Correcting the outcomes of prior surgery.
Each revision begins with a careful diagnosis informed by twenty-two years of practice.
Patients seek revision for a range of reasons: an unsatisfactory result, persistent side effects, a fold that has come undone, visible scarring, or a fold that has set in too heavily. Because of the adhesions and tissue distortion left behind by previous surgery, revision is generally more demanding than the original procedure. For that reason, every revision at our clinic begins with a thorough diagnosis to identify exactly what went wrong before any further surgery is planned.
"A second surgery is never a small decision.
Whenever possible, we design each revision to be the patient's last."
The appropriate revision is chosen based on the patient's symptoms and the underlying cause.
Six case-specific approaches addressing fold loss, visible scarring, a heavy fold, asymmetry, or a fold that is too thin or too prominent.
Single fold correction or scar-preserving high double fold correction, selected according to the patient's skin volume and eyelid condition. Featured in several academic presentations.
Restoring a relaxed, natural appearance to an eye that opens too widely after prior ptosis correction. An advanced technique that combines levator recession with Müller's muscle release.
Correction performed within the one-to-two-week window following surgery. Presented at plastic surgery conferences in 2021 and 2023.
Precise removal of buried sutures through small pinholes, without an incision. Minimal intervention with consistent outcomes, supported by photographic and video documentation.
Asymmetry accompanied by severe ptosis, addressed through the technically demanding Common Aponeurosis (CFS) approach.
Restoring a smooth single fold through careful dissection and adhesion prevention. We minimize companion procedures such as ptosis correction and fat grafting whenever possible.
If any of the following apply, we recommend scheduling a consultation.
A non-incisional fold has gradually faded or disappeared.
An incisional fold has set in too prominently, creating a stronger appearance than intended.
One eye appears more open than the other, or the folds are asymmetric.
Surgical marks from a prior procedure remain prominent.
We assess both the evidence of prior surgery and the current condition of the eyelid.
Date and method
Eyelid function and structure
Assessment of scar stability
Least invasive option first
Evaluation at six months
All photographs shown are taken six months after surgery.
Including details of your prior surgery allows us to provide more accurate guidance.
