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Crease Too High 2 Years After Blepharoplasty. What Can I Do?

asked 7 months ago by RBlas in San Diego
Latest answer by Richard P. Rand, MD, FACS
Question viewed 306 times
Tags: ptosis, 2 years post-op, crease, options, uneven

Hi, I have had a blepharoplasty for lash ptosis 2 years ago. The crease or incision on my right eye was made 3 mm higher than the left. Now the bridge area or skin under my crease is too expansive compared to the left. I really want to lower the crease, not raise the left. My opthamologist says that she doesn't recommend any operation because lowering the crease is taboo... Please help me with a solution, I am desperate. Too many doctors saying its too hard, is there any way?

8 answers to Crease Too High 2 Years After Blepharoplasty. What Can I Do?

+1

Lowering the eyelid incision in upper blepharoplasty

This can be impossible to do unless you have enough excess skin in that lid equal to the length you need to move the scar down. This would be determined by an exam from an expert. Otherwise, there really is nothing you can do. Once in a while, the incisions are made exactly equal but because of healing differences and scar tissue, they wind up at different levels so this is not necessarily a mistake on the pat of your surgeon.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+1

High Creases on Blepharoplasty

The placement of a high crease in blepharoplasty is difficult to correct unless you have redundant skin. This is why it is important to seek out a Board Certified Plastic Surgeon or a plastic surgeon with expertise in blepharoplasty. Also, one should place the crease lower than higher because it is easier to camouflage and also gives the illusion of a fuller lid.
Rod J. Rohrich, MD

Dallas Plastic Surgeon
+1

Crease Too High 2 Years After Blepharoplasty. What Can I Do?

A lot will depend on your exam. See an experienced eyelid surgeon who can give you an opinion of whether it is possible or not. It is possible in certain circumstances.
Sam Goldberger, MD

Beverly Hills Oculoplastic Surgeon

www.neweyelids.com

+1

High crease after eyelid surgery

The difficulty in lowering the crease is that there has to be enough excess skin equal to that of amount downward migration of the crease that is required . If you do not have more excess skin than the difference in the crease height that needs to be reduced, then attempting to move the crease down could cause you to end up not being able to close your eyelid and letting the cornea get dried from over exposure. Hard to say without seeing you in person.
Julio Garcia, MD

Las Vegas Plastic Surgeon

lvcosmeticsurgery.com

+1

Can crease of upper eyelid be lowered?

Depending on your situation, the crease may be lowered. The visible crease depends not only on how high above the tarsus dermal connecting fibers extend, but also upon how much skin and fat are above that point, above the actual location of the orbitopalpebral crease. If you have a very deep supratarsal fold and no skin excess to work with, may be more difficult to lower. Sometimes, outer lamella just scars higher and becomes adherent on one side, but not the other. ... more
Steve Laverson, MD

San Diego Plastic Surgeon

feelbeautiful.com

+1

Lowering a High Transverse High Lid Crease

Photographs of the lids in forward and down looking gaze would have been very important to advise you. In unoperated Caucasiants the eyelid crease is the result of insertion of part of the muscle system which lifts the lid. This insertion is not present in Orientals giving rise to some of the differences seen between these ethnic groups. Ideally, the crease is 10-12mm from the lash line and assuming there are no other factors involved a skilled Opthalmic surgeon should be able to revise your... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Changing the lid crease position

This is a very tough question to answer without seeing you in person. In general though, it is very difficult to lower a crease.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Lowering the crease is not taboo.

We just don't have a means of reliably doing it. There is an expression: measure twice cut once. That is how one avoids this situation. What are your options? Well a photo would be very helpful. Since you did not upload a photos, let me generally discuss this topic. This items may or may not apply to you. 1) Is the eyelid with the longer appearing platfrom ptotic or droopy compared to the other side? Raising the eyelid with the longer... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

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