Revision Eyelid Surgery San Mateo & Redwood City

Restore beauty, balance, and confidence to your eyes.

A Second Chance at the Results You Deserve

The eyes are the most expressive and focal feature of the face. When your initial eyelid surgery doesn’t meet your expectations—whether due to asymmetry, discomfort, or an unnatural result—it can impact your self-confidence and everyday comfort. At Cheng Plastic Surgery in San Mateo, we understand the delicate precision required to restore and refine the eyes. Our revision eyelid surgery offers patients the opportunity to correct complications or unsatisfactory outcomes from a prior blepharoplasty and achieve the natural, refreshed look they originally envisioned.

With Drs. Jacqueline and Elbert Cheng—double board-certified facial plastic surgeons and eyelid specialists, voted Best Plastic Surgeons in the Bay Area in 2025 by the readers of the Mercury News—you’re in the hands of true experts in surgical refinement and facial aesthetics.

What Is Revision Eyelid Surgery?

Revision eyelid surgery is a secondary blepharoplasty procedure designed to address complications or improve the aesthetic or functional results of a previous eyelid surgery.

This highly specialized procedure requires advanced expertise in delicate tissue reconstruction, symmetry correction, and restoration of muscle and skin balance around the eyes.

Conditions Corrected with Revision Eyelid Surgery

Our surgeons can correct a wide range of issues resulting from a prior procedure, including:

Hollow upper eyelids

Caused by over-resection of tissue; may be corrected with fat transfer or dermal fillers to restore volume.

Lower eyelid retraction

Over-removal of skin or poor support can lead to the lower lid pulling away from the eye; this can be corrected by repositioning tissue and restoring support.

Ptosis (drooping eyelids)

A weakened or damaged levator muscle may cause the eyelid to droop; this can be corrected by tightening the levator and refining skin placement.

General dissatisfaction with results

For patients who feel their results were too subtle—or too extreme—revision surgery allows for fine-tuned correction of eyelid contour, symmetry, or skin removal.

Benefits of Revision Eyelid Surgery

Restores natural, balanced eye shape
Corrects asymmetry and surgical errors
Addresses functional concerns (e.g., difficulty blinking, dry eyes)
Refines overly hollow, heavy, or tight results
Restores confidence and comfort
May improve visual field and eyelid function
Provides results that feel—and look—more like you

What to Expect During the Procedure

Every revision case is unique. During your comprehensive consultation, Dr. Cheng will:

Review your previous surgical history
Examine eyelid anatomy and muscle function
Identify the underlying cause of dissatisfaction
Use imaging to explain your personalized treatment plan

On the day of your surgery:

Performed under local anesthesia (with or without sedation)
Incisions are placed in natural creases or lash lines to minimize visible scarring
Muscles, fat, or skin adjusted or grafted as needed for a refined outcome
The procedure is typically outpatient and lasts 1–2 hours

Please note: While your consultation or follow-up may occur in San Mateo, your procedure will be performed at our state-of-the-art Saratoga surgical center.

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Recovery After Revision Eyelid Surgery

Revision recovery is generally similar to your first surgery, but often with heightened attention to detail and comfort due to the complexity of the case. What to expect:

Mild swelling, tearing, and blurriness for a few days
Sleep elevated for the first week
Sutures removed in 7 days
Return to work in 5–7 days, makeup after 2 weeks
Avoid contact lenses for 1 month
Avoid vigorous activity for 2 weeks

You’ll have regular follow-up visits to monitor healing and ensure optimal results.

Am I a Candidate for Revision Eyelid Surgery?

You may be a candidate if you:

Have complications or aesthetic concerns from a previous blepharoplasty
Are in good physical health
Are a non-smoker
Have realistic expectations
Are you ready to trust your eyes to a team with deep revision expertise

We are particularly experienced in Asian blepharoplasty revisions and correcting results that do not align with the patient's cultural, anatomical, or aesthetic identity.

When Will I See Results?

You’ll see improvements within the first few weeks, with refinement continuing over several months. Most patients enjoy long-lasting results that restore a natural, rested appearance, without looking overdone.

Why Choose Cheng Plastic Surgery?

Revision eyelid surgery is among the most technically demanding procedures in facial plastic surgery. It requires not only surgical mastery, but also the empathy and insight to truly listen to your concerns and guide you toward the result you should have received the first time.

Our team offers:

Double board certification in Facial Plastic and Reconstructive Surgery
Thousands of eyelid procedures, including complex revision cases
Special expertise in ethnic eyelid anatomy and Asian blepharoplasty
A high-touch, compassionate care experience from consult to recovery
A discreet, private surgical center in San Mateo

We know how deeply personal this decision is—and we’re honored to help you feel like yourself again.

Take the Next Step Toward the Look You Deserve

You don’t have to settle for results that don’t reflect your vision. At Cheng Plastic Surgery, we offer artful revision eyelid surgery in San Mateo to help you reclaim the beauty, balance, and comfort of your eyes, done right.

Schedule your private consultation and take the first step toward refined, natural-looking results you can feel confident about.