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العربيةAn Excess Is Far Harder to Reverse
In all plastic surgery, including eye surgery, an excessive operation must be avoided.
Correcting a shortfall a little further is not very difficult. But reversing an excess is a far harder problem.
After eye surgery, especially when the incisional method is used, such overcorrection (correcting more than necessary) is often a problem. Incisional double eyelid surgery and ptosis surgery are exactly such examples.
If There Is Not Enough Skin, the Eye Does Not Close Completely
If too much skin is removed, various difficult side effects can occur. Because there is not enough skin, the eyelid does not close completely, and because the cornea (the transparent membrane covering the dark part of the eye) remains continuously exposed, there is a risk of exposure keratitis. Of course, when there is a lot of swelling, the eyelid may not close completely to some extent. In slight cases, this may not be a big problem. However, if too much skin has been removed and the degree is large, these side effects can occur.
In plain terms If there is not enough eyelid skin, the eye does not close all the way. If the eye cannot be covered, its surface keeps drying out, and the cornea can become inflamed. Not closing fully for a short while because of swelling right after surgery is a different matter. What becomes a problem is when there truly is not enough skin.
The Same Applies to Droopy Eyelid Surgery
The same applies to upper and lower blepharoplasty, which correct drooping eyelids.
These are surgeries done mainly by older patients. When removing the loose skin, too much skin may end up being removed.
If too much skin is removed in upper blepharoplasty, as with double eyelid surgery, corneal exposure can be severe or dry eye can worsen.
Ectropion Can Occur in the Lower Eyelid
Another problem can occur in lower blepharoplasty. That is ectropion.
The lower eyelid can turn outward or be pulled downward, so that much of the white of the eye below can be seen.
Of course, it can also happen temporarily right after surgery because of swelling. But it can also happen because of excessive skin removal.
Therefore, when performing lower blepharoplasty, these problems can be prevented only if the surgery is done with the thought of correcting a little less.
What If It Has Already Happened?
If such symptoms continue even after the swelling has gone down, there are ways to correct them.
They can be corrected through lateral canthoplasty (surgery on the outer corner of the eye) and similar methods. In cases more severe than that, correction is sometimes done with a skin graft.
However, it may sometimes be necessary to wait long enough. Correcting at the appropriate time is also important, so the decision should be made after a thorough consultation.
Preventing It Before It Happens Comes First
Side effects caused by excessive skin removal are a situation that must be avoided.
There are of course ways to resolve them, but it is important to prevent them beforehand with a proper examination and plan.
If such a side effect has actually occurred, it is important to be treated by an experienced doctor while also receiving ophthalmology care.
The criteria for judging the timing of revision surgery are summarized in [Revision eye surgery information](/eyes/revision).
