Sugar Plastic Surgery
SUGAR Plastic Surgery Revision Eye Surgery
Revision Eye Surgery
Sugar Motto
Revision surgery calls for greater care than the first procedure
Revision eye surgery that begins by reassessing the cause
Revision eye surgery refines an unsatisfactory result from a previous eye procedure, such as a crease that has loosened or was set too high or low, or scarring and adhesions. After carefully assessing the current condition of the eyes and the degree of adhesion, we plan a technique suited to the situation, such as double-line lowering. Bringing information about your previous surgery to the consultation helps us develop a more accurate plan.
Revision
Revision eye surgery refines an unsatisfactory result from a previous eye procedure, such as a crease that has loosened or was set too high or low, recurrent adhesions, or scarring. After carefully assessing the current condition of the eyes and the degree of adhesion, we plan a technique suited to the situation, such as double-line lowering. Revision requires more considerations than a 1st operation, so a thorough consultation is essential.
The possible timing and technique for revision vary with tissue condition. Bringing information about your previous surgery to the consultation helps us develop a more accurate plan.
Case / Method
Reasons for revision eye surgery include an excessively thick double-eyelid crease, asymmetry, a loosened crease, prominent surgical scarring, or multiple creases. Revision aims to find a crease precisely suited to your face and improve overall harmony, achieving the desired shape while reducing the likelihood of a 2nd revision.
Revision surgery involves more considerations than an initial operation. Because it also requires releasing adhesions and scar tissue along the existing crease, precise assessment and surgical experience are even more important. The possible timing and technique vary with tissue condition. After assessing the current condition of the eyes and degree of adhesion, SUGAR Plastic Surgery plans a different treatment direction for each cause, including the six types below.
01 · When the Double-Eyelid Crease Is Excessively High and ThickIf the crease was designed too high during the 1st surgery, creating a thick, sausage-like appearance, an incision is made to include the original incision line. The high fixation is released, and the crease is lowered and fixed again. If the crease is likely to reform at its original high position, an additional procedure using fat grafting or nearby tissue may be needed.
02 · When the Double-Eyelid Crease Is Too LowIf the crease was designed too low during the 1st surgery, it can be redesigned at the desired height and improved using a technique suited to the condition of the eyes and the new design. If reduced eyelid elasticity has allowed skin to descend and cover the crease, the excess skin can be removed to create a crease at the desired height.
03 · When the Double-Eyelid Crease Has LoosenedA weakly fixed double-eyelid crease may loosen over time. The loosened crease is redesigned, and revision is performed using the technique best suited to the eyes—such as natural adhesion or an incisional method—to minimize the risk of further loosening. If you want stronger fixation because you are concerned it may loosen again, an incisional technique may be used.
04 · When Double-Eyelid Scarring Is SevereThis method is used when there is severe scarring at the surgical site. If enough eyelid tissue and skin remain, the scarred area is removed and the double-eyelid crease is corrected while preserving the existing tissue. If there is insufficient eyelid tissue after scar removal to create the crease, fat grafting to the eyelid may be used.
05 · When Multiple Double-Eyelid Creases Have FormedThe existing double-eyelid crease may loosen or unwanted adhesions from the previous surgery may create multiple creases. If you do not want to change the size of the double eyelid, an incision is made while removing the scar, the tissue is dissected toward the upper crease to release the adhesions completely, and additional measures are needed to prevent the adhesions from recurring. If weak eye-opening strength caused the multiple creases, ptosis correction may also be required.
06 · When the Double-Eyelid Creases Are AsymmetricalThis may occur when the 1st surgery does not follow the intended design or when each double-eyelid crease is fixed differently. One side alone can be corrected to the desired height, but the surgical technique will depend on the cause. Revision of both sides is generally recommended to improve symmetry.Who Needs It
The possible timing and technique for revision vary with tissue condition. Bringing information about your previous surgery to the consultation helps us develop a more accurate plan.
Two-line Revision
Double-line lowering is a skin-preserving revision eye procedure that creates a new incision and double-eyelid crease below the existing crease instead of removing skin.
A sausage-like double-eyelid crease occurs when there is too little skin to cover the crease from above. If the crease is high but there is not enough skin to cover it, the skin below the crease rolls outward, making it look thick and unnatural. Removing skin in an attempt to correct this can further reduce an already limited amount of skin, potentially causing a foreign-body sensation, corneal injury, or incomplete eyelid closure after surgery.
The double-line lowering technique takes the opposite approach. It preserves the limited skin while a new incision is designed below the existing double-eyelid crease and a new crease is created at that incision. The adhesions along the old crease are also released, allowing the folded skin above to smooth out so the old crease gradually fades, while the newly created lower crease settles into a natural-looking double eyelid.
As a result, the previously high, thick crease becomes lower and more natural, while the old prominent scar becomes less noticeable as the skin smooths out. Revision surgery for patients with insufficient eyelid skin should therefore be planned with a skin-preserving, double-line lowering technique. Suitability is assessed by examining the adhesions along the existing crease and the condition of the skin, and will be explained in detail during your consultation.
01 · Before SurgeryBefore surgery, folded skin along the double-eyelid crease makes the existing scar prominent.
02 · Immediately After SurgeryAdhesions along the existing crease are released, and a new surgical crease is formed below it.
03 · 6 Months After SurgeryAfter surgery, the existing mark gradually fades as the folded skin smooths out.Eyelid Lines
Because the shape and size of the double eyelid can change your overall appearance, the crease shape and height should be chosen to suit your individual eye anatomy.
The crease that suits you depends on your eye anatomy, so we will explain the options in detail during your consultation.
Why Sugar
Understanding why the first surgery failed helps prevent the same outcome from happening again.
100% of surgeries performed by a board-certified plastic surgeon
The board-certified plastic surgeon who conducts your consultation also performs your surgery.
In accordance with Korean law requiring CCTV in operating rooms, our operating-room CCTV system is in operation,
protecting patients' rights.
Cause-Based Assessment by Revision Type
For each concern—such as a thick or loosened crease, scarring, multiple creases, or asymmetry—we
identify the cause and plan the appropriate treatment.
A skin-preserving approach
For sausage-like double eyelids with insufficient skin, rather than excising more skin,
we plan a skin-preserving approach such as double-line lowering.
Sugar Know-How
These are the principles SUGAR Plastic Surgery follows for revision eye surgery.
Procedure
Recovery
Recovery time varies by individual. All surgery carries the possibility of general side effects such as bleeding, infection, and inflammation, and results may vary. Please consult thoroughly with a specialist before surgery.
SAFETY INFORMATION
For a safe treatment plan, please review the potential risks, the information we need before treatment, and the symptoms that require immediate medical attention.
Because of existing scars and adhesions, possible risks include swelling, bleeding, infection, asymmetry, loosening of the crease, multiple creases, overcorrection, undercorrection, difficulty closing the eyes, tissue deficiency, and worsened scarring. In rare cases, changes in vision may occur.
You must tell us the date and method of your previous surgery; any implants or injected materials; your current eye function; any history of dry eye, glaucoma, thyroid eye disease, or vision-correction surgery; any active infection, uncontrolled high blood pressure or diabetes, bleeding disorder, abnormal reaction to anesthesia, or possibility of pregnancy; whether you smoke; and all medications and dietary supplements you take. Do not stop anticoagulants or other medications on your own; consult the prescribing clinician.
Contact the clinic immediately if you develop a sudden change in vision, severe eye pain, rapidly increasing swelling on one side, persistent bleeding, a high fever, or pus. If there is a clear decline in vision, go to the emergency room immediately.
This is general safety information and is not a substitute for individualized medical care. Actual risks and contraindications may vary depending on the procedure, products used, and your health.
FAQ
Revision is generally possible from 6 months after the previous surgery. Stable results require the tissue to recover sufficiently and the adhesions to stabilize, so we assess your eyes and plan the appropriate timing and technique together. Recovery time varies by individual.
Yes. After assessing the adhesions and scarring along the existing crease, we redesign the crease using a method suited to the situation, such as the double-line lowering technique. The approach differs for a loosened crease, a crease that is too high or low, or creases that differ from side to side, so an accurate assessment comes first.
Revision is more complex than an initial operation because it also involves releasing existing adhesions and scar tissue. Precise assessment and surgical experience are therefore even more important. At SUGAR Plastic Surgery, the board-certified plastic surgeon who consults with you personally handles your assessment, surgery, and follow-up care.
Existing scars and adhesions may limit the extent of tissue separation and refixation and increase the risk of further damage. After an examination, you should receive an explanation of what can be corrected and what limitations may remain.
We need to know the location of previous incisions, the fixation technique, which tissues were removed, and any implants or injected materials used to distinguish the cause of the current deformity and plan the extent of revision.
Contact the clinic immediately if you experience a sudden change in vision, severe eye pain, rapidly increasing swelling on one side, persistent bleeding, a high fever, or pus.
Sugar Care System
Every step is handled with care, from an in-depth 1:1 consultation and precise diagnosis to operating-room CCTV monitoring and the selection of materials suited to you.
We closely support your recovery with swelling-reduction laser treatment, scar injections, vitamin injections, and dedicated 1:1 care.
We remain by your side through every stage of postoperative follow-up.
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