Revision Blepharoplasty

Corrective Eyelid Surgery For Fixing Botched Blepharoplasty

A revision blepharoplasty is a cosmetic procedure that is performed to correct unsatisfactory results or complications from a previous blepharoplasty. The goal of a revision blepharoplasty is to improve the appearance of the eyelids and restore a natural-looking result.

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A blepharoplasty is a surgical procedure that involves removing excess skin, fat, and muscle from the eyelids to create a more youthful and refreshed appearance. While blepharoplasty surgery can be a very effective way to improve the appearance of the eyes, there are some cases where the results may not be as expected. This can occur due to a variety of reasons, including improper surgical technique, unexpected scarring, or post-surgical complications.

A revision blepharoplasty can correct a wide range of issues, including overcorrection, under-correction, asymmetry, and visible scars. During the procedure, a cosmetic surgeon will carefully evaluate the patient’s previous surgical outcome and develop a customised treatment plan to address any cosmetic or functional concerns.

The specific techniques used during a revision blepharoplasty will depend on the individual patient’s needs and the nature of their previous surgical procedure. In some cases, the surgeon may need to remove additional tissue or tighten the remaining tissue to create a more natural-looking result. In other cases, the surgeon may need to redistribute fat or tissue to create a more symmetrical or balanced appearance.

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If you are considering a revision blepharoplasty, schedule a consultation with a qualified and experienced oculoplastic surgeon at Centre for Surgery to discuss your goals and concerns. We can evaluate your previous surgical outcome, recommend the most appropriate treatment plan, and provide the information you need to make an informed decision about your cosmetic procedure.

Botched eyelid surgery, also known as a bad blepharoplasty, is an uncommon but potentially serious issue that can arise from eyelid procedures. The signs of such complications vary depending on their nature and severity.

One of the most common signs is asymmetry. Normally, the eyelids should look balanced, with equal amounts of skin and fat removed from each eye. If one eyelid looks more swollen, larger, smaller, or differently shaped than the other, this could indicate a problem.

Excessive scarring is another indicator. While some scarring is normal, thick, raised, or red scars may suggest improper surgical techniques or issues with how the incisions were closed.

Persistent dry eyes can also be a concern. While dryness is a common short-term effect, if it continues long after surgery, it might mean the eyelids were not closed correctly during the procedure or too much skin and fat were removed, affecting the eyes’ natural lubrication.

If the eyes appear uneven or have an unnatural shape after surgery, this could be a sign of a botched job. This might happen if too much skin and fat were removed or if the eyelids were pulled too tight, resulting in an unnatural look.

Vision problems following surgery, if prolonged, can be a serious sign. These issues can stem from excessive swelling, scarring, or misalignment of the eyelids during surgery.

Eyelid malposition, where the eyelids do not align properly, can make the eyes appear droopy or sunken. This can occur from excessive removal of skin and fat or improper closure during surgery.

Overcorrection or undercorrection are also possible signs of a problematic procedure. Overcorrection happens when too much skin and fat are removed, giving an unnatural look, while undercorrection means not enough was removed, leaving the initial issue unresolved.

Infection, though rare, is a serious complication. Signs include redness, swelling, warmth, and pain in the affected area, along with fever, chills, and fatigue.

Revision blepharoplasty is a corrective procedure aimed at improving or rectifying the results of a previous eyelid surgery. Proper preparation can significantly enhance the success of the surgery and ensure a smoother, more comfortable recovery. Here’s how to get ready for revision blepharoplasty:

First and foremost, choosing a qualified and experienced eyelid surgeon is crucial. At Centre for Surgery in London, you should look for a surgeon who is listed on the GMC specialist register and has a solid reputation. Ideally, the surgeon should specialise in revision blepharoplasty. Review before-and-after photos of their previous patients and schedule a consultation at our Baker Street clinic to discuss your goals, expectations, and any concerns about prior surgeries.

During your consultation, it’s essential to provide a comprehensive medical history. Inform the surgeon about any medical conditions, allergies, medications, and previous surgeries. The surgeon will also need details about any bleeding disorders or if you are taking blood-thinning medications.

Smoking can elevate the risk of complications, so it’s important to stop smoking at least two to four weeks before surgery. Additionally, avoid certain medications and supplements that increase bleeding risk, such as aspirin, ibuprofen, vitamin E, and herbal supplements, for at least two weeks before the procedure.

Since revision blepharoplasty is usually an outpatient procedure, you’ll need someone to drive you home and stay with you for the first 24 hours after surgery. You might also require help with daily activities, like cooking and cleaning, for a few days post-surgery.

Your surgeon will provide specific preoperative instructions. These may include fasting for a certain period before surgery, showering with antiseptic soap the night before, and wearing loose, comfortable clothing on the day of the procedure. Following these instructions carefully is essential for a successful surgery.

Plan for postoperative care to ensure a smooth recovery. Arrange time off work, prepare meals in advance, and set up a comfortable recovery area with pillows and blankets. Ask your surgeon about post-operative care instructions, including how to care for your incisions and when to schedule follow-up appointments. By preparing thoroughly, you can help ensure a successful and comfortable recovery from revision blepharoplasty.

The approach to revision eyelid surgery depends on the patient’s specific needs, the extent of their previous surgery, and the surgeon’s expertise. Here’s a general overview of the steps involved in this procedure:

The process begins with a consultation. The patient meets with the surgeon to discuss their goals, expectations, and any concerns or complications from their previous surgery. This initial discussion helps the surgeon tailor the revision procedure to meet the patient’s needs.

Anaesthesia is administered to ensure the patient’s comfort during the surgery. Revision blepharoplasty is typically performed under local anaesthesia with sedation, though general anaesthesia may be used in certain cases.

The surgeon makes incisions in the eyelids. These incisions often follow the same or a similar pattern to the previous surgery, although they may be placed in slightly different locations for better access to the underlying tissues.

During the tissue removal and repositioning stage, the surgeon addresses any remaining excess skin, fat, or muscle that wasn’t properly managed in the initial surgery. The surgeon may also reposition these tissues to create a more natural and youthful appearance.

The incisions are then closed with sutures or surgical adhesive. A sterile dressing or ointment may be applied to the treated area to protect it and promote healing.

The recovery period following revision eyelid surgery varies depending on the extent of the procedure and the individual’s healing process. Here are some general guidelines to help ensure a smooth recovery:

Postoperative Care

Your surgeon will provide specific instructions for caring for the treated area. This may include applying ice packs to reduce swelling, keeping your head elevated, and using prescribed ointments or drops to prevent infection and promote healing.

Managing Discomfort

Discomfort, swelling, and bruising are common during the first few days post-surgery. Pain medication and cold compresses can help alleviate discomfort. Additionally, avoiding alcohol and smoking is crucial as these can hinder the healing process.

Avoid Strenuous Activities

For the first few weeks after surgery, it’s important to avoid strenuous activities such as heavy lifting, bending over, or vigorous exercise. These activities can increase swelling and delay healing.

Follow-Up Appointments

Your surgeon will schedule follow-up appointments to monitor your healing progress and remove sutures or stitches if necessary. Attending these appointments is essential to ensure everything is healing properly and to address any concerns.

Resuming Daily Activities

Most patients can return to work and other daily activities within one to two weeks after surgery, depending on the extent of the procedure and their individual healing process. However, it’s important to avoid activities that could strain your eyes, such as prolonged reading or watching TV, for several days to aid in recovery.

Centre for Surgery in London is a centre of excellence for all types of eyelid surgery, including revision blepharoplasty for correction of botched eyelid surgery, often performed overseas in countries such as Turkey. Eyelid revision surgery is performed by a specialist oculoplastic surgeon at our state-of-the-art Baker Street clinic in Marylebone. Consultations for revision blepharoplasty are £250. Call us today on 0207 993 4849 or complete the contact form below to schedule a revision blepharoplasty consultation.

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