I wanted to share that some people do succeed on their fourth surgery, so I am posting my revision eye-surgery review. Five years ago, I had my first double-eyelid surgery using natural adhesion at my first clinic. Then, two and one years ago, I underwent revision surgery at a second clinic using incisional eyelid correction and canthoplasty. One surgery was because the crease had loosened and fat needed to be removed, and the other was to raise the crease and strengthen the eye-shape correction.
Both clinics were well-known enough that people would recognize them by name, so I never expected to need this many revisions, but problems kept occurring. This time, the main reason was that the left crease was thicker and the eye opened less. I also had an artificial-looking crease from sausage eyelids, with heavy, thick upper eyelids, and after the last surgery I constantly felt as if there were a grain of sand in my left eye.
I visited many clinics for consultations, and had the revision at Doctor Romi. Because the surgeon had handled many sausage-eyelid cases, they clearly determined the surgical method, which seemed to reduce my indecision. They said the height and depth of the creases differed between the two sides, as I had felt, and that my eyebrows were drooping, with the left eyebrow higher.
To correct the asymmetry and sausage eyelids, the crease needed to be lowered overall. Since I had very little excess skin, further excision was not possible, so the surgeon said a double-line technique would be necessary. For thick upper eyelids like mine, forehead reduction and lifting would be most effective, but because my previous canthoplasty made the epicanthal folds more prominent and could make the inner corners look awkward, we decided to consider medial canthoplasty reversal later if needed.
Although the left eye was more problematic, the outer part of the right eye was drooping while the inner part was much higher, so both sides were corrected. I had previously received a steroid injection for scar-tissue swelling on the left crease. The surgeon warned beforehand that the slightly uneven mark might not disappear completely, which I appreciated.
Before revision, the creases were deep and thick in an out-line shape, and the left side had a much stronger sausage-eyelid appearance. There was considerable bruising and swelling for the first week, but the crease was visibly lower. At one month, as the major swelling subsided, the crease began settling naturally. From then on, the symmetry became apparent and the sausage-eyelid appearance was almost gone.
After six months, the crease became genuinely natural and thin. Lowering the left crease to match the right corrected the asymmetry successfully. The previous scar also improved so much that it was barely visible when my eyes were closed. The heaviness of my upper eyelids disappeared, and my eyes look clearer. I succeeded on my fourth surgery, but I hope others can get beautiful eyes without going through this much hardship.