Revision eyelid surgery is a specialized procedure aimed at correcting a prior eyelid surgery. It is also referred to as corrective eyelid surgery. Inexperienced surgeons may not provide the results you want after surgery. This is why it is critical to find an oculoplastic surgeon who is experienced in the procedure. Eyelid revision surgery can address asymmetry, functional issues, or prominent scarring. You may wonder, will revision eyelid surgery create a new scar? Below you will find helpful information about the procedure and whether it is right for you.
Will Revision Eyelid Surgery Create a New Scar?
Surgical procedures that involve an incision will inevitably leave a scar. However, there are several ways to reduce the appearance of scarring. Following your surgeon’s preoperative instructions and postoperative instructions is key. You should also maintain a consistent skincare routine. Incisions are necessary in eyelid revision surgery. They are used to access and correct the underlying issues.
Scarring is a part of the natural healing process and is inherent in any surgical procedure. Because the tissue has already been impacted, scar formation is a concern patients should take seriously. Choosing the right oculoplastic surgeon is key. Their skill and experience in revision eyelid surgery can ensure your results are as expected.
Revision Eyelid Surgery
Revision eyelid surgery involves creating a new crease. Depending on your unique case, the surgeon may follow the original incision line. This can prevent the creation of an entirely new scar. In some cases, a modified or additional incision may be necessary. This is often done to better access scar tissue. It also aids in releasing tethering or repositioning specific structures. This will be discussed at your consultation, so you are fully prepared on the day of surgery. The main concern patients have is how visible scarring will be from the revision surgery.
The visibility depends on several factors. With an experienced surgeon, the risk of scarring is significantly reduced. In many cases, the incision is hidden within the natural crease of the eyelids. However, it may also be hidden beneath the lash line or within the lower eyelid. Incision placement plays a huge factor in scar visibility. Your surgeon will discuss the risks associated with revision eyelid surgery at the consultation.
Factors that Increase Risk of Scarring
Reducing the risk for post-surgical scarring is a top priority for oculoplastic surgeons. However, several factors increase the risk after eyelid revision surgery. Consider the following and discuss any concerns with your oculoplastic surgeon at the consultation.
Prior Surgical Complications
Complications from the first surgery can impact scarring after revision surgery. This includes previous infections, poor healing, and wound breakdown. Scarred tissue is less flexible than regular tissue. This makes revision surgery more challenging. The skin and tissue around the eyes are also exceptionally delicate. This increases the risk of visible scarring after surgery. However, a skilled surgeon and proper aftercare can substantially reduce this risk. Follow your surgeon’s instructions exactly for the best results.
Prior Tissue Removal
Sometimes, inexperienced and unqualified surgeons can remove too much tissue during the first surgery. This may include skin, fat, or muscle. This not only creates tension, but it can also lead to inadequate coverage during revision surgery. Excess tissue removal can increase the chance of noticeable scarring. This results in scars that are wider and raised. A skilled oculoplastic surgeon can assess the residual tissue and create a customized treatment plan to address these concerns.
Poor Surgical Technique
Eyelid surgery involves the careful placement of incisions. Incision closure is also a critical factor in reducing the risk of scarring. Incisions that were not carefully placed or closed can lead to scarring. This includes scars that are wide, uneven, and raised. A skilled oculoplastic surgeon can assess prior scarring and surgical technique to account for the issues. Precise planning regarding the incisions and closure can ensure scarring is minimal, if at all, after your revision surgery.
Postoperative Care
In some cases, scarring can be due to the patient. Your oculoplastic surgeon will provide you with instructions on how to care for yourself after surgery. Following these instructions exactly is important for proper healing. It also reduces the risk of scarring. Standard instructions include keeping your head elevated, avoiding bending over, heavy lifting, and strenuous exercise. It is also important to care for your wounds. This includes gentle cleansing and a consistent skincare routine, as approved by your surgeon.
Is Eyelid Revision Surgery Right for Me?
When performed by a skilled surgeon, eyelid revision surgery is highly effective. Deciding whether it is right for you depends on several factors. Working with an experienced surgeon can ensure you achieve the results you want.
Timing of First Surgery
An important factor when it comes to revision surgery is timing. Surgeons often recommend waiting six to twelve months after your initial surgery. This allows the eyelid tissue to fully heal. Scar tissue also stabilizes. Revision surgery too early can increase the risk of complications. However, waiting too long can also increase the risk for additional scarring. Schedule your consultation right away. Your surgeon can help determine the right timing for your revision surgery.
Aesthetic Goals
Candidates for the procedure should have clear aesthetic goals. Share your goals with your surgeon at the consultation. They can determine if eyelid revision surgery is right for you. They can also create a customized treatment plan that addresses your specific concerns. Common concerns include asymmetry, eyelid closure issues, contour irregularities, or visible scarring. Be as specific as possible with your oculoplastic surgeon.
Patient Expectations
One of the most important factors when it comes to eyelid revision surgery is having realistic expectations. Patients who understand the unique complexity of revision surgery are more satisfied. The procedure can improve your aesthetic dramatically. However, it does take effort on the part of the patient to follow aftercare instructions. Maintaining a healthy lifestyle and a consistent skincare routine is essential. This includes avoiding smoking and excessive drinking. Both can impact your skin and facial aesthetic. You should also get good rest and manage your stress levels.
Top Oculoplastic Surgeon
If you want to improve the look of your eyes, contact the team at Taban MD Oculoplastic Surgery today to schedule your consultation!