What should I do if my double eyelid surgery fails?
When it comes to the standard of beauty, there is nothing better than a melon face, big eyes, straight nose, sexy red lips and so on. Among them, the most attention is still a pair of big and soulful eyes, which can let us see each other’s heart more intuitively.
Because of the importance of eyes, many people choose to achieve their beauty standards through double eyelid surgery. However the truth is always disappointing. Many friends become desperate, inferior and helpless after failed double eyelid surgery, yet they do not know how to change.
I. What is double eyelid repair
Double eyelid repair is to surgically or non-surgically improve the problems of double eyelid caused by natural or acquired double eyelid surgery, such as inconspicuous, partial or complete disappearance of double eyelid line, wide or narrow double eyelid, interrupted curvature, bilateral asymmetry, thick double eyelid, scar growth, difficulty in eyelid lifting, poor eyelid closure and other double eyelid problems. To improve and repair these problems, make the double eyelids look natural.
Second, the reasons for double eyelid surgery failure
1. Improper selection of indications
Different blepharoplasties have different indications, and both the surgeon and the patient should be clear that not all single-lidded people need blepharoplasty, and not all single-lidded people will have their beauty enhanced by having heavy eyelids. The beauty of a person’s appearance does not depend entirely on their single or heavy lids, but is closely related to their face, eyebrows, eyes and ears, as well as their personality, temperament and expression. Some people have long, thin, bright single lids that match their features and face harmoniously and appear elegant and natural, so they do not need blepharoplasty.
2. Inappropriate preoperative shape design
The correct design of the eyelid line and its shape is a prerequisite for successful cosmetic blepharoplasty. Failure to design carefully or use the correct design method will inevitably lead to problems such as too high or too low eyelid lines, bilateral asymmetry, and poor eyelid line morphology. The general principle of design is to take into account the width, length, curvature and shape of the lid according to the patient’s face shape, lid length, nose height, etc. In addition, the patient must be actively involved in the design and have the consent of their family or a third party.
3. Improper choice of surgery
Improper choice of surgery is another major cause of poor cosmetic blepharoplasty results or failure. The choice of procedure should be based on the patient’s face shape, the scope of application of the various procedures, and the operator’s habits and experience, and not just one procedure to solve all problems.
4. Sloppy operation
Blepharoplasty is a delicate, highly skilled cosmetic surgery procedure, and the surgeon must have a serious, meticulous medical style and scientific attitude. In addition to the necessary preparations before surgery, the operation must be strictly aseptic and precise, avoiding roughness and rashness, which is the only way to ensure successful surgery and satisfactory postoperative results.
The performance of double eyelid failure
1. Buried eyelids fall off or do not appear;
2. Excessive liposuction of the eyelid in the sulcus and wrinkles due to the incision or buried lid method, resulting in an aging appearance;
3. Double eyelids that are too wide, too narrow, too long, too short, and bilaterally asymmetrical;
4.Triple eyelid formation, mostly seen in the buried wire method; excessive removal of the orbicularis muscle above the incision, resulting in the upper eyelid skin and deep tissue adhesion to form triple eyelid;
5. Unattractive appearance, the patient’s eye fissure is short, resulting in wide double eyelids and round eyes; the lower edge of the incision is not enough to remove the orbicularis muscle and the double eyelids are bloated and unnatural; the shape of the double eyelids is not coordinated with the facial features;
6.Eye opening weakness, the patient has mild ptosis or weak upper eyelid muscle before surgery; the surgery incision is too deep, damaging the upper eyelid muscle tendon membrane; early scar growth contracture can cause;
7. The double eyelid line disappears because the eyelid design line is too low to form an inner pair, the orbicularis muscle in front of the lid plate is not removed enough to prevent the skin from adhering to the lid plate; the suture is not fixed to the lid plate tendon membrane; the suture is removed too early and the adhesion is not strong enough;
8. Incisional scars, incisional infection, uneven incision margins, poor docking, or scarring of the patient;
9. Excessive width of the lid, accumulation of orbicularis muscle in the lid groove, and thick lid groove;
10. Excessive width of the incisional eyelid that has been repaired several times.
4.Buried double eyelid correction method
The buried eyelid correction method: the skin below the eyelid line is fully peeled off along the original incision, the orbicularis muscle and prelid tissue in front of the lid are removed, and the upper lid skin is stretched and the incision is lifted and sutured to increase the width of the eyelid (1-3 mm). This method also allows the eyelashes of young patients to be uplifted. It increases the aesthetic appeal. In addition, because the subcutaneous tissue under the eyelid line is thinned, the eyelids will be more realistic and natural after surgery.
A wide eyelid is one that is greater than 8 mm wide, or too wide for the shape of the face (small and round), and is commonly seen in people with European eyes. In addition to the wide width of the eyelid, the upper eyelid subcutaneous tissue and orbital septum fat on the eyelid line and below the orbital bone are too much to remove, resulting in a poor post-operative appearance.
The buried eyelid correction method: For patients with a relatively wide eyelid line and non-European eyes, the incision can be redesigned in the 6 to 8 mm range and the original incision can be removed. For European eyes, the revision is more difficult and the incision must be lowered and the upper lid hollows must be filled with dermal fat flaps, free fat particles or artificial biomaterials. The surgery can be performed in one or two phases depending on the situation.
V. Repair methods for Korean double eyelids
1. Filling with various foreign materials to compensate for the lack of tissue and adhesions caused by the surgery.
Characteristics of Korean double eyelid repair surgery: prone to rejection reaction, infection, post-operative unevenness with scarring and unnatural shape, etc.
2. Rely on your own tissue stretching to supplement tissue loss and adhesion.
Features of Korean double eyelid repair surgery: Self-fascial fat treated with gel medium is used to transplant to fill the missing tissue. This method has a fat survival rate of over 95%, much higher than other fat grafting procedures, and the restored skin around the eyes has normal elasticity and can be restored to normal.
Indications for Korean double eyelid repair surgery: extra concave, extra wide European eyes, multi-layered eyelids, overly wide, exposed orbital bones, drooping upper lids, eyes that cannot be opened or eyes that close with difficulty, etc.
The best time for repair
1. In the case of asymmetry between the two eyes, the upper eyelid can be re-designed for repair after the upper eyelid has completely faded for about 3-6 months after surgery.
2, double eyelid too wide: 3-6 months after surgery role, redesign the incision, and separate the adhesions formed in the first surgery.
3, Hidden double, after waiting for the small bell, cut along the original incision, fully peel the skin below the heavy eyelid line, remove the orbicularis oculi muscle and the tissue of the eyelid plate money, lift the incision and suture it closed.
4, The heavy eyelid line disappears completely, and after the swelling subsides, the original buried line method is not used to do it, and the double eyelid is done by the incision method instead, with the original incision cut near the original incision.
5.Triple eyelids, can be surgically incised according to the original incision, peel and loosen the crease, suture the skin at the lower edge of the incision upwards, over the original lid plate and in adhesion with the skin, or you can pull the skin at the upper edge of the incision with your hand often, in three months role time, can make it loose and cover the excess heavy eyelid line.
Sixth, double eyelid repair post-operative care
Proper post-operative care after eyelid surgery can reduce post-operative complications and promote wound healing, which is also an important part of successful surgery.
The post-operative care can start from the following aspects: local antibiotic eye medication orally or intramuscular injection of antibiotics for a week; keep the wound clean when washing your face, pay attention not to wet the wound, if there is blood crust or secretions on the wound can be wiped with sterile saline or medical alcohol; to prevent wound bleeding bruising or hematoma can be two days after the local wound with ice bags cold compress, but the pressure should not be large to avoid damage to the eye; diet more increase Protein intake while eating more fruits and fresh vegetables.
1. Keep the wound clean and prevent infection.
It is important to keep the wound clean after blepharoplasty, because if the wound is not clean, it can easily become infected and lead to scarring. So be careful not to wet the wound when washing your face after blepharoplasty. The dressing on the eye can be removed 1 to 2 days after surgery. If there is blood scab or secretion on the wound, sterile saline or medical alcohol can be used to wipe it.
2. Prevention and control of bleeding, bruising or hematoma in the blepharotomy wound.
Bleeding, bruising or hematoma can occur if small blood vessels are damaged during blepharoplasty or if the bleeding is not completely stopped during surgery, if there is an external impact on the eyes after surgery, or if there is intense movement or unpredictable emotions. In order to prevent the above complications, the local wound can be dressed with pressure or cold compress with ice bag, but the pressure should not be high to avoid damaging the eye. If bleeding or severe hematoma occurs after surgery, a follow-up visit to the hospital should be made in a timely manner.
After blepharoplasty, you should have a quiet and comfortable environment to recuperate.
The air in the room should be fresh and circulated and kept at a certain temperature. Increase your protein intake in your diet and eat more fruits and fresh vegetables. Do not watch TV or newspapers for 1 week after blepharoplasty, and it is best to rest in a semi-recumbent position (with pillows elevated) so that your eyes do not become overly tired or your head position is too low, which can aggravate the swelling.