58.302 we had to do an angular correction as well 26 00:00:58.302 --> 00:01:00.151 As you can see this part 27 00:01:00.151 --> 00:01:03.119 (The inner side looks more sleepy!) You can see that the inner side looks more sleepy 28 00:01:03.119 --> 00:01:04.707 (What is eye shape correction!) Eye shape correction is 29 00:01:04.707 --> 00:01:06.643 (Not just defining the eyes but correcting the angles is also important!) Not just by making the eyes more defined 30 00:01:06.643 --> 00:01:10.904 (Not just defining the eyes but correcting the angles is also important!) This is a great example that correcting the angles is also really important 31 00:01:10.904 --> 00:01:12.413 This is a second footage 32 00:01:12.413 --> 00:01:14.549 This patient also has sleepy eyes 33 00:01:14.549 --> 00:01:16.573 (Double eyelids line is very thick!) The double eyelids line is very thick 34 00:01:16.573 --> 00:01:17.358 For this patient 35 00:01:17.358 --> 00:01:20.541 (Two line method!) We ahead with what we know as the two line method 36 00:01:20.541 --> 00:01:22.588 This method is used 37 00:01:22.588 --> 00:01:25.042 (Used when there’s no extra skin) When there are not enough extra skin 38 00:01:25.042 --> 00:01:26.518 If you look at this patient 39 00:01:26.518 --> 00:01:27.994 (The double eyelids line is high up) The eyelids line is very high up 40 00:01:27.994 --> 00:01:29.502 When the double eyelids line is this high 41 00:01:29.502 --> 00:01:32.225 (Increased amount of skin excision!) the amount of skin that needs to be excised increases 42 00:01:32.225 --> 00:01:33.226 So for this patient 43 00:01:33.226 --> 00:01:35.137 We used the Two Line method 44 00:01:35.137 --> 00:01:36.803 This is post-surgery 45 00:01:36.803 --> 00:01:38.819 (Eye shape correction is nicely done) The eye shape correction has been done just nicely 46 00:01:38.819 --> 00:01:40.851 The double eyelids line is 47 00:01:40.851 --> 00:01:43.111 a thin line that the patient wanted 48 00:01:43.111 --> 00:01:45.246 Even though in this footage she has makeup on 49 00:01:45.246 --> 00:01:46.206 but after the two line method 50 00:01:46.206 --> 00:01:48.127 But eyelids line scar from the previous procedure 51 00:01:48.127 --> 00:01:50.706 to the newly constructed eyelids line scar 52 00:01:50.706 --> 00:01:53.166 (It's not very noticeable!) is not that very noticeable 53 00:01:53.166 --> 00:01:54.238 Looking at the photo once again 54 00:01:54.238 --> 00:01:55.982 I will explain in detail 55 00:01:55.982 --> 00:01:57.944 (There is scar from previous double eyelids surgery) There’s a previous double eyelids scar 56 00:01:57.944 --> 00:02:00.120 (After the surgery both scars are unnoticeable!) After the surgery the previous scar 57 00:02:00.120 --> 00:02:02.436 (After the surgery both scars are unnoticeable!) And the newly constructed scars 58 00:02:02.436 --> 00:02:04.103 (After the surgery both scars are unnoticeable!) These two scars 59 00:02:04.103 --> 00:02:06.559 (After the surgery both scars are unnoticeable!) as you can is not noticeable 60 00:02:06.559 --> 00:02:08.815 This actually happened 61 00:02:08.815 --> 00:02:11.672 (You can never it's a different person) After watching this footage, some has accused us that 62 00:02:11.672 --> 00:02:13.728 (This video is nonsense!) we were using two different patients 63 00:02:13.728 --> 00:02:15.085 (This video is nonsense!) and that it's such a fraud 64 00:02:15.085 --> 00:02:17.299 (They are the same person!) It's the same person 65 00:02:17.299 --> 00:02:18.815 This is our third patient 66 00:02:18.815 --> 00:02:19.854 With this patient 67 00:02:19.854 --> 00:02:21.663 (Sausage eyelids) Not only did she want to correct her sausage eyelids 68 00:02:21.663 --> 00:02:23.076 but also eyelids scar correction, 69 00:02:23.076 --> 00:02:26.156 (Lifting of the lash area) as well as correcting of the lifting of the lash area 70 00:02:26.156 --> 00:02:28.013 This is the post surgery footage 71 00:02:28.013 --> 00:02:30.497 (Much reduced double eyelids scar!) You can see the reduction in the double eyelids scars 72 00:02:30.497 --> 00:02:33.767 (Lash lifting area has been corrected) You also can see that corrections have been made to the lifted in the lash area 73 00:02:33.767 --> 00:02:34.989 When you look at the photo 74 00:02:34.989 --> 00:02:37.590 (Eyelashes lifted up) you can see the eyelashes are lifted up 75 00:02:37.590 --> 00:02:41.852 (Post-surgery shows correction) after surgery you can see the reduction in the lifted eyelashes 76 00:02:41.852 --> 00:02:43.138 I realized 77 00:02:43.138 --> 00:02:45.384 when I was preparing for this video I only brought cases 78 00:02:45.384 --> 00:02:46.645 that did the eye shape correction together 79 00:02:46.645 --> 00:02:49.074 So let me tell you more about getting 80 00:02:49.074 --> 00:02:51.237 (Introducing a case with only eyelids correction!) the eyelid lowered 81 00:02:51.237 --> 00:02:53.010 (Introducing a case with only eyelids correction!) without an eye shape correction surgery 82 00:02:53.010 --> 00:02:54.391 without eye shape correction 83 00:02:54.391 --> 00:02:56.710 this is a case of just lowering the double eyelids 84 00:02:56.710 --> 00:02:59.664 (Reduction in sausage eyelids after lowering) You can see a reduction in the sausage eyelids 85 00:02:59.664 --> 00:03:02.082 Of course because it's not those sleepy eyes 86 00:03:02.082 --> 00:03:03.751 (Case that didn’t need eye shape correction) eye shape correction was not needed 87 00:03:03.751 --> 00:03:05.108 If this patient 88 00:03:05.108 --> 00:03:07.420 had a little more sleep eyes 89 00:03:07.420 --> 00:03:09.355 then we would have done an eye shape correction 90 00:03:09.355 --> 00:03:12.068 If you want to lower the double eyelids as much as you can 91 00:03:12.068 --> 00:03:14.607 then you can lower it like how we did it in the photo 92 00:03:14.607 --> 00:03:17.297 (Eyelids have really thinned out) we made the double eyelids really thin 93 00:03:17.297 --> 00:03:20.123 Because this person had no sleepy eyes 94 00:03:20.123 --> 00:03:22.569 we just proceeded with the lowering of double eyelids 95 00:03:22.569 --> 00:03:25.790 For male patients who don’t like their double eyelids 96 00:03:25.790 --> 00:03:28.084 tend visit us often for their revision surgeries 97 00:03:28.084 --> 00:03:29.976 Like the photo that I showed just now 98 00:03:29.976 --> 00:03:32.449 they want it to be almost invisible 99 00:03:32.449 --> 00:03:33.584 This patient 100 00:03:33.584 --> 00:03:35.623 doesn't have an overall sleepy eyes 101 00:03:35.623 --> 00:03:38.782 (Only one eye has sleepy eye) Only the inner part has the sleepy eye 102 00:03:38.782 --> 00:03:39.925 For this patient 103 00:03:39.925 --> 00:03:42.202 Only this part had the eye shape correction 104 00:03:42.202 --> 00:03:43.980 and the rest of the parts did not have any eye shape corrections 105 00:03:43.980 --> 00:03:45.416 and only the eyelids were lowered 106 00:03:45.416 --> 00:03:46.448 For this patient though 107 00:03:46.448 --> 00:03:48.561 there is an overall sleepy eyes 108 00:03:48.561 --> 00:03:51.226 (Proceed with the eye shape correction) so both lowering the eyelids and shape correction was performed 109 00:03:51.226 --> 00:03:52.258 And for this patient as well 110 00:03:52.258 --> 00:03:54.033 With the eye shape correction 111 00:03:54.033 --> 00:03:55.535 the eyelids were lowered 112 00:03:55.535 --> 00:03:58.075 So I've explained about how to correct sausage eyelids 113 00:03:58.075 --> 00:04:00.840 using various types of methods 114 00:04:00.840 --> 00:04:02.609 There are many reasons behind 115 00:04:02.609 --> 00:04:03.810 (many reasons!) getting a revision surgeries for the double eyelid 116 00:04:03.810 --> 00:04:05.311 And out of all that for today 117 00:04:05.311 --> 00:04:07.180 (Sausage double eyelids) I talked to you about sausage eyelids 118 00:04:07.180 --> 00:04:07.921 Next time 119 00:04:07.921 --> 00:04:10.383 (More about different types of revision surgery for double eyelids) I'll explain more about other different types of 120 00:04:10.383 --> 00:04:12.040 revision surgery for double eyelids 121 00:04:12.040 --> 00:04:13.849 Thank you 122 00:04:13.849 --> 00:04:16.046 (SOON Plastic Surgery Clinic)