Early Revisoion of Unfavorable Upper Blepharoplasty

ABSTRACT

Double eyelidplasty is one of the most common esthetic surgical procedures in Asia. However the incidence of complications is not rare, even by the hands of much experienced plastic surgeons. The most common serious complication is high fold, deep fold or ectropion, triple fold, ptosis and retraction. These occur single or complexed. The proper time of secondary revision is usually accepted at least 6 months after primary operation. It means that revision should be delayed until wound maturation. However when the complications are too severe for patient to manage his or her normal life, early revision should be taken into consideration. Moreover early revision can get better result in certain cases especially such as ptosis and retraction. A total 23 patients were treated early revisions between December 2004 and June 2006. All of the patients had their initial surgery done at another hospital or clinic. Early revsion was performed differently according to the various problems. Dissection was carried out with two forceps traction each other. Metzem was not used. Previous adhesion was detached also with two forceps and high fixation was lowed. And in ptosis and retracction cases, levator advancement was adjusted according to the eye fissue size. The successful early correction of complicated double eyelidplasty could be accomplished by accurate identification of the problem based on established surgical principles.