[fusion_builder_container background_color=”#f1f1f1″ background_image=”/wp-content/uploads/2015/03/drops-on-leaf-wallpaper-1024×640222.jpg” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ background_repeat=”no-repeat” background_position=”left top” video_url=”” video_aspect_ratio=”16:9″ video_webm=”” video_mp4=”” video_ogv=”” video_preview_image=”” overlay_color=”” overlay_opacity=”0.5″ video_mute=”yes” video_loop=”yes” fade=”no” border_size=”0px” border_color=”” border_style=”solid” padding_top=”20px” padding_bottom=”20px” padding_left=”0px” padding_right=”0px” hundred_percent=”no” equal_height_columns=”no” hide_on_mobile=”no” menu_anchor=”” class=”” id=”op-top-banner”][fusion_builder_row][fusion_builder_column type=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none”][fusion_text]

雙眼皮重做手術Revision Double Eyelid Surgery

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container background_color=”” background_image=”” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ background_repeat=”no-repeat” background_position=”left top” video_url=”” video_aspect_ratio=”16:9″ video_webm=”” video_mp4=”” video_ogv=”” video_preview_image=”” overlay_color=”” overlay_opacity=”0.5″ video_mute=”yes” video_loop=”yes” fade=”no” border_size=”0px” border_color=”” border_style=”solid” padding_top=”20px” padding_bottom=”20px” padding_left=”0″ padding_right=”0″ hundred_percent=”no” equal_height_columns=”yes” hide_on_mobile=”no” menu_anchor=”” class=”” id=””][fusion_builder_row][fusion_builder_column type=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none”][fusion_text]眼皮的開合屬於動態的活動，但雙眼皮手術卻需要於靜態的情況下進行，因此術後難免會出現眼褶不對稱或是效果不如預期等情況，如程度輕微且非經肉眼仔細觀察才可發現的話（高低差距1mm內），應屬可接受的範圍而無須處理，但若狀況嚴重，例如：眼褶明顯不對稱或大小眼等問題，則即需做雙眼皮的二次重修手術。只是眼皮的問題非常複雜，且兩眼的恢復速度多非一致，因此莊醫師建議患者至少耐心等候6個月的觀察期，如手術半年後仍然存在著明顯的兩眼不對稱、眼褶不順、抬眼或閉眼困難、眼皮過高或過低，甚至是患者主觀上的不滿意時，再來尋求雙眼皮重做的可能性，屆時醫師也較能夠客觀的研究或診斷前次手術的問題，並給予正確的治療建議。

鑒於眼皮的精細結構，讓雙眼皮重做手術較初次手術來得複雜許多，其不僅需要於術中尋找並解決前次手術所造成的各種問題，也必須符合患者更高的期待，另外重複或多次手術所可能導致的疤痕沾黏或增生等不確定風險也必須納入評估，因此莊醫師多會建議患者從下列幾個面向仔細考量重修手術的必要性與成功機率後再做決定：

雙眼皮的對稱性
雙眼皮的對稱與否常是患者認知手術成功的第一個關鍵，因此醫師必須盡量做到讓肉眼看不出明顯差異的效果。依據臨床上的經驗法則推定，若兩邊眼褶高度落差在1mm以內的程度並無須矯正，反之則是可以運用重修手術來調整兩眼的對稱性。雖說醫師於術中精確的測量與施術可以降低雙眼皮不對稱的機率，但仍有少數單眼皮患者因患有先天大小眼或潛藏的提眼肌無力症狀而不自知，反而是接受了雙眼皮手術後才讓這類問題凸顯出來，因此執行重修手術的醫師必須於二次手術前仔細檢查與診斷前次失敗的主因，才能確切有效的解決眼皮不對稱問題。
眼褶的深淺與高低
雙眼皮的褶線型態也左右了患者的滿意度，如果效果得不到患者的認同，即使再漂亮的雙眼皮都不能算是成功的手術，因此在評估重做因素時必須深入了解患者真正的需求，若前次手術的眼褶過深或太高的話，那必須做眼褶放鬆或降低手術；而如果患者認為前次手術效果過於自然的話，即必須重新定位雙眼皮的高度，運用微創的迷你切口或縫雙眼皮的方式進行雙眼皮的重整手術。
眼褶的順暢度
割雙眼皮術後發生眼皮褶線不順或不平整是時有所見，其主要原因可能在於醫師的眼褶設計不符合患者的眼型，手術切口不夠平順、縫線或疤痕的干擾，或是患者本身的眼皮過於鬆弛….等，因此在重修手術時醫師必須先確認前次手術的切口或疤痕是否無誤，眼頭的蒙古褶皮膚是否過於緊繃，且使用的縫線與縫法務必力求精細，甚至可能必須切除部分疤痕化且無彈性的眼皮組織再行重組，才能確保術後褶線的順暢度。
雙眼皮的樣式
人工的雙眼皮褶線可以有開放式或是閉合式兩種選擇，其差別在於眼頭的厚度與位置是否遮蔽了前端雙眼皮的起始點褶線。特別是東方人的眼型常呈現較寬的眼距與厚實的眼頭皮膚（俗稱蒙古褶），若僅做單純雙眼皮手術的話大多會呈現如鳳眼般的眼型，讓眼睛的實質大小不易有明顯的改變，反而因此讓不少患者產生期待的落差。為了提高重修手術的滿意度，莊醫師都會於術前評估時解釋這兩種雙眼皮型態的差異與具備的條件，患者如有必要應考慮同時接受開眼頭手術，來達到開放式（又稱平行線）雙眼皮與真正放大眼睛的極致效果。
提眼瞼肌的功能
提眼（瞼）肌的主要功能就是提高眼瞼水平線，縮短黑眼珠被眼瞼（睫毛）覆蓋的面積，也等於是掌控了眼球的大小，因此先天提眼肌無力或垂瞼的患者多呈現睡眼惺忪、多層次褶痕或是睫毛低垂甚至倒插等樣貌，若於雙眼皮手術前未被診斷出此問題，或是患者因單眼皮覆蓋眼瞼而不自知的話，則極可能導致術後的不對稱或大小眼問題。此外潛在性的眼肌無力也會導致術後慢性的眼皮水腫，或術後無預期的眼瞼下垂，這些可能狀況都必須於重修手術前納入評估的參考，如必要時需建議患者同時做提眼肌矯正手術。

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閉合式雙眼皮

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開放式雙眼皮

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手術內容

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手術時間

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麻醉方式：舒眠+局部麻醉
手術切口：上眼皮處從眼頭至眼尾連線切口或前次手術切口
恢復期：平均3個月以上
拆線：7~10天

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注意須知

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手術前需禁食與水

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術後一個月內須禁菸、酒與刺激性食物
術後三個月內須持續做溫敷以利眼皮的消腫

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適應對象

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雙眼皮不對稱達1mm以上者
雙眼皮眼褶過深、過高或太過自然者
雙眼皮褶線不順或皮膚發生不規則皺紋者
眼型或比例不符合患者主觀需求者
長期眼皮水腫不退者
發生無預期的眼皮開闔功能異常者
不明原因的雙眼皮不對稱者

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可能併發症

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眼褶不對稱
眼褶過深
疤痕沾黏或增生
眼皮慢性水腫

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手術優點

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改善前次手術缺失，提升患者的自信
符合患者主觀的要求與滿意度
矯正潛在的功能性問題（如提眼肌無力）
提升雙眼皮的效果持久度
矯正部分睫毛倒插問題

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手術缺點

重修手術較為複雜且時間長
術後恢復或消腫期漫長
仍有不確定風險可能影響手術結果（如疤痕沾黏）
受限於前次手術的條件，可能無法完全滿足患者的期待
重複手術可能導致疤痕更加明顯

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可合併手術

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手術成果

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