This patient first visited us last year and came back recently.
The postoperative course has gone well, so I am sharing the case here.
At the first visit, the patient said that opening the eyes was very uncomfortable, so I reopened the eyelid and examined the area of the previous ptosis correction.
The image is pixelated, but there was evidence that the aponeurosis had separated from the tarsal plate and that this area had then been sutured. I believe this is what caused the discomfort.
With early revision, we cannot know whether a pulling sensation will improve, stay the same, or get worse. Even so, the procedure is to release all the adhesions again and re-form the crease.
Crease correction is not possible at this stage, because the surgery is done only by reopening the existing incision line.
I then return all the tissues to their original positions and restore them to where they belong.
Fortunately, the surgery went well without any significant problems, and the patient came back one year later.
The eyes are well symmetrical, and for an early revision after surgery at another clinic, the scar has also recovered reasonably well.
In double eyelid cases, the existing incision line has to be used, so asymmetry often develops after early revision.
Also, if a lot of tissue was removed during the previous surgery, the scar can get worse after early revision, no matter how well the surgery is performed.