Revision Blepharoplasty in Seattle

When the result of previous eyelid surgery is not satisfactory or there are complications, revision blepharoplasty offers a second chance at realizing your aesthetic goals. At Allure Esthetic Plastic Surgery, our certified plastic surgeon can help correct and improve the results of previous blepharoplasty. The goal is to give you a natural look while also improving comfort and everyday eyelid function.

Revision blepharoplasty, also known as secondary eyelid surgery or corrective eyelid surgery, is performed to address unsatisfactory results or complications following a previous blepharoplasty. Because the procedure involves working through scar tissue and previously altered anatomy, it requires precision, experience, and an understanding of eyelid harmony.

Common reasons for eyelid revision include:

• Excessive skin or fat removal
• Asymmetry or uneven results
• Visible or thickened scars
• Lower eyelid malposition or retraction
• Hollow or sunken eyes
• Persistent under-eye bags
• Incomplete correction of drooping eyelids
• Dry eye symptoms after surgery

Revision eyelid surgery is one of the most complex procedures in facial plastic surgery. Dr. Sajan and our surgical team have extensive experience managing these challenging cases, combining meticulous technique with a deep understanding of eyelid anatomy and aesthetics.

We perform upper, lower, and laser-assisted blepharoplasty, giving you access to multiple revision options. Each revision is planned around your anatomy, concerns, and goals for a natural result.

Allure Esthetic Plastic Surgery is led by Dr. Sajan, a leading Seattle plastic surgeon known for cosmetic and reconstructive procedures of the face and body. Call us at (206) 209-0988 for more information.

Not all concerns come from the same cause. Some are due to over-resection of skin or fat. Others stem from weak support at the outer corner of the eye, tethering scars, or under-treated puffiness. A careful exam allows us to choose the least invasive fix that can give a visible improvement, such as targeted fat repositioning.

Upper Eyelid Revisions

• Difficulty closing eyes due to excessive skin removal
• High or unnatural crease lines
• Residual excess skin or drooping
• Asymmetry between eyelids
• Noticeable scars or irregular folds

Lower Eyelid Revisions

• Ectropion (outward turning of the eyelid)
• Retraction or “round eye” appearance
• Under-eye bags that persist after prior surgery
• Hollow tear troughs or volume loss
• Scleral show (visible white below the iris)

Each issue requires a customized surgical plan to correct the anatomy while preserving natural expression and eye health.

Your experience begins with a comprehensive consultation at our Seattle practice.

Detailed Evaluation

We review your medical and surgical history, examine prior operative reports, and perform a full eye and facial assessment.

Personalized Treatment Planning

No two cases are alike. We create a tailored plan that may include tissue grafting, structural reinforcement, scar tissue management, or combined techniques to ensure both form and function are restored.

During a revision blepharoplasty, our primary goal is to maintain function while repairing the eyelid to have a smooth, natural look. Since every revision case is unique, there are various treatment options used.

Fat repositioning is one of the methods by which this can be accomplished: rather than just taking the fat off, we move your own fat pads in a way that they fill the hollows and make the lid–cheek junction less deep. It helps alleviate the shadowing and the look that is the result of a previous surgery. This method merges the contours in a more natural way and, in many cases, can last for a longer period of time than an aggressive excision.

To achieve more accuracy in the upper lid, laser upper blepharoplasty may be performed to produce extremely fine and controlled incisions. We choose the approach based on your anatomy, the original incision placement, scar behavior, fat/skin balance, and lid support, then tailor a plan that restores a natural contour while protecting eyelid function.

Patients may feel ready for non-strenuous work in about one week. Screen time and tasks that strain the eyes may need to wait a little longer. You will leave with written directions tailored to your procedure, and our team will check in to keep healing on track.

Your Post-Op Checklist

• Take prescribed medications and use lubricating eye drops as directed.
• Limit activities that strain the eyes, including prolonged reading, scrolling, TV, or driving, until cleared.
• Keep incisions clean and dry; follow cleaning and ointment instructions exactly.
• Avoid bending, heavy lifting, and vigorous exercise for at least two weeks or until cleared.
• Wear sunglasses outside and use sunscreen around the eyes once skin is closed to protect healing tissue.
• Do not rush back to work or workouts; a gradual return is advised.

You will have scheduled follow-ups with Dr. Sajan to monitor lid position, incision healing, and comfort. Contact us sooner if you notice increasing pain, sudden swelling, vision changes, or signs of infection. With steady aftercare and the right pacing, most patients enjoy a smooth recovery and a natural, refreshed result.

Long-Term Outcomes:

A well-planned blepharoplasty revision is designed to look natural now and age gracefully with you. While normal aging continues, precise contouring, lid support, and careful scar management can help.

What you can expect:

• Natural shape and symmetry restored: Cleaner crease definition and smoother lid–cheek transition.
• Improved closure and comfort: Reduces dryness, irritation, and exposure symptoms.
• Refined scars and surface texture: Discreet incision placement and targeted scar care help minimize visible lines and irregular folds.
• Balanced, refreshed appearance: Subtle volumetric tuning (fat preservation/repositioning when indicated) supports youthful harmony across both eyes.

Your follow-up schedule is tailored to your procedure and how you heal. At each visit, we check lid position, tear film, and scar maturation.

Revision eyelid surgery is a personalized procedure, so the cost of the treatment varies greatly depending on:

• The complexity of the case
• Whether upper, lower, or both eyelids are involved
• Techniques required
• Facility and anesthesia fees

During your consultation, we provide a detailed estimate and discuss available options to make your treatment manageable and transparent. You can also try our price simulator!

You may be a candidate if you:

• Have healed for at least 6–12 months from your initial eyelid surgery.
• Experience asymmetry, tightness, or cosmetic concerns.
• Have realistic expectations and are in good general health.
• Are a non-smoker or willing to stop smoking before surgery.

Revision surgery is best timed once all swelling and scar maturation from prior procedures have stabilized.

Outcomes depend on letting tissues settle before re-operating. You’re likely ready for a revision when:

• Swelling has stopped progressing, and photos look the same week to week
• The eyelid crease or contour remains consistently high, hollow, or asymmetric
• Scars have softened and stopped changing location or thickness
• Dry eye symptoms are controlled, and eyelid closure is reliable
• A focused exam confirms a structural issue rather than temporary swelling

Why waiting helps:

Tissues become predictable, scar planes are easier to identify, and measurements are more accurate. This can contribute to a safer surgery, a better plan, fewer surprises, and more natural results.

Exceptions: