Milwaukee Eyelid Surgery doctors

If I see a patient who already has dry eyes and wants a blepharoplasty, I will recommend a transconjunctival approach to the lower lid, meaning that the incision is on the inside of the eyelid.  That way you are highly unlikely to experience ectropion, or downward bowing of the eyelid, which if it happens can contribute to problems with the tearing mechanism.  For the upper lids I would be conservative in how much skin is removed. Remove too much and the patient won't have complete closure and will experience dry eyes.  If you are asking which operation to do to avoid dry eye syndrome post-op, again conservatism is the key.  What is done to the lower lid will depend on what the abnormality is to begin with. Most of the time something will need to be done to support the lid. Many times patients will need temporary help with dryness with drops or ointment for a period of time post-op. This should not lead to permanent dryness unless one of the aforementioned problems exists.

It would be better if you had pictures.  Are both creases too high or just one?  If the creases are symmetrical and the swelling is about the same, it is possible that what appears as too high a crease will correct itself.  You do need to give this more time.