Incisional Double Eyelid (4th Revision), Epicanthoplasty, and Under-eye Fat Grafting

* Basic Information

# Female in her 20s

# Medical History: 3 previous revision surgeries due to line asymmetry, under-eye filler

# Current Status & Requirements: Despite multiple surgeries, the patient still experiences line asymmetry and wishes for correction. She also wants to improve her tired appearance caused by puffiness under the eyes.

* Consultation

# The patient was under significant stress due to multiple previous eye surgeries.

# She desired a clear, visible line starting from the inner corner.

# She felt the under-eye filler was excessive and wanted it removed, while also improving the puffy look under her eyes.

* Surgical Plan

# Incisional Double Eyelid (4th Revision)

# Epicanthoplasty (Right side only)

# Dissolving under-eye filler

# Under-eye fat grafting

* Post-operative Progress

# A light and fresh in-out line shape was achieved. Can you see how much clearer and more symmetrical the eyes have become?

# Through incisional revision, we removed all existing scar tissue and worked to create a natural look, as if it were her first surgery.

# The under-eye filler had spread downward, making the area look puffier. After dissolving the filler, it was clear that the actual amount of under-eye fat was not excessive. Therefore, we improved the tired look by performing fat grafting in the sunken tear trough area.

Consultations and surgeries should be performed by a board-certified plastic surgeon!

Take care of both your health and beauty today :)

Right Mind, Right Plastic Surgery – Dr. Yoo Young-moon

Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery and vary by individual; caution is advised.

Frequently Asked Questions

How many times can incisional double eyelid revision surgery be performed?

In this case, a patient with a history of 3 revision surgeries underwent their 4th incisional double eyelid revision surgery. The focus was on removing scars from multiple surgeries to create natural-looking eyes, and the possibility of surgery is determined through consultation with a specialist.

In what cases is under-eye fat grafting necessary?

Under-eye fat grafting can be considered when you want to improve a tired impression caused by puffiness under the eyes or hollow tear troughs. In this case, after removing aegyo-sal filler, fat grafting was performed in the tear trough area to improve the tired impression.

Do I have to do epicanthoplasty on both sides?

No, it is not always necessary to do both sides. In this case, epicanthoplasty was performed only on the right eye to improve line asymmetry. Depending on the individual's eye condition and degree of asymmetry, it may be performed on only one side.

Can I get under-eye fat grafting immediately after aegyo-sal filler removal?

Yes, it is possible. In this case, after dissolving the aegyo-sal filler, the amount of under-eye fat itself was not large, so fat grafting was performed in the hollow tear trough area to improve the tired impression. A treatment plan can be made after assessing the condition post-filler removal.

Are existing scars removed during incisional double eyelid revision surgery?

Yes, they can be removed. In this case, through incisional revision surgery, efforts were made to remove all existing scars to create natural-looking eyes as if it were the first eye surgery. Through this, a clearer and more symmetrical eye shape was achieved.