Revision eyelid surgery often requires more careful judgement than the first operation. Once the eyelid has been through surgery, scarring can form, and fat or muscle may be left unevenly distributed.
Even if two patients appear to have the same issue, such as a loosened crease or asymmetry, the underlying causes can be completely different. This is why careful assessment of your eyelid is crucial before revision surgery.
We look at why the crease has become unstable, which tissues are pulling, how strong the eyelid muscles are, and how much excess skin remains. If any of these factors are overlooked, the same issues can come back. The key to a successful revision isn’t making a dramatic change — it’s creating a crease that is stable and well-supported. By designing the line within the limits of your tissues, we can achieve results that look natural and last over time.
It is generally safest to wait at least 3 to 6 months after the initial procedure, or 6 months or more if there has been significant tissue damage. Revision is best performed once swelling, scarring, and tissue thickness have stabilised to ensure predictable results.
Revision may be recommended if the first surgery results in issues such as a loosened crease, overly high or uneven lines, scarring, adhesions, reduced eyelid function, or drooping eyelids. These can be cosmetic, functional, or both.
Yes. Previous incisions can create adhesions, scarring, and changes in tissue thickness, making revision more delicate. Experienced surgical technique is essential, and the final result will depend on your individual tissue condition.
Initial swelling usually lasts 5 to 7 days, with the crease appearing more natural within 2 to 4 weeks. Final results typically stabilise over 3 to 6 months, though this can vary depending on tissue condition.
This depends on factors such as tissue quality, muscle strength, skin elasticity, and daily habits. We use a structural fixation technique that balances fascia, fat, and skin layers to help maintain the crease long-term.