Follow-up question: Asian double-eyelid surgery over-rotation and lash eversion fixable?

Over rotated eyelash happens when you suture the levator muscle and skin at different level. It is hard to lower the lid margin once scar tissue settled. Because you had surgery over 5 years ago and I believe the scar tissue should have been fixated to the adjacent structure. But sometimes everted lid margin can be lowered depends on case. It is hard to know whether it is possible to lower or not unless you go through another revision surgery.

Thanks for your question.

Regards,

Dr.Choi

Your lashes are overrotated because the crease creation sutures were sutured to the edge of the levator muscle which was too far posterior. This is something that can be seen at time of surgery, and if it occurs, the crease creation sutures should be secured to the tarsus instead. Theoretically, we can revise this by releasing the adhesions to the levator muscle, and then recreating the crease by suturing to a lower position on the tarsus.
Having had 2 prior revisions, always makes results less predictable, but it is possible. You need an experienced eyelid surgeon, preferably one that has had training in Korea, the center of Asian Eyelid Surgery universe.
Virtual consultations are available, but ultimately an in person exam is needed to confirm surgical plans.