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5 signs that recommend revision blepharoplasty

By Dr. Villamarín


In this article we will talk about at least 5 signs that recommend revision blepharoplasty


What is a revision blepharoplasty?


Revision, reconstructive, or secondary blepharoplasty is an eyelid surgery that we accept to perform, with the aim of solving cases of dissatisfied patients after blepharoplasty or eyelid operations not correctly performed in other Centers.


Who performs blepharoplasties or revision surgeries?


Sometimes we receive patients who, after a blepharoplasty not satisfactory for the patient, or not correctly performed (or even unusual botched cases) in another center, present undesirable complications and who need expert eyelid repair treatment from us.

The policy of other surgeons of not accepting their own revision cases may be unacceptable, since a surgeon is responsible for his actions and must give his patient the opportunity for a solution.blepharoplasty revision eyelid lifting

On the other hand, there are surgeons who do not accept this type of reconstructive surgeries from other Centers. In our point of view, it is an acceptable position trying to avoid complex cases, but in a small number of cases it may perhaps indicate a lack of skill or surgical training for these complex cases, quite a challenge.

If a first procedure performed incorrectly, hastily or carelessly calls for corrections through revision blepharoplasty, a revision or eyelid repair surgery is no less forgiving. For this reason, both cases of first surgery and revision surgery need to be performed by expert and highly trained surgeons, such as Dr. Villamarín, oculoplastic and facial aesthetic surgeon.


Why are there dissatisfied patients with blepharoplasty?


Blepharoplasty, or eyelid surgery, is a seemingly simple procedure for many. Nothing could be further from the truth. Blepharoplasty is a very demanding surgery, which must be performed with extreme care, at a microscopic level, with advanced techniques and with a deep knowledge of anatomy. Not all surgeons are prepared to perform it. It has a very high degree of difficulty.

Blepharoplasty is a delicate procedure that does not forgive mistakes. And underestimating the procedure is paid with usually poor results and a profound impact on the patient’s image, since it is perhaps the most important part of the face.


When should we decide if a revision blepharoplasty should be performed?

If you have had complications from any type of eyelid surgery performed at another Center and still have cosmetic problems, you may consider discussing the benefits of eyelid revision surgery with Dr. Villamarín and his team, which are essentially your successful recovery and that your problems disappear and become simply a distant memory. We recommend waiting at least 6 months before performing revision blepharoplasty. This also applies to other types of facial aesthetic surgery such as facelifts, which we also agree to review.


What are the main 5 signs that recommend a revision blepharoplasty?


If you’re not sure if revision blepharoplasty is for you, here are five common signs that could indicate you’re a clear candidate.


1- Unsatisfactory contour of the eyelids.

The shape of the eye may be distorted if primary blepharoplasty removed too much or not enough skin or fat, or for many other reasons.

In relation to the upper eyelid, we have received cases with upper sagging of the eyelid margin or other deformities, such as excess skin or excess fat that still partly covers the eyelashes despite previous surgery, or an artificially tense upper eyelid. In addition, sometimes the eyebrows should have been raised correctly and it is not done or is done too much or too little, giving the image a tired look.

Regarding the lower eyelid, we have received cases with similar effects, such as lower sagging of the eyelid margin, an artificially tense lower eyelid or a sunken lower eyelid. It is common for the white part of the eye to be observed discreetly and to be evident in the center of the margin of the lower eyelid when it should not occur. We have even seen cases of poorly positioned or deformed canthoplasties, with one eyelid covering the other or the external canthus deformed or irregular and a watery eye.

Finally, on any eyelid there may be noticeable visible and even palpable scars, due to careless closure, usually in very long and combined procedures and without the use of microscopes or ophthalmic magnifying glasses, or closures with inadequate or quickly executed sutures.

A revision blepharoplasty, with problem-solving techniques, is ideal for correcting the eye area and returning it to its most natural shape.


2- Drooping eyelids

When the result after the first surgery is a less fresh look, a “heavy” appearance and as if older than one really is, or if their eyes seem swollen and their gaze seems tired, we are faced with an eyelid problem. fallen This can alter the upper visual field.

A possible explanation for this situation could be that the preoperative evaluation or original eyelid surgery did not detect and/or correct your initial problem of drooping eyelids (eyelid ptosis) or levator palpebrae muscle weakness.

Another very common explanation is that the initial problem was simply excess skin or fat and that it was not removed correctly with the first intervention.

All of this can be corrected with revision surgery, in particular the so-called eyelid ptosis surgery, which tightens the levator palpebrae superioris muscle, a very delicate muscle that goes deep into the orbit that houses the eyeball and that, usually , oculoplastic surgeons are the most familiar with its management.

With revision blepharoplasty, we solve these problems. This has the desired effect of making you look younger and more vibrant.



3- Difficulty blinking completely or closing your eyes after the initial surgery.

The inability to close the eyes is technically called lagophthalmos and can occur as a result of a poorly performed blepharoplasty. It can occur during an upper blepharoplasty if too much skin is removed, causing the eyes to be unable to close completely due to excessive skin tension.

We have several ways to solve this problem through revision blepharoplasty, such as deep dissection of the area, use of special flaps, or even skin autografts so that the eyes can close and blink properly.


4- Obvious hollowness or depression under your eyes

If too much volume is removed from the fat pads of the lower eyelids during the first procedure, the result may be a sunken-eyed appearance, as if you are fatigued or ill.

With our revision lower blepharoplasty you can restore lost volume to these areas, making you look younger and more natural. We can perform local fat transposition, or even fat transfer to these areas to normalize the area.


5- Asymmetrical eyes

If in a first blepharoplasty different actions are performed with respect to the vertical or even horizontal midline of the face, in terms of volume, strength or surface, we may encounter one of the most unwanted effects: asymmetry, which greatly alters the harmony and beauty of the face.

Thus, we can find ourselves with eyebrows at different heights, upper eyelids different in height or shape on each side of the face, also lower eyelids different in height or shape on each side of the face, one eye slightly more protruding than the other, different inclinations of the right and left palpebral ridges, lack of natural balance of proportions between an upper and lower eyelid, or other undesirable situations.

A revision of the initial blepharoplasty done by us realigns everything so that natural symmetry is restored.


What is the price of revision blepharoplasty?


The usual price for a revision blepharoplasty is usually higher than that of a primary blepharoplasty. The cases are difficult and delicate to operate, and require great experience and advanced training. An evaluation of each case is always required, usually in person, in order to create a personalized and honest quote.

If you are considering a corrective procedure for an unsatisfactory anterior blepharoplasty at another Center, contact oculoplastic and facial aesthetic surgeon Dr. Villamarín. He and his team will do everything possible to support him from the first moment and try to solve his problem.




If you have had complications from any type of eyelid surgery (or even other facial aesthetic surgeries such as liftings) performed at another Center, and you suffer from aesthetic problems such as any of those listed above or other different ones, get in touch to discuss a surgery. eyelid review with Dr. Villamarín and his team. We will be happy to help you.

If you want more information, do not hesitate to contact Dr. José Villamarín for an appointment in person or through his online consultation. Thank you


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