What procedures for Asian eyelids take the longest for the final results to be visible?
Why Might It Take Up to Two Months to See Results from Asian Eyelid Surgery?
Doctor Answers 4
Asian Eyelid Surgery Healing Results
Depending on the extent of surgery and the type of Asian Eyelid Surgery, healing time will vary to form your double eyelid crease. Swelling or inflammation after Asian eyelid surgery is normal and in the postoperative period. Swelling can be variable and can last for up to a year. At my practice in New York, non-incisional procedures as well as incisional procedures or limited incisional procedures can be customized to your needs that suit your goals and lifestyle.
Asian eyelid surgery recovery depends on what is being done
Asian eyelid surgery recovery depends on what is being done. If you are recreating your crease, this will lead to a longer recovery because more is being done to it. The first week is the hardest. I usually say that you get 60% of your healing at 6 weeks, 80-90% at 6 months. But creating the crease usually takes longer than just removal of skin and tissue in a normal blepharoplasty that you can do in an Asian person. Below is a video showing the asian double eyelid crease formation. If you just remove skin and tissue you don't have to go into the extent that is shown below.
Length of swelling after Asian eyelid surgery
With the incision technique, a crease is created along most of the length of the upper lid. The swelling below this incision is trapped and can only get out through the space at either end of the newly created crease. Because of the narrowness, it takes a long time for the fluid to escape.
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Healing after Asian Eyelid Surgery
We could categorize Asian eyelid surgery in three general ways:
1. Full (Traditional) Upper Eyelid surgery: This will include skin removal, perhaps a strip of muscle, and maybe a little fat. With these three layers of tissue operated on you are looking at about 1 week of down time and 2 to 3 weeks to a completely normal appearance. However, the appearance of your upper lids does change somewhat in the first two months.
2. Partial Incision Method with Suture Technique: Some skin removed, not much if any muscle. Healing in 6 to 7 days. Looking awesome/normal in about 10 days if not sooner. Less swelling. Likely no bruising.
3. Suture technique alone: Healing in about 3 to 5 days. No bruising. Suture technique tends to last about 3 to 5 years in patients who wear contacts. The crease gets pulled out by pulling up on the eyelid everyday to place the contact lens.
Hope that helps
Chase Lay, MD