Blepharoplasty, also known as double eyelid surgery, is a procedure where some people are likely to have one problem or another, causing the surgery to fail.
I. Causes of 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-eyelid people need blepharoplasty, and not all single-eyelid people have heavy eyelids to add beauty. 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. Poor or incorrect preoperative 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 a high or low blepharoplasty line, bilateral asymmetry, and poor blepharoplasty line shape. The general principle of design is to take into account the patient’s face shape, the length of the lid fissure, the height of the nasal bridge, etc., as well as the width, length, curvature and shape of the lid after surgery.
3. Improper choice of surgery
Improper choice of surgery is another major cause of poor or failed blepharoplasty results. The choice of surgery should be based on the patient’s face shape, the range of application of the various procedures, and the operator’s habits and experience, and not just one procedure to solve all problems.
4. Lack of adequate knowledge of eyelid disease
The surgeon performing blepharoplasty must have a good understanding of eyelid disease, especially as it relates to blepharoplasty, otherwise it is easy to make mistakes or fail. If one lid has mild ptosis and the other has a heavy lid, and the two eyelids are different, it is important to perform a shortening of the levator muscle to create a blepharoplasty at the same time. If the ptosis is not diagnosed and the blepharoplasty is simply performed, the surgery will of course fail. For patients with single lids with medial canthus, small lid fissures, low nasal bridge, and widened medial canthus, prior or simultaneous correction is necessary to ensure the results and success of blepharoplasty.
5. Sloppy operation or lack of scientific attitude
Blepharoplasty is a delicate and skillful cosmetic surgery, 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 the movements must be gentle and precise, avoiding brutality and rashness, which is the only way to ensure successful surgery and satisfactory postoperative results.
6.Lack of good aesthetic sense of the operator
If there is a lack of aesthetic knowledge or formal training, the operator cannot reasonably or correctly apply aesthetic principles and knowledge during preoperative design and surgery, which will inevitably affect the cosmetic effect of blepharoplasty. It is extremely important for the surgeon to receive formal training in cosmetic surgery and to increase aesthetic awareness in order to improve cosmetic eyelid results and prevent failure.
What eye conditions require repair?
If you have any of the following conditions, you should consult with your doctor at the hospital to determine your eyelid repair plan. The first step is to understand the different methods of double eyelid repair.
1.Double eyelid is too wide
3-6 months after surgery, redesign the incision and separate the adhesions formed by the first surgery, other steps are the same as double eyelid surgery.
2.Triple eyelid formation
After the swelling subsides, the excess skin will be removed through the original incision, and the crease above will disappear.
3.Double eyelid is too low
The incision line is moved up for a new incision, peeled down so that the old and new incisions become a whole, and then heavy eyelid sutures are done.
4.Disappearance of double eyelids
After the swelling subsides, the buried wire method can be replaced by the open method of double eyelid surgery. For the incision method, the original incision is made, enough subcutaneous tissue and orbicularis oculi is removed, and the skin is sutured close to the lid plate or lid muscle tissue, and the patient is allowed to open his eyes during surgery to observe and achieve a satisfactory eyelid.
5. Poor eyelid curvature
After the swelling subsides, the eyelid line is redesigned according to the natural crease, and the failure of the buried double eyelid requires an incision and redo.
6.Double eyelid asymmetry
Generally, the upper eyelid swelling can only be surgically repaired again after the swelling has completely subsided in 3-6 months after surgery.
Finally, we remind our beauty lovers that they must go to a regular medical beauty institution to do double eyelids!