Why is my eyelid not folding properly after double eye-lid surgery? (photo)
Doctor Answers (3)
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7 weeks postop Asian blepharoplasty
Recovery after Asian blepharoplasty
After 7 weeks you still have temporary swelling from surgery. I advise not attempting any revision until swelling subsides
If your doctor feels that the eyelid is still swollen, then any further enhancement surgery is not likely beneficial. I always explain to my patients that swelling changes the dynamics of the predictability of how you place the tissue when doing surgery. Unless there is a specific indication that requires earlier treatment, then it is usually best to allow swelling to resolve to a reasonable level, to the point the surgeon feels comfortable about going in and doing something to revise the result. I have seen patients who came in for revision surgery who had several surgeries done in a very short time frame, with the doctor trying their best efforts trying to make the patient happy. Unfortunately, with every trauma there is the potential of scar tissue formation and other issues. More importantly, swelling is a moving target and therefore it changes the dynamic.
If there are multiple folds and if the crease is not well delineated, it’s usually something that is amenable with a procedure such as a non-incisional fixation. Little openings are made and a connection between the eyelid and the levator muscle is created. A principle of most eyelid crease surgeries is to create a connection between the skin and levator muscle. If there is fat in the way of the space, then the fat is reduced or shifted out of the way in order to create the connection. However, when the sutures are removed, there is a possibility that the skin can detach a little and does not create the crisp, nice-looking fold.
My advice is not to lose hope and continue communicating with your doctor. I’m sure your doctor will see you at regular visits. In our practice, we see our patients at 1, 3 and 6 months and beyond and the doors are always open if they have questions or concerns at any time. Once you have this continuous dialogue and observation, and if your doctor takes photos and documents the progress, it might be easier for you to see where things are going. Surgical healing can take up to a year and swelling can be a factor. I hope that was helpful, I wish you the best of luck, and thank you for your question.
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