Early Revision After a Failed Double-Line Revision (Triple Folds and Multiple Folds)
A few notes on this topic.
For the double-line technique itself, please see the earlier posts.
This patient had been operated on at another clinic before coming in.
She had a double-line revision elsewhere (not the official surgical name — see my earlier post:
Looking at her video, you can see a fold catching at the site of the old scar, just above the new incision.
This is from adhesions tethering the new incision to the old scar — either the adhesion was not fully released, or it re-formed afterward.
It does not unfold on its own with time. There is one exception, which I covered in another post:
If a faint fold remains where the lid has been creasing for years, it can flatten as the swelling below the new incision resolves.
We released the adhesions thoroughly and added a small barrier to prevent re-adhesion.
One week post-op, looking good.
One month post-op. The scar has not fully matured yet, but I expect further improvement by six months.
If multiple folds develop, fat grafting can be considered.
Whether early revision is appropriate is a discussion to have with your surgeon.