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POSTED UNDER Eyelid Surgery REVIEWS

Incredible Doctor - Scottsdale, AZ

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I had upper bleph and also lower transconjuctival...

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Scottsdale1247
WORTH IT$4,300

I had upper bleph and also lower transconjuctival bleph done. It has only been 16 days post op and I am very happy. My eyes look more alive and open. I have more swelling time ahead of me but everyday gets a little better.

The day after was the hardest, my eyes were almost swollen shut and my tears were tinted red. The first few days are definitely tough (get some audio books!) but once the major swelling goes down, its gets better quick.

I never needed anything stronger than tylenol for pain but I definitely utilized Ambien (your eyes are crazy dry and irritated) and Valium (even though you can prepare yourself, its hard to see your own face like that!).

If I had to do it all over again, I would have done this surgery years ago to fix my heavy lids (they were also not symmetric). I was lucky to have found the best doctor too. He was having some special opening prices when I had my procedures done but I would have picked him regardless. It was worth it and then some!

Scottsdale1247's provider

Paul K. Holden, MD

Paul K. Holden, MD

Board Certified Facial Plastic Surgeon

4.8 | 100 Reviews
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Scottsdale1247

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Replies (2)

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January 20, 2011

Welcome to RealSelf and thanks for sharing your experience so far. It sounds like you'll have a dramatic result once the swelling subsides.

Have you been taking before/after photos to chart your progress? If so, we'd love to see them, if you're comfortable sharing.

Good luck and please keep us posted on the rest of your recovery!

May 7, 2015
Hi! I was wondering if you have any before photos? I am Asian in Scottsdale, also considering eye lid surgery especially now with age, my eye lid seem to be drooping and puffy, making me look tired.
UPDATED FROM Scottsdale1247

Over 5 months post op and have had a few minor...

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Scottsdale1247
Over 5 months post op and have had a few minor modifications to my creases. Healing and swelling is a slow process and my doc didn't want to rush things before I had time to heal further. I need to learn to be patient! Had some scar tissue inside lower lid lasered (OWWW!). Dr. Holden has been great with doing my requested alterations gradually to give me the results I want in a way that is beneficial and healthiest for me(I am a perfectionist!). Lower inside lids still healing possibly. I get a lot of discharge from my eyes still but it is also allergy season. Things are looking good through my "new eyes", I may seek a little lid tightening in the future...btw, he is great with botox and fillers as well! He definetly has more of an artistic eye for it than my past injectors.

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UPDATED FROM Scottsdale1247

6 months post op, lower lids have gotten slightly...

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Scottsdale1247
6 months post op, lower lids have gotten slightly better as far as discharge production. One thing I did notice, I went out last wknd and drank for the first time in over 6 months. Just had a few drinks but the next day my upper lids were really puffy and stayed that way all day :( luckily I don't drink much anymore! Going soon to see about tightening lids with some laser resurfacing. I just have this strip of fat above each eyelash line, wish I could get some micro lipo on them or something. We'll see what the dr. says...

Replies (26)

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June 18, 2011
it will be great if you grow you eyebrow, for natural looking..
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June 19, 2011
Hi bang2tang,
Thanks for your input. Unfortunately for my eyebrows, being Korean I don't have much hair on my body! People think I shave my arms! I have considered some options like permanant makeup and have started to occasionally use Latisse on them in addition to my lashes. Trust me, I hate drawing them in and hope to soon resolve the no brow issue!

As far as being natural, I am way past that lol! I highlight my hair, use botox, fillers, and have silicone breast implants! I do what makes me feel good and that's my ultimate decision factor for me. After I did my eyes, I felt like people could finally see me and I don't hide under 10 lbs. of eyeshadow and makeup anymore. In fact, I rarely wear much eye makeup at all now! It's very liberating!! I was lucky to find Dr. Holden because here in the Scottsdale/Phoenix area, there is not a lot of experienced Asian eyelid surgeons, trust me, I called around! I had one doctor tell me she would not do it because she was not comfortable and experienced enough to do "ethnic eyes" at my consultation! It's a good idea to find a facial specialist like I did.

Anyways, my eyes was part of my "total overhaul" goal since I was stressed about turning 30. I've gotten really healthy and fit and just had a breast aug revision on Monday! I love the line in Nikki Minaj's "moment for life" song...-everybody dies but not everybody lives... and this year, I am going to start living :)
June 19, 2011
Why do you feel the need to wear colored contacts? It saddens me that some Asian women don't see the beauty they have in their naturally colored eyes. I hope you will learn to accept your true beauty and not be influenced by what media tells us is beautiful.
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June 19, 2011
Hi WasabiSpam,
I'm sorry that saddens you. I respect your opinion but just so u know, I have both clear and colored contacts that I like to wear. It's a cosmetic choice as is coloring my hair, wearing make up, and changing my lipstick color.

It's interesting to me that you singled out Asian women. Millions of women with beautiful natural colored eyes wear colored contacts among their other fashion preferences. This isn't old school Asian times, it's the USA and it's 2011! Asian and all races of women wear colored contacts, people dye their hair-sometimes crazy colors, grandmas get plastic surgery! etc., lol. GOD BLESS AMERICA! :)

I am not influenced by what the media tells me is beautiful, I believe beauty comes from within. That being said, don't you think that YOU are kind of telling me what is beautiful? Everyone has there own individual opinions and preferances and styles and that is great! Btw, that's one of the best parts about being a woman-we can have fun beauty regimens!
June 19, 2011
Hi Scottsadale,
No need to apologize that it saddens me.

I'm glad that you have both clear and colored contacts. I certainly hope you wear your clear ones more than the colored ones.I don't think you truly understand the "bigger picture" as to why some Asian women feel the need to wear colored contacts. It's a much deeper rooted issue that I hope you will be able to truly be honest with yourself as to why. Wearing different colored makeup is purely superficial whereas feeling the need to wear colored contacts is perhaps coming from a more subconscious desire to fit in with the majority whereas in this case, it is white.

Although we don't want to admit it, we are truly influenced by media. Do you not read the latest fashion magazines, watch MTV, movies, etc...?

I myself am Asian and singling you out because I was once like you (although you are much prettier!) until I realized what I was so "white washed". In looking at your photos, you are a beautiful Asian American women.

Let your true inner beauty show. You are not white. Be proud of your Korean ancestry.
June 19, 2011
P.S. - I read your other comments. In seems as though you are as Madonna sang "a material girl" You have had quite a few procedures done on you and plan to have more. You're a plastic surgeon's dream! Young, healthy, and $$.

Ditch all my previous comments. I don't think you'll understand the deeper meanings of them. You are already beautiful, don't get any more work done.

Peace.
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June 19, 2011
Wasabispam,
I am proud to be American. I was raised in a Caucasian family and was not raised in a traditonal Korean family but still am proud to be Korean as well. Maybe it's a more deep rooted issue with Asians raised Asian. To me it's just fun! I recently got very healthy- lost 20lbs, stopped eating meat and drinking and started taking better care and maintenance of my body (I'm 30-not that young!). I don't by all means have tons of money and I worked very very hard for the surgeries I chose to have. Yes, I have had botox, filler, bleph and breast aug. But that is not that extreme especially in this region, trust me. I do appreciate your incite, btw, I will not be getting any major procedures for a long time. My wallet will not allow it anyways lol.

Warm regards
June 19, 2011
Honey, 30 is young!!!! =)
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June 19, 2011
Well, it came so fast and when it did, I saw someone in the mirror that looked so much older than I felt! Hence, the blepharoplasties and the health kick. Shoot, I thought I'd be married w kids by 30 but I still feel like I'm in my 20's (except wiser and drunk a lot less lol). I still am getting used to being 30 and it's been 6 months haha! Oh well, it's not so bad. I am making the best of it!
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February 24, 2012
Thank you for addressing this so eloquently. It's awesome to hear a woman stand up for herself and what "she" wants with such confidence. I was taken back by the original comment in regard to Asians doing this. I'm not Asian and I have worn colored contacts off and on for years. Like you, I consider it the same as wearing make up or coloring my hair. It's fun to change up our looks. Again, great response!

By the way, your eyes look great! I'm considering upper eyelid surgery and I'm in the Scottsdale area also. I'll be adding Dr. Holden to my list of doctors to schedule a consultation with.
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February 25, 2012

Thanks Sinderella, you certainly cannot blame someone for having their own opinion which they are entitled to but it sometimes keeps people more open minded if you explain things from your point of view, which I enjoy doing (hence the reviews lol).  It would be hard to always look exactly like you were born nowadays with makeup and hair coloring - I suppose some people may have deeper reasons for wanting colored contacts but I think the majority are like you and me, use them for fun cosmetic accessories.  It doesn't change who we are! 

I love love my eyes now and so wish I would've done it sooner...sometimes I feel like I got a late start living my life to the fullest having had my eyes "opened up" so late but then I appreciate the timing since your 30's are supposed to be when you feel better than ever in your own skin.  Please do go see Dr. Holden first, he is so supportive and caring, and very smart, he really deserves all the credit to my transformation.  Let me know if you decide to do it, I want to know how it goes!  It dramatically changed my life:)
June 19, 2011
Your results are so beautiful and you look amazing. Young and beautiful. I am at post-op 10days and finally after taking Medlow pack for 5 days my face started becoming my face. (First 5 days there was not swelling down at all, so was prescribed Medrow pack for 6 days) I am Asian, too, and my concern was/is "unnatural" look. Swelling is getting subdued, but still crease bw/the eye-rash line and folding line is wider than natual look and buising. I do hope this is becasue of swelling, not permanent. For Asian, biggest fear for upper bleph is to become unnatural eyes. Can you tell me how long did it take to feel to see the real result? Please tell me "complaining/worrying at post-op 10 days is too early".
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June 19, 2011
Hi Pianistnao,
Thank you so much! :)I feel so much more alive when I look at myself. First off, you should not worry!!!!! When I did all my internet research beforehand, all the reviews said, "oh yea, 10 days I was fine and back to work." Pffffffffff. Yea, Right. That is the biggest load of crap I ever heard. Maybe it's different for Caucasian surgeries. I believed that and so only planned on taking 2 wks off work when I really needed a good month to month and a half. The high height of the platform you are talking about will take a while to go down. They were still high at 3-3 1/2 months. It's hard to tell bc you are constantly seeing yourself but it will go down gradually. I took pics everyday so when I was feeling discouraged, I could look through the pics and really see my progress.

Nothing can prepare you for the emotions-depression, anxiety, possible regret, lack of self esteem. It's really really hard, you have to be strong! It's not like a bad boob job or lipo where you can hide it and get along with your life. It's your face and it makes you who are.

I would say at 4 months I was really starting to feel like myself again. I had a lot of skin and fat removed though. Everyone's different and you may find that it happens sooner for you. I heard that the key to Asian bleph is not what they remove but what they leave. Usually the bad blephs you see, they just over did it.

I worried and obsessed and it does nothing to help speed up the healing. Luckily I had a really nice understanding Dr. that was there for me to alleviate those worries and kept reassuring me that I just had to be patient. Communicate with your doc a lot so you don't feel like you're in the dark. If you need to know anything else from me, feel free to ask anything! I think it helps to have some support from ppl that know what you are going through. I just had breast aug revision 5 days ago and have at least another wk off work so I have a lot of time on my hands and I'm sure I'll be on the computer a lot lol.

Just be patient, you will look and feel more beautiful in no time :)

Best wishes!!
June 19, 2011
Thank you for your time, your knowledge, your experience, your warm heart. You are right, I didn't know that valium was to be prescribed for anxiety in the process. I thought valium was for to sleep from pains. (There was no pain at all.) All my Asian GFs are interested in upper bleph, but everyone is super super cautious like you and I. I did lower bleph in 2008, and I didn't have courage for relatively not-urgent problem of upper lid. But it was gradually a big problem when I had to tilt the mirror for eye-make-up. My doc is amazing and patient w/a tons of Caucasian patients, but he was not prepared also for asian delayed healing process. Our skin is heavier and thicker. So, medrow day pack(6 days) introduction was delayed after post-op 6 day. I blocked my work about a month--as you/my doc/everyone says, I look forward to improvement little by little everyday. Thank you for your reply, really. I do wish your recovery from breast aug revision will go really well. Have a good night!
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June 19, 2011
Anytime! The valium helps a lot! The ambien is for sleep. I put some in between pics so you can see when I was more swollen at 13 days, 2 months, and 4 months. And for my other commenter, wasabispam, they are with my clear contacts ;)
June 19, 2011
Thank you for posting more photos. Looking at post op 2 months: some bad results could have ended up at just like that! I would have depressed at that point since we don't/didn't know the reality as you said people say "oh, you will look fine in 2weeks". But looking at your post-op 4-5-6 months, they have still kept improving beautfully/gracefully. You are very beautiful. Thank you for showing me your amazing progress. Now I am very much convinced that I am way too early to be freaking out. Thank you and good night!
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June 19, 2011
Glad to help. Also, I did not get my epicanthal folds cut. Btw, I've read about people's creases settling over the course of up to a year! Good luck with your healing
June 19, 2011
Scottsdale1247, I just woke up and looked at the mirror--and made me nervous if I could be prettier than pre-op again. Today is post-op 11 days. I went back to your picture again and I am not even reached to post-op 13. You are helping people who go through this. excatly as you quoted. I understand theoritically it would NOT dramatically improved after one sleep, but this is hard. But my friend, I will keep you posted.
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June 19, 2011
Good morning Pianistnao!
It is definitly a slow process, not an overnight one. After a few weeks, you will have a day when you see your reflection and think. "hey, I'm really starting to look good!" Everyone is puffy in the mornings but you will find that it takes you a little longer than normal to "de-puff" in the a.m. for a few months. I will show you a pic i literally just took. Even myself this morning looks bloodshot and puffy and feel crummy but I haven't been sleeping well and my body is still recovering from Monday's trauma, I'm sure.

It doesn't help that I have pms and am breaking out from that and my recent surgery!! I had bad skin for a few months after my bleph. Prob a combo of the physical and emotional stress. I went through a really deep depression for like 3 months but you reflect on a lot of things and by the time you start seeing the light at the end of the tunnel, your face will look great and stop stressing you out. Instead, it will start to make you feel better, there are days where I feel like I'm glowing
and I know it shows:) Try to focus on something else, try a new hair style or color. I got my lips plumped with filler shortly after and it gave me something on my face to love looking at and show off.

It will [RS bleep] worth it when you get through the healing process-I Promise! You are so so early in the process, and don't forget millions of other women including celebraties went through it too and come out with amazing life changing results! And you will too!! When I started seeing the positive results, I always wished I had done it so much sooner!!

Happy healing!
June 19, 2011
I love you Scottsdale1247. Tears in my eyes. Have a great Sunday.
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June 19, 2011
Yikes, that pic I just posted is pretty bad. I guess that's what trying to sleep in a corset while propped up at a 45 degree angle for 6 days will do to ya! Would be easier if I wasn't a side sleeper!! I am on like 4 hours of staggered sleep! I think the pharmacy gave me fake ambien haha. Nice placebo. I might as well have popped a tic tac before bed lol! I'd be better off taking a valium maybe...What I wouldn't give for a good 9 hours!!

I hope you see that pic soon, may take it down shortly. In the meantime, I'm going to go get some visine and cucumber slices lol.
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June 19, 2011
awww, don't cry girl! It will be a great Sunday for you too-because you are another day closer to your healing goal :) :) :)
June 19, 2011
I cried because of your warm words and support.
My little girl said by looking at your transition. She is a little 6 years old who always tries on my prada 5 inches heels. She knows what she is talking about. Thank you for your support.
June 19, 2011
Somehow sometimes some sentecs are deleted when I posted them.

I wrote: I cried because of your warm words and support.
My little girl said by looking at your transition, ohhh she has become so pretty, she is pretty! She is a little 6 years old who always tries on my prada 5 inches heels. She knows what she is talking about. Thank you for your support.
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June 19, 2011
i'm asian too, and jwave about circle lens really booming, a lot of my friends use it...and it's make your eyes bigger, although some of my friend use too light color that don't really match with skin.....

i've heard about eyebrow sewing (i don't know how to spell it english) but in ads i look the result was great and looks natural, i don't know if lie or not...
maybe eyebrow filler work but not in your case if it really doesn't grow
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June 19, 2011
jwave circle lenses? Not sure what those are. But I am blind as a bat so I wear Freshlook toric (for astigmatism) Colorblends in Gray. The other colors (blue green or hazel) have too much color pigment and were more obvious. The Colorblends are much more natural than the regular Freshlook Colors.

I think you are referring to "threading" the brows. I have heard about that and hear it's great also for shaping but as you said, if it doesn't grow, there isn't going to be anything to shape! I may get them tattooed in very lightly (they tattoo thin dash marks like hair) if the Lastisse does not show a great improvement. Thanks for the tips!