Eyelid Revision

Eyelid Revision Surgery in Austin – Dr. Malena Amato

Though blepharoplasty (eyelid surgery) is a safe and minimally invasive procedure, complications can occur during healing. The best way to avoid these complications is to have eyelid surgery performed by an oculoplastic surgeon who has completed a two-year accredited fellowship with the American Society of Ophthalmic Plastic Surgery, and who has significant experience with eyelid and facial plastic surgery. A thorough medical history, eye exam, and proper aftercare are also essential to prevent problems during healing. Possible complications of blepharoplasty include eyelid asymmetry, poor eyelid function, visible scarring, and chronically dry or watery eyes.

If you’ve had a blepharoplasty or facial surgery, but it didn’t turn out the way you had hoped, there is help available. As Austin’s most experienced female oculoplastic surgeon, Dr. Malena Amato frequently performs eyelid revision surgery to correct complications and create the natural results you originally wanted.

How is Revision Eyelid Surgery Performed?

Your revision blepharoplasty treatment plan will depend on the complications you are experiencing. If you are concerned about only cosmetic scarring, Dr. Amato may recommend topical treatments, injections, or may consider a specialized medical laser (called a Co2 fractional laser) to gently reduce the thickened collagen deposits that form raised, visible scar tissue. In experienced hands, the Co2 fractional laser can be safely used around the eyes. For scarring that hinders normal eyelid function, Dr. Amato may use surgical techniques to release and relax scar tissue.

If the patient’s eyes were under-corrected during his or her last surgery (that is, they still have a noticeable “droop,” or one eyelid sits lower than the other), Dr. Amato would remove a small amount of tissue from each eyelid still affected by ptosis. If the patient’s eyes were over-corrected and there is not enough skin remaining to accommodate proper eyelid function, Dr. Amato may need to add more tissue to the eyelids and may need to take a skin graft from another donor site on the body. Patients will, however, need to make sure they care for both incision sites properly after surgery. Dr. Amato will provide detailed aftercare instructions required for a safe, comfortable recovery.

Sometimes, fat is also grafted from the abdomen or thighs to the eyelids during eyelid revision surgery. This is recommended when the previous surgeon removed too much eyelid fat while trying to correct eyelid puffiness or eye bags, resulting in a hollow, gaunt look. To perform fat grafting, Dr. Amato first removes a small amount of fat from a donor site, usually the abdomen, back, or thighs. Then, she processes the fat in a centrifuge to purify it. This purified fat is carefully injected into areas where eyelid fat is too thinly distributed. Fillers or other procedures may also be used to fill the defect, which would be discussed at your consultation.

Meet Malena Amato MD FACS

Learn more about the Georgetown and Stanford alumna and why you should visit Dr. Amato for your next procedure.

Who Makes a Good Candidate for Eyelid Revision Surgery?

Eyelid revision surgery is usually not recommended for patients who have only recently had a blepharoplasty unless there is a significant complication. Blepharoplasty, like most surgeries, requires a “settling period” before results become evident. It’s perfectly normal for patients to experience some eyelid asymmetry and tightness for up to six months after surgery, for example, and ocular dryness can sometimes persist for weeks or even months. Scarring is often the most persistent side-effect of surgery, with scars taking one to two years to fade, on average. Patients are therefore asked to wait at least one year before considering revision eyelid surgery.

To have revision eyelid surgery, you will need to be in good overall health and a nonsmoker. During your consultation, Dr. Amato will review your medical history and ask you about any changes in your health that have occurred since your original blepharoplasty.

What to Expect during Recovery

The recovery period associated with revision blepharoplasty is like healing after a primary blepharoplasty. However, patients who have had skin or fat grafted onto their eyelids may require a few additional days of rest; they may also experience more additional swelling and bruising. Patients are advised to take at least one to two weeks off work after having revision eyelid surgery, depending on the procedure. They should also expect to see some residual swelling and bruising for a few months following their operation.

Like primary blepharoplasty, revision blepharoplasty requires time for results to develop. You may experience temporary ocular dryness or discomfort for a few weeks after your surgery, and often lubricating over the counter eye drops can be used during the healing process to minimize these symptoms. Your results may look different than you expected at first, too; your eyelids may look higher or lower than you wanted, but they will slowly assume a better position over about six months.

Scarring associated with revision blepharoplasty can be more severe than the scarring associated with primary blepharoplasty. This is the case because revision eyelid surgery involves making incisions near existing scar tissue, and multiple incisions may be required. However, if your scars don’t fade after a year, you can return to Dr. Amato for scar revision treatment. Her expertise with both laser and surgical scar revision allows her to reduce signs of scarring greatly.

Dr. Amato provides personalized follow-up care to all her patients. Patients are called at home the first few days after surgery and often don’t need to come in for their first post-operative visit until the following week. If you experience any challenges during your recovery, she encourages you to contact her directly by phone, and she’ll assist you as soon as possible.

Ready to book your procedure?

If you are ready to take the next steps, or simply want more information about a procedure, please contact our team! Dr. Amato looks forward to speaking soon.

Call for Your Revision Blepharoplasty Consultation in Austin, Texas

Though it’s always important to choose an experienced Oculoplastic surgeon when considering blepharoplasty, surgical skill and experience are particularly vital when performing revision blepharoplasty. Tissues that have been operated on in the past are usually compromised by scarring and may be weaker than surrounding tissues, presenting a heightened risk of complications. With over 18 years of experience performing eyelid surgery, board-certified oculoplastic surgeon Dr. Malena Amato is Austin’s leading eyelid repair specialist. To find out more about how she can help you feel (and see) better, contact her online or by phone to arrange a personal consultation. She’ll be happy to answer any questions you have and provide you with compassionate, thorough care.

Eyelid Revision Surgery FAQs – Austin, TX

While eyelid surgery (blepharoplasty) is recognized as a safe and minimally invasive procedure, complications can occur during healing. These could include eyelid asymmetry, poor eyelid function, visible scarring, and chronically dry or watery eyes, in which case you may need to consider revision eyelid surgery.


Revision eyelid surgery can be even more complex than the original procedure, which is why it is essential to let Dr. Malena Amato, the best eyelid revision surgeon in Austin, review your position.

While eyelid skin typically heals very well, on occasion, surgery can lead to noticeable scars and bumps around the incision areas. These can usually be effectively managed with scar revision procedures.


It might also turn out that not enough skin was removed, the muscle that lifts the eyelid was not sufficiently tightened, or that too much soft tissue, skin, or fat was removed from the lower eyelid resulting in poor positioning of the eyelids.

There is no limit to how many times you can have upper eyelid surgery or any additional revision. The key to a successful result is making sure you have a skilled surgeon who specializes in upper eyelid surgery and understands any nuances associated with it. Dr. Amato understands what it takes to provide best eyelid surgery revision results in Austin.

It is essential that you allow enough time to heal from your first surgery completely. As with many plastic surgical procedures, it can take several weeks to months for any swelling to completely subside and for the final results to be fully visible.

Your Austin revision blepharoplasty cost will vary depending on the exact circumstances of your condition and extent of your procedure. Our team will be able to provide you with an estimate after Dr. Amato examines you in your consultation.