2026-05-25
Incisional Ptosis Correction (Revision) & Lower Blepharoplasty (Fat Repositioning)
A case study of a 20s female patient undergoing revision incisional ptosis correction and lower eye fat repositioning to fix asymmetry and a tired appearance.
* Basic Information
# Female in her 20s
# Had incisional double eyelid surgery & epicanthoplasty 10 years ago
# Primary complaints and goals: The eyelid lines have loosened and become asymmetric. I want defined lines. My under-eyes look hollow and tired.
* Consultation
# The double eyelid lines have become loose and asymmetric. The patient is also concerned about multiple folds caused by hollow upper eyelids. She desires a more defined line through revision surgery.
# We decided to proceed with an incisional revision to remove scar tissue from the previous surgery and create a secure, defined line that will not loosen. Simultaneously, we planned to improve the hollow upper eyelids through fat repositioning if any upper eyelid fat remained (if it hadn’t been entirely removed during the previous surgery).
# For the under-eye area, we planned to improve the hollow appearance through fat repositioning.
* Surgical Plan
# Incisional Ptosis Correction (Revision) + Upper Eyelid Fat Repositioning
# Lower Blepharoplasty (Fat Repositioning)
* Post-operative Progress
# During the surgery, it was discovered that the upper eyelid fat had been excessively removed previously. There was no fat left to reposition. Therefore, during the lower eye fat repositioning, a portion of that fat was utilized for micro-fat grafting into the upper eyelids.
# Revision surgery using the incisional method has the advantage of allowing the removal of old scar tissue and ensuring a secure fixation.
# Bulging under-eye fat can create a swollen and tired impression. Lower eye fat repositioning can be performed relatively easily through the conjunctiva inside the eye without visible scarring, making it an excellent option for those with minimal skin sagging.
Always consult a board-certified plastic surgeon for consultations and surgery!
The VIBE that comes from rich experience.
Dr. Yoo Young-moon, Representative Director of Vibe Plastic Surgery
Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery depending on the individual, and caution is required.
Frequently Asked Questions
In what cases is incisional double eyelid revision surgery necessary?
Yes, it can be considered if the previous double eyelid surgery resulted in a loosened line, severe asymmetry, or unsatisfactory results such as multiple folds. It has the advantage of removing scar tissue and firmly fixing a clear line.
What effects can be expected from lower eyelid fat repositioning?
Lower eyelid fat repositioning helps improve the hollow and tired impression caused by bulging lower eyelid fat. It has the advantage of being performed through the inner conjunctiva of the eye, leaving almost no external scars.
Can a sunken upper eyelid also be improved?
Yes, it is possible. In cases like this example, where the upper eyelid appears sunken due to excessive fat removal, it can be improved by using some of the fat harvested during lower eyelid fat repositioning for micro-fat grafting.
Will there be scars after lower eyelid fat repositioning surgery?
No, lower eyelid fat repositioning is usually performed through the inner conjunctiva of the eye, so it has the advantage of not leaving an incision scar on the outer skin. It is particularly suitable for those with less skin laxity.
What are the advantages of incisional revision surgery?
Incisional revision surgery has the advantage of being able to remove scar tissue from previous surgery and firmly and securely fix the double eyelid line, reducing the possibility of it loosening.