Incisional Eye Shape Revision

Last updated date: 09-Jun-2023

Originally Written in English

Incisional Eye Shape Revision

Incisional Eye Shape Revision

Most people believe that beautiful and good-looking eyes are those characterized by 80 percent of the visible irises. While some people have nearly invisible irises, finding effective ways of addressing them is their major concern. The extent to which these parts of the eyes are exposed requires careful adjustment. This is to increase the eyes to an appropriate size that is in balance with the entire face. 

Therefore, incisional eye shape revision aims to modify and correct the eye structure to give you the desired appearance. In most cases, people often opt for this corrective procedure to achieve a more attractive eye and general facial look. However, doctors can sometimes suggest a surgical procedure to address functional eye conditions, including ptosis.  


What is Incisional Eye Shape Revision? 

Incisional eye shape revision is a procedure to revise the shape of the eyes. It involves the creation of an incision on the upper eyelid. Physicians often recommend this treatment approach to individuals with excessive fat or thick skin on the upper eyelid. Furthermore, it's suitable for a person with severely sagging or drooping eyelids. This is because non-surgical methods do not always address the issue are required. 

In addition, a person with a serious issue of ptosis can always consider incisional eye revision procedures. This condition is also referred to the as sleepy eye and occurs due to weak muscle strengths opening the eye. At times, nerve failure can result in muscle weakness. Therefore, the correction technique helps achieve satisfying results and improves overall eye appearance. 


Eyes Problems That Require Incisional Eye Shape Revision 

In most cases, eye problems are minor and don’t impact eye functions and overall appearance. However, some tend to interfere with vision and even cause uneven facial looks. In such cases, opting for an eye revision procedure is the best alternative. 

Examples of eye problems that require incisional eye shape revision include; 

  • Overly thick double eyelid line 

This condition occurs if the surgeon fails to extract the eyelid fat during the initial surgery. Therefore, the revision procedure will involve loosening the existing double eyelid line to eliminate excess fat tissue, making it appear more natural. 

  • Drooping eyelids 

Even after initial surgery, the eyelids might keep on drooping. The common reason for this is that, during the procedure, a small section of the skin was extracted. It can also be because the doctor did not tighten well the levator muscle that lifts the eyelids. This issue can thus be addressed through incisional eye shape correction. It aims at pulling the muscle to provide a more vibrant and refreshed look. 

  • Deformed eye shape or contour 

Sagging of the lower eyelid is a common type of deformed eye shape or contour disorder. It’s characterized by excess disclosure of the white part of the eye than the usual. This condition occurs due to the removal of too little or excess skin. Therefore, an incision eye shape revision is necessary to correct the issue. 

  • Inability to shut the eyes or blink 

This eye problem occurs due to the removal of excess skin during the upper eyelid surgical procedure. After removal, the skin is tightened; hence the eyes can’t fully close at they should. Apart from causing discomfort, this problem can also increase the possibility of eye injury due to dust and other particles. Thus, an incisional eye shape revision is required to restore eye blinking and shutting function. It involves the use of skin grafts to enable the eyes to close and blink normally. 

  • Undereye hollowness 

Undereye hollowness occurs following the removal of excess fat in the lower eyelids during the surgical procedure. As a result, it causes the eyes to sink, making an individual look tired and sick. Therefore, the eye shape revision procedure aims to increase the volume in the hollow parts to provide a youthful, alert, and restful appearance. 

  • Eye asymmetry 

Not every person has good symmetrical eyes. Others have asymmetrical and unbalanced eyes that result following a poorly performed eye surgery. In most cases, imbalance occurs when the surgeon removes excess fat from the surrounding of one eye. It can also happen if too much skin is extracted from one side or the levator muscle is excessively tightened in one eye. Therefore, revision surgery aims at restoring the normal eyes' symmetry and enhancing appearance. 


Best Candidates for Incisional Eye Shape Revision

Incisional Eye Shape Revision Candidates

Most individuals who opt for eye shape revision do so due to aesthetic reasons or medical reasons. It’s an effective procedure to get rid of excess fat and loose skin around the eyelids. Such eye issues can impact the general appearance and alter the normal functionality of the eyelid. 

If the plastic surgeon performing the procedure is not well skilled, you can experience some complications. In such situations, eye revision surgery is necessary to correct the problem and restore the normal eye shape. 

Therefore, you may be an ideal candidate for the revision procedure if; 

  • You haven’t noticed any substantial change in the eye appearance after undergoing a surgical procedure. 
  • You have asymmetrical or unbalanced eyes that widely differ in shape and size 
  • You have to raise the eyebrows in order to open the eyes or have many wrinkles on the forehead
  • You have upper eyelids that cover up more than one-third of your irises 
  • You have unnaturally looking creases on the eyelids 


What to Expect From Incisional Eye Shape Revision 

Before undergoing the procedure, the healthcare provider will first schedule a consultation visit. This aims at assessing the eye condition and determining if the revision method is appropriate for you. There are high chances that the procedure is suitable for you if you have eye problems that don’t improve after initial surgery or sometimes worsen. 

During the surgery, the surgeon will first start by administering sedative anesthesia. This helps prevent you from experiencing any pain and makes you comfortable during the entire treatment procedure. 

The next step involves creating an incision in the target area where correction is to be made. The incision is usually small. However, it can sometimes depend on the eye condition and the type of revision technique the surgeon uses. Through the incision, the surgeon will insert specialized surgical devices to help extract the excess fat. The amount of fat to remove varies from one patient to another, depending on the eye condition and the extent of the damage. 

After removing the excess fat, the surgeon then joins the upper muscle layer of the eye to the skin around the incision site. The two parts are sutured together so that they can connect and heal together as one. This gives the patient more prominent and nicely defined eyes and improved facial appearance. 

Overall, the incision eye shape revision leads to permanent results. This is because it involves creating an adhesion plane in between the deep tissues within the eyes and the skin. This forms a joint point on the surrounding skin to fold over, hence forming an eyelid crease. The adhesion is usually made as the body heals by itself following the surgical procedure. Therefore, it doesn’t necessarily count on the suture to make the fold. 


Recovery and Results 

Incisional Eye Shape Revision Recovery

Incisional eye shape revision is a relatively short procedure that is mostly done on an outpatient basis. Furthermore, it takes approximately one hour for the surgery to be completely done. 

Most people often feel satisfied and contented with the results of the eye revision surgery. It also results in a youthful and rested look and, at the same time, boosts self-confidence. Unlike the initial procedure, the outcome of the revision incisional eye shape revision can last a lifetime for some people. However, in others, the previous eye condition can recur. 

For the first few days after surgery, you should expect swelling and bruising around the surgical area. However, this can improve in 10 to 14 days, after which you will feel more comfortable going to public places again. 

The scars that result from the surgical incisions can take a few months to fade away fully. During the recovery period, it’s essential to care for delicate eyelid skin, especially from too much exposure to the sun. 


Risks and Limitation of Incisional Eye Shape Revision 

Every type of surgical procedure carries varying risks of complications. Incisional eye shape revision, on the other hand, is associated with several threats and side effects, including; 

  • Bleeding 
  • Infection on the surgical or incision sites 
  • Visible scarring 
  • Injury or damage of the eye muscles 
  • Discoloration of the surrounding skin 
  • Temporary blurry vision or total loss of eyesight in rare cases 
  • Negative reactions to anesthesia 
  • Formation of blood clots 



Everyone desires to have beautiful-looking eyes with normal shape and size. Unfortunately, not everyone is lucky enough, as some people have unbalanced eyes. While there are various treatment options to address major cases, they might not effectively correct the problem. Moreover, others can result in additional damages affecting the eyes. In such cases, an incisional eye shape revision is an option to consider. 

For the best eye shape revision treatment, you can always choose the CloudHospital healthcare platform. Here, you will have a chance to receive treatment from the best plastic surgeons and other medical professionals from renowned hospitals. This will eventually translate to the desired outcome and improved appearance.