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"The key steps in complex Asian revision surgery are
adding to and adjusting the orbital fat. Unfortunately, only a
handful of doctors know anything more about managing fat
than how to take it out."
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Three years after double eyelid surgery performed elsewhere.
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| Three months after orbital pearl fat grafting and internal fat repositioning. |
Although Asian cosmetic eye surgery, or double eyelid surgery, is the most common cosmetic operation performed worldwide, the incidence of aesthetic and functional complications is surprisingly high. Not counting insufficient patient education leading to unrealistic expectations, the most frequent reasons for dissatisfaction in an approximate order of frequency are
| Less severe problems: |
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• more than mild asymmetry of the creases
• overly low creases
• incomplete or shortened creases
• loss of creases over time, especially after suture methods
• overly noticeable scarring
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| More severe problems: |
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• overly high, deep, or arched creases
• formation of highly irregular or multiple creases
• ptosis (inability to lift the eyelid fully)
• upper eyelid hollowness
• skin shortage or internal tissue damage preventing adequate lid closure
• eversion of the upper eyelid margin with upturned lashes |
Double eyelid surgery is sometimes described as "simple" and yet in the hands of the occasional eyelid surgeon who may lack a thorough understanding of Asian eyelid anatomy and the experience to properly plan and meticulously execute the most appropriate procedure, the rate of aesthetically disappointing asymmetry is reported to vary between 13 and 35 percent . . .
The most common causes of problems following double eyelid surgery include . . .
While a full description of surgical options is complex, an overview of advanced techniques can be gleaned from the case studies of actual patients shown below . . .
Several revisions photographed below demonstrate examples of more innovative approaches and techniques used in complicated and/or previously untreatable cases. Such techniques . . .
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Eyelid crease revision 1
Crease undefined and multiplied
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Eyelid crease revision 2
Crease high and hollowed
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Eyelid crease revision 3
Creases irregular from lid hollowing
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Double eyelid surgery revision 4
Ptosis, hollowness, no crease after two operations
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Unless the eyelids have been severely compromised, well-performed revision surgery will generally yield improved function and a more aesthetically-pleasing . . .
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Healing after double eyelid revision surgery
Scarring, multiple creases, hollowness after surgery
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Costs for revision of unsatisfactory results following Asian double eyelid surgery generally range from . . .
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