Reducing Complications in Double Eyelid Surgery (KSAPS, April 2019)

I want to write up a topic I presented at the Korean Society for Aesthetic Plastic Surgery (KSAPS) meeting in April 2019.

The official title was "Reducing Complications in Double-Eyelid Surgery," with a focus on multiple folds.

I am only now getting around to summarizing what I presented in April.

I structured the talk around three plans.

Pre-operative, intra-operative, and post-operative strategies for minimizing complications.

For multiple folds in particular, prevention is divided into the same three phases.

When the patient already has multiple folds before surgery, primary double-eyelid surgery, with or without ptosis correction, generally resolves it.

Sometimes ptosis correction alone can also improve both the multiple-fold appearance and the upper-lid hollow.

For this patient, I added fat grafting at the same time.

When upper-lid hollowing is severe, more substantial fat grafting may be needed, and in some cases I use a dermofat graft.

When multiple folds appear after surgery, the underlying issue is usually a recurrence of ptosis or loosening of the original double-eyelid fixation.

A clean re-do operation handles it.

This is the title slide of the presentation.

And this is Brian Mendelson, the well-known plastic surgeon from Australia.