Revision Eyelid Surgery

Revision Eyelid Surgery: A Procedure for Adjusting Outcomes of Previous Eyelid Surgeries

What Is Revision Eyelid Surgery?

Revision eyelid surgery is a procedure that may be considered by individuals seeking further adjustments following a previous eyelid surgery. This may be due to changes in eyelid structure over time or concerns related to a prior procedure. The approach is tailored to individual anatomical factors and aims to support eyelid function and appearance.

Why Do Some Eyelid Surgeries Require Further Adjustment?

Eyelid surgery, also known as blepharoplasty, is commonly performed to address eyelid changes associated with ageing. However, as with any surgical procedure, outcomes may vary. Some individuals may experience changes over time or require further adjustments.

Considerations for revision eyelid surgery may include:

• Differences in eyelid symmetry
• Variations in skin healing
• Changes in eyelid position, such as ptosis (drooping) or alterations in eyelid contour
• Adjustments related to scarring or tissue repositioning

Considerations for Revision Eyelid Surgery

Revision eyelid surgery can involve complex techniques and requires a detailed assessment of eyelid structure and healing. The procedure may include skin and tissue repositioning, fat transfer, canthal adjustments, ligamentous or fascial scar release, midface lifting, or other surgical techniques. Some reasons an individual may consider revision eyelid surgery include:

Ectropion and Lower Eyelid Malposition

Ectropion occurs when the lower eyelid turns outward, which may lead to eye dryness and irritation. Lower eyelid malposition is were the lower eyelids are dragged downwards or where there is more white (sclera) of the eye showing. This is also known as lateral canthal rounding.  Revision surgery may be considered to reposition the eyelid and support eyelid function.

Canthal Repositioning

In some cases, the outer corner of the eye may lower following previous surgery. A surgical adjustment may be performed to reposition the canthus and restore lower eyelid contour.

Scarring

Scar tissue may develop after eyelid surgery, which can affect eyelid position or comfort. Revision surgery may involve scar tissue release and adjustments to support eyelid structure.

Changes in Skin or Fat Volume

Variations in healing or tissue removal may contribute to changes in eyelid shape, including a hollow or recessed appearance. Surgical options may include scar release, tissue repositioning, or volume addition with fat grafting.

Recovery After Revision Eyelid Surgery

Recovery from revision eyelid surgery varies between individuals and may take several weeks to months, depending on individual healing and the nature of the procedure. Bruising, swelling, and temporary discomfort are common in the early stages of healing and may be managed with prescribed medications. Following the post-operative instructions is important in supporting the healing process.

Who May Consider Revision Eyelid Surgery?

Revision eyelid surgery may be an option for individuals considering further adjustments following a previous procedure. This may include those who have experienced changes in eyelid structure over time or those seeking modifications after prior eyelid surgery. Candidates should be in good general health and have an understanding of the surgical process and its potential outcomes.