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Excess Fold of Skin Left After Asian Double Eyelid Surgery?

I am about 2.5 weeks post-op from Asian double Eyelid surgery. I have noticed that when I close my eyes, there is a small fold of excess skin at the crease/suture line.

Is this normal at this stage of healing or will I need a revision? Did the surgeon not remove enough skin? It looks weird when my eyes are closed. I do not want to get a Brow lift. Thx.

Asked 31 months ago by hyannis in ma
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+2

Need more time to determine if there is still excess skin

After Asian eyelid surgery, you will need to wait at least six weeks to determine whether there is still excess skin on your upper eyelids. Right after surgery, there will be some swelling which stretches the skin. After the swelling goes away, the skin which has been stretched will need some time to shrink back. Therefore, I recommend waiting until six weeks after your surgery before determining whether there is still excess skin. see video
James Tang, MD
Houston Plastic Surgeon
+2

Postoperative recovery following blepharoplasty

It is much too soon to discuss revisionary surgery. You need to wait about 6 to 12 weeks to see how the lids look once the swelling is gone. I strongly urge you to return to your plastic surgeon and allow them to advise you directly,
Gilbert Lee, MD
San Diego Plastic Surgeon
+2

Eyelid Surgery or Browlift for excessive eyelid skin.

Another vote for waiting for swelling and healing to occur.  You bring up an interesting point.  Without knowing your age a discussion of a browlift is appropriate and necessary in certain individuals.  A upper eyelid surgery alone can do more harm in some patients who require a browlift to correct significant brow ptosis.  It is a big mistake to remove to much of the skin of the upper eyelid.  This skin is irreplaceable and appearance of the thick brow skin... more
Dennis J. Bang, MD
Beverly Hills Plastic Surgeon
+2

Excess skin at two weeks after double eyelid surgery

At two weeks or so, the excess skin you are noticing is likely related to post-operative swelling. Swelling should settle down within three months. If the issue persists at that point, then evaluation for possible revision is reasonable. But at two weeks it is too early.
Carlo Rob Bernardino, MD
Monterey Oculoplastic Surgeon
+2

After Asian "Double Fold" EyeLid Surgery

Thank you for your question. I ‘ve performed Asian eyelid surgery (as well as revision surgery) for than 15 years in New York City. Although you will probably benefit most by discussing your concerns with the operating surgeon I can address your question. Swelling after eyelid surgery is normal and 2.5 weeks is early in the postoperative period. Swelling can be variable and can last for up to a year. see video
Amiya Prasad, MD
New York Oculoplastic Surgeon
+2

Residual lid fold afer the surgery

Time is your best friend here. Wait for a few weeks till all the  swelling is gone to determine any revision is needed. Also warm compresses and gentle massge will help to dissipate the swelling. Good luck.
Zain Kadri, MD
Los Angeles Facial Plastic Surgeon
+2

I would wait three months before doing anything

Wait three months  so that you can see the ƒinal product.  It is not uncommon to see excess skin right  after surgery.  This should correct itself.
Gary H. Manchester, MD
San Diego Plastic Surgeon
+2

Still early to judge results after Asian Double Eyelid Blepharoplasty

2 1/2 weeks is a little early to judge the results after Asian Double Eyelid Blepharoplasty. Swelling and inflammation could cause the extra fold that you are noticing by the new eyelid crease. I would definitely advise you to wait. You don't want to do anything right now when there is swelling. Because if you do something right now, when the swelling dissipates, your results will be different. Also at this stage your eyes have different swelling and if you try to do something... more
Philip Young, MD
Bellevue Facial Plastic Surgeon
+2

Skin fold excess after double eyelid surgery

Two weeks is too early to evaluate the results of your upper eyelid surgery. One must wait several weeks, realistically months, to appreciate the final results from double eyelid surgery in Asian patients. Also, it is better for an eyelid plastic surgeon to remove too little skin, rather than too much skin. Supplemental skin may always be removed from the upper eyelids at a later time, once all healing is complete. Best of luck.
Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
+2

Wait 3 months to evaluate excess skin after eyelid surgery

2 and 1/2 weeks is still too early to tell if enough skin was removed. There is likely still some swelling. Is there still a double fold when your eyes are open? Perhaps what you're seeing is just the incision which may look like excess skin until it flattens out. I would wait at least 3 months before re-evaluating whether more skin needs to be removed. It's always better to take too little skin, than too much!
Jonathan Hoenig, MD
Beverly Hills Oculoplastic Surgeon
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