Hong Lim Choi, MD, PhD

What I can see in your case, it's unfortunately a botched ptosis correction surgery. One of the main principles of ptosis correction is that it should be performed on both eyes. According to Herring's Law, we cannot treat only one side because they affect each other. If the surgery is performed on both eyes, the chances of the satisfying symmetrical result increases.

In your case the revision surgery done by experienced, board-certified surgeon specialized with eyes aesthetic procedures is the only option for for a good result. However, looking just at the photos it is hard to evaluate exact plan for the surgery. You need to schedule a 1:1 consultation with a surgeon who will evaluate your current condition and decide about the steps.

It's noticeable that your larger double eyelid exhibits some signs of ptosis, where the upper eyelid droops slightly. While addressing this issue by reducing the double eyelid's size may seem like a straightforward solution, it's essential to consider potential side effects, such as puffiness.

To make an informed decision, it's highly recommended to schedule a one-on-one consultation with a qualified plastic surgeon. They will consider factors such as your facial symmetry, skin elasticity, and overall harmony to ensure that any corrective procedure not only addresses the ptosis but also enhances your overall appearance in a favorable way. This approach ensures that the correction is both effective and aesthetically pleasing, leaving you with the best possible results.

I recommend addressing the lower lid placement as a priority. Additionally, consider the possibility of ptosis correction surgery for the levator muscle, but this decision should be made after a thorough consultation and evaluation with a plastic surgeon to assess its necessity.

To address your concerns effectively, the recommended procedure is a lower blepharoplasty with SOOF (Suborbicularis oculi fat) and a mid-face lift. This combination of treatments is a comprehensive solution for eliminating the visible border between the under-eye area and the cheeks.

Lower Blepharoplasty with SOOF:
This surgery is designed to rejuvenate the lower eyelid area. By repositioning the suborbicularis oculi fat pad, it fills in hollow areas under the eyes, creating a more youthful and smoother transition between the lower eyelid and the cheeks. It also reduces bags and wrinkles in the lower eyelid region.

Mid-Face Lift:
A mid-face lift focuses on lifting the tissues of the cheek area. It restores lost cheek volume and improves overall facial harmony, ensuring that the results of the lower blepharoplasty blend seamlessly with the surrounding facial features.

It's a valid consideration to dissolve the injected filler and potentially pursue a Lower Blepharoplasty SOOF. However, given your young age, a more conservative approach like a standard Lower Blepharoplasty would be advisable. This approach involves addressing excess skin and fat, providing effective rejuvenation without the complexity of the SOOF technique. It takes into account both your desired outcomes and age-related factors, offering a balanced solution for a refreshed appearance.