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
• 麻酔：局所麻酔（鎮静剤併用）（ケースバイケース）
• Surgery time: ~60–150 minutes (varies by scope)
• ダウンタイム：抜糸まで約5～7日、社会復帰まで約10～14日（修正手術の場合は腫れが長くなることがあります）
• 持続期間：根本的な原因が是正されれば長期にわたり持続するが、複雑な症例では段階的な治療が必要となる場合がある

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.

いつ修正が必要ですか?

• 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
• 材料: フィラーの位置異常（ティンダル）、脂肪の過剰/不足修正、封入体嚢胞

Our Evaluation & Planning

• 測定項目：MRD1、眼瞼挙筋可動域、眉毛補正（ヘリングの法則）、眼角傾斜、水平長、眼瞼緊張
• 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
• デザイン: しわの高さ/テーパー、脂肪の再配置と修復、眼瞼支持の必要性（眼瞼固定術/瞼板ストリップ）、瘢痕戦略
• 段階的治療：2段階治療の方が安全なケースもあります（例：最初にボリューム/サポートを回復し、その後にしわを整える）

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.
• スペーサー移植（必要な場合） - 退縮/強膜露出を修正するための硬口蓋粘膜または軟骨（例：甲介軟骨）。
• 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

• ヒアルロニダーゼを使用して、位置がずれた HA 涙溝フィラー（チンダル現象、腫れ）を溶解します。
• Steroid or laser for hypertrophic scars (case-dependent).
• 最終的な修正の前に推奨間隔を待つ間の非外科的一時処置。

Your Treatment Journey

1. 相談と画像診断 – 測定、以前の手術の確認、写真分析、計画の話し合い。
2. Plan & Consent – Scope (upper/lower/corners), support/volume strategy, possible staging.
3. 手術当日 – 正確なリリース、再配置、サポート、そして細心の注意を払った閉鎖。
4. アフターケアとチェック – 冷却、頭部挙上、抜糸まで約 5～7 日、対称性と傷跡のケアのための定期的な診察。

回復タイムライン（修正の場合の標準）

• Days 1–3: Peak swelling; cool compresses as advised
• 4～7日目: 抜糸。退院後は軽いメイク。
• Week 2: Bruising improves; socially presentable
• Weeks 3–8: Swelling refines; symmetry continues to settle
• Months 3–6: Final crease/contour definition; scars mature

アフターケアのヒント

• Sleep with head elevated for 1–2 weeks
• 激しい運動、サウナ、アルコールは2週間ほど避けてください
• 軟膏/シリコン/紫外線保護プロトコルに従ってください
• 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
• ヒアルロニダーゼ（1セッションあたり）：15万ウォン～30万ウォン。正確な料金は、解剖学的構造、傷跡、範囲によって異なります。最終的な見積りは、直接診察して評価した後に行われます。

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.

深いシワを薄くしたり、くぼみを修正したりできますか？多くの場合、可能です。癒着を剥離し、固定部の位置を調整し、ボリュームを回復（脂肪移植／マイクロファット）することで、より柔らかく、シワが少なく、ふっくらとしたまぶたを実現します。

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.

シンサL美容外科（江南・シンサ）へお越しください

• 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.