Blepharoplasty correction or eyelid revision surgery is a surgical procedure intended to correct the results of a previous eyelid surgery that was performed to aesthetically modify the eyelids and the area around the eyes.
If you have previously had blepharoplasty and are not satisfied, you may want to consider eyelid revision surgery.
The procedure can correct defects and disfiguration of the eyelids. The eye area is delicate and dynamic; therefore, there are myriad considerations when deciding on a treatment plan for eyelid revision surgery.
Why Is It Sometimes Necessary to “Revise” or “Correct” a Previous Surgeon’s Blepharoplasty or Eyelid Surgery?
The decision to revise or correct blepharoplasty or eyelid surgery is a personal one that should be made by you with input from your plastic surgeon. Many people choose to have an eyelid revision surgery because they are unhappy with the initial results or post-operative scarring is more visible than they anticipated. Another reason for revision surgery is due to simple natural aging and when results of the initial surgery have faded over time.
Eyelid surgery is not performed in a “vacuum”. To achieve the best possible results, your surgeon must evaluate your eyelids with consideration of your brows, nose, and overall facial structure.
If your surgeon does not take your other facial features into consideration, the aesthetic results can be less than satisfactory, necessitating the need for blepharoplasty correction.
Because the eye area is so intricate and delicate, there is a lot to evaluate when considering eyelid revision surgery. Years of surgical practice and research have taught us that eyelid surgery is not just about removing excess skin or fat. In fact, fatty tissue atrophies as we age, and we may have less excess skin than we anticipate. Volume restoration by way of fat transfer has drastically altered the way that we approach eyelid surgery. This approach applies to both the upper and lower lid; restoring volume to the face where it is needed is an important first step to achieving optimal results.
How Is a Revision Eyelid Surgery Procedure Performed? Is It Different From a Standard Blepharoplasty Procedure?
The first and most important step is to look closely at the individual patient’s face and the results of the initial procedure. Together, we will discuss the desired results and analyze how we can achieve them.
Eyelid revision surgery can often be more challenging than the initial procedure.
There are primarily two types of blepharoplasty correction:
- Type one is used to revise “under corrected” eyelid surgery where too much extra skin or fat was left behind and the patient is unsatisfied with the results. Eyelid revision surgery can also correct ptosis or “drooping” eyelids.
- The second type of eyelid revision surgery is used to correct “overdone” eyelid surgery where too much skin and/or fat was removed giving the eyes a misshapen or unnatural appearance, known as ectropion.
Depending on your initial eyelid surgery and your overall facial structure, you may not actually need another eyelid surgery, but you may be a candidate for a different type of plastic surgery such as a brow or forehead lift or temple lift (temporal lift).
It is important that you allow sufficient time to completely heal from the first surgery. And, as with many plastic surgical procedures, it can take several weeks to months for swelling to completely subside and the final results to be fully visible.
To accomodate the healing process, we recommend patients wait at least 6 months before considering eyelid revision or correction.
When choosing a plastic surgeon for your revision blepharoplasty, it is critical that they are highly qualified, US Board Certified, and possess long-term eyelid surgery experience.
Your surgeon should also have an aesthetic and artistic “eye” for what constitutes “beauty.” It is important that your eyelids are harmoniously balanced with your other facial features in a natural, beautiful way that still looks like you – not someone else.