Quick Overview

• Concerns treated: Asymmetry, high/low/uneven crease, multiple creases, hollow upper lids, persistent eye bags, eyelid retraction/scleral show, corner rounding, visible scars, under-/over-correction
• Procedures: Upper/lower revision blepharoplasty, crease redesign, levator readjustment/MMCR, fat repositioning/redistribution or grafting, canthopexy/canthoplasty, lateral tarsal strip, spacer grafts, scar revision
• Anesthesia: Local with sedation (case-by-case)
• Surgery time: ~60–150 minutes (varies by scope)
• Downtime: Stitches out ~5–7 days; social downtime ~10–14 days (revisions can swell longer)
• Longevity: Long-lasting when underlying cause is corrected; may require staged care in complex cases

Why Choose Sinsa L for Revision

• Periorbital focus: We concentrate on eyelids and eye shape—addressing muscle, fat, skin, and canthal support together for stable, natural results.
• Cause-based planning: We diagnose why the first surgery disappointed—adhesions, levator tension, fat deficiency, lid laxity, or corner position—and correct that core issue.
• Conservative, precise technique: Release only what’s necessary, add support/volume where missing, and avoid over-resection.
• Safety & clarity: Realistic goals, clear limits, and structured follow-ups. International-friendly communication and scheduling.

When Is Revision Needed?

• Upper lid: Crease too high/low, double or unstable crease, hollowness, residual hooding, asymmetric lid height (MRD1 difference), visible or tethered scar
• Lower lid: Persistent bags, groove not improved, retraction or scleral show, corner rounding, laxity, contour irregularity
• Corners: Over-widened or rounded outer corner; epicanthoplasty too mild/strong
• Materials: Filler malposition (Tyndall), fat over-/under-correction, inclusion cysts

Our Evaluation & Planning

• Measurements: MRD1, levator excursion, brow compensation (Hering’s law), canthal tilt, horizontal length, lid tone
• Tissue status: Scar/adhesions, septum, fat pads (deficit vs protrusion), skin quality, tear film/dry eye risk
• Records & photos: Prior op notes (if available) and pre/post images help define the problem
• Design: Crease height/taper, fat reposition vs. restore, need for lid support (canthopexy/tarsal strip), and scar strategy
• Staging: Some cases are safer in two stages (e.g., restore volume/support first, refine crease later)

Upper Eyelid Revision Options

• Crease Redesign/Adhesiolysis – Release scar bands, adjust fixation points, set appropriate crease height/shape (parallel or in-out).
• Levator Readjustment / MMCR – Correct true ptosis or over-tightening from prior surgery.
• Volume Restoration – Fat grafting/microfat, fat redraping, or conservative ROOF work to reverse hollowness.
• Scar Revision – Refinement of hypertrophic or tethered scars; selective laser if indicated.

Lower Eyelid Revision Options

• Transconjunctival or Subciliary Re-entry – Address residual/relapsed fat and reposition to fill grooves (septal reset/arcus marginalis release).
• Lid Support – Canthopexy/canthoplasty or lateral tarsal strip for laxity and to prevent rounding/retraction.
• Spacer Grafts (when needed) – Hard-palate mucosa or cartilage (e.g., conchal) to correct retraction/scleral show.
• Midface/SOOF Support – Improve the lid–cheek junction in difficult contours.
• Skin Handling – Targeted skin-pinch/excision for crepe lines without over-tightening.

Managing Filler/Scar Problems

• Hyaluronidase to dissolve misplaced HA tear-trough filler (Tyndall, puffiness).
• Steroid or laser for hypertrophic scars (case-dependent).
• Non-surgical temporization while waiting the recommended interval before definitive revision.

Your Treatment Journey

1. Consultation & Imaging – Measurements, review of prior surgery, photo analysis, plan discussion.
2. Plan & Consent – Scope (upper/lower/corners), support/volume strategy, possible staging.
3. Surgery Day – Precise release, reposition, support, and meticulous closure.
4. Aftercare & Checks – Cooling, head elevation; stitches out ~5–7 days; scheduled visits for symmetry and scar care.

Recovery Timeline (Typical for Revision)

• Days 1–3: Peak swelling; cool compresses as advised
• Days 4–7: Stitches removed; light makeup after clearance
• Week 2: Bruising improves; socially presentable
• Weeks 3–8: Swelling refines; symmetry continues to settle
• Months 3–6: Final crease/contour definition; scars mature

Aftercare Tips

• Sleep with head elevated for 1–2 weeks
• Avoid heavy exercise, saunas, alcohol ~2 weeks
• Follow ointment/silicone/UV protection protocols
• Report unusual pain, redness, or sudden asymmetry promptly

Risks & Considerations (Higher in Revision)

Swelling/bruising, dryness, asymmetry, visible scarring, hollowing or over-fullness, contour irregularity, retraction or corner rounding, over/under-correction, and possible need for staged procedures or further touch-ups. We discuss personal risk reduction in detail.

Pricing (Guide)

• Upper Eyelid Revision: ₩3.5M–₩7.5M
• Lower Eyelid Revision: ₩3.8M–₩7.5M
• Canthopexy/Canthoplasty (add-on): ₩0.8M–₩1.5M
• Lateral Tarsal Strip (add-on): ₩1.0M–₩2.0M
• Spacer Graft (when required): ₩1.0M–₩2.0M
• Hyaluronidase (per session): ₩150K–₩300K
  Exact fees depend on anatomy, scarring, and scope; a final quote follows in-person evaluation.

Frequently Asked Questions

How long should I wait before revision?
Most cases benefit from waiting ~6 months after the last surgery for tissues to soften. Severe functional issues (e.g., exposure from retraction) may be addressed sooner—case-by-case.

Can you lower a high crease or fix hollowness?
Often yes. We release adhesions, reposition fixation, and restore volume (fat graft/microfat) to achieve a softer, lower crease and fuller lid.

Can rounded outer corners be corrected?
In many cases, yes—with canthoplasty and proper lid support (often a lateral tarsal strip) to re-establish shape.

Will there be new scars?
Incisions are placed in crease/line positions and closed meticulously. Scar care and patience are key—revisions may take longer to mature.

I’m traveling from overseas—how long should I stay?
Because revisions can swell longer, many patients plan 10–14 days for stitch removal and early checks; complex cases may need a second follow-up.

Visit Sinsa L Plastic Surgery (Sinsa, Gangnam)

• Address: 3F–4F, 598 Gangnam-daero, Gangnam-gu, Seoul (Road name)
  Lot address: 17-4 Nonhyeon-dong, Gangnam-gu
• Subway: Line 3 Sinsa Station, Exit 3 → ~1 minute walk
• Hours: Weekdays 10:00–19:00 | Saturday 10:00–17:00 | Sun/Holidays Closed
• Tel: 02-517-7410

Book a Consultation

Please send front, 45°, and side photos (neutral gaze, eyes closed, brows relaxed and lifted) and any prior op notes if available. We’ll map the cause, outline revision options (upper/lower/corners), and design a realistic plan for safe, natural improvement.