Eight manifestations of double eyelid failure

October 2, 2023

Double eyelid surgery may seem simple and is a minor operation, but there are risks involved. There are 8 common cases of failed double eyelid surgery, and each case is due to different reasons.

Double eyelid asymmetry

The double eyelid asymmetry is mostly caused by the unreasonable design of the curvature before the double eyelid surgery and the sloppy operation of the surgeon during the surgery operation.

How to repair: This situation is generally to redesign the side of the eyelid with poor results again and perform a second surgery.

Disappearance of double eyelids

After double eyelid cutting, some people may have inconspicuous double eyelids or disappearing double eyelids. This is mainly caused by the incorrect method of double eyelid cutting.

How to repair: In this case, it is usually necessary to choose the method of double eyelid cutting again, after the swelling of the eyes has subsided from the original incision, remove the right amount of subcutaneous tissue and orbicularis oculi muscle, etc. and then observe the effect after surgery. If the previous incision method is not ideal, you can use the buried line to reshape.

Double eyelid is too thick

Double eyelids are usually too thick because the width of the eyelids is too wide for the face as a whole and too much fat is removed from the eyelids.

How to fix it: In this case, it is usually necessary to redesign the incision and remove the original incision for good results.

Thin Eyelids

Thin eyelids are also a common failure for many people who have undergone double eyelid surgery. In this case, the width of the eyelids is too narrow and uncoordinated, and the preoperative design and wrong suturing can cause this problem.

How to fix it: This condition usually generally requires full peeling of the skin below the original blepharoplasty line after re-opening the wound, removing the orbicularis oculi muscle and pre-lid tissue in front of the lid, and using the extension of the upper lid skin to lift the incision and suture it closed.

Formation of triple eyelids

One manifestation of eyelid failure is the formation of triloculars and polyphthalmia, which is caused by not designing the eyelid line according to the curvature, resulting in uneven skin peeling between the eyelid line and the lid margin or due to misaligned sutures.

How to fix it: In this case, the original incision will usually need to be incised and re-peeled and the crease loosened to help eliminate the excess crease.

Effort to open eyelids

After double eyelid surgery, it is easy to have eyelid opening effort or a heavy feeling when opening the eyes, which we generally call eyelid ptosis. This is mostly due to the trauma caused during the surgery, which causes damage to the levator muscle and tissue adhesions.

How to fix it: In this case, we need to perform muscle shortening surgery and release the adhesions.

Ectropion of the lower eyelid

In this case, the lower eyelid can be ectropion if the contraction of the orbicularis oculi muscle is affected or even lost due to the roughness of the surgery.

How to fix it: This condition can be improved by local massage or glucocorticoid injection for a few months in milder cases; in more severe cases, correction, suturing, etc. are required.

Subcutaneous nodular sensation

After the double eyelid cut may also appear subcutaneous nodular feeling, touch the eye skin can feel bumpy, this is mostly due to the buried line method of double eyelid cut too shallow or caused by rejection.

How to repair: In this case, if the buried line is too shallow, the buried line can be removed directly, while the deeper line needs to be removed after surgical incision.

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