Treatment Provider

Thomas Buonassisi, MD
Board Certified Facial Plastic Surgeon
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*Treatment results may vary

7 years after incisional DES and non-incisional DES

10 months after I had the non-incisional revision done on my left eye, my crease started to come undone again. By that point I was tired of pursuing the issue and decided to just try and accept my uneven eye. 7 years later I still feel unsatisfied and am disappointed. I don't think I would recommend 8 west for Asian Eyelid surgery. They are a good clinic, but Dr. B's speciality is rhino. It's my own fault for going to them in the first place because I was desperate to improve the appearance of my eyes and they were one of the few clinics in Vancouver at that time that was doing the procedure. Last year I considered multiple times going back to 8 West to have yet another revision, but ultimately decided, for the reasons below, not to.

Now that plastic surgery tourism is more accessible to foreigners, I highly encourage anyone considering Double Eyelid surgery to go to Korea instead where the surgeons have experience with Asian faces and anatomy. Wouldn't you rather have a clinic that has done hundreds of DES procedures, where the cost is negotiable, and the before and after care is the same? It just makes more sense. I am in talks with various clinics in Korea right now. The sad thing is that many of them are stumped as to why my two surgeries have failed on my left eye.

I have attached photos of what my eyes look like now.

Revisional suture method - very pleased!

So I went ahead and had the revision performed on my left eye. Two tiny incisions were made on my original incision line through which the sutures were placed. The knot was buried inside the eyelid. The procedure went very quickly and there was only minor discomfort from the anesthesia shots. The first five photos show the swelling I had over the first five days. I was amazed by how quickly the swelling subsided. I think, the suture method wins in terms of healing time and convenience. The sixth photo shows my eyes three weeks post-op. I think there is still a tiny bit of swelling. I'm very happy with the result and hope my crease will stay this time.

1 year post-op, having revisional procedure with suture method

Just providing an update. It's been one year since I had the incisional surgery. The crease in my right eye looks great and is very natural. Unfortunately, it appears I have crease loss in my left eye. I started noticing that my left eye was healing a little differently around the 6 month mark and the crease wasn't as defined. I posted an "Ask a Doctor" question here regarding my asymmetry along with photos here: http://bit.ly/1p64tgJ

After consulting with Dr. B., it appears that crease loss isn't entirely uncommon with the incisional method. The eyelids are a tricky area and many surgeons agree that they can't control how and where the crease will fall; however, the incisional method IS the gold standard when it comes to long lasting results. As I said previously, my right eye is doing fine and looking great!

Dr. B has kindly offered to do a revision using the suture method, as we have already removed the bulk of fat and tissue from the incisional procedure. I'm looking forward to having my asymmetry addressed and hopefully the results will last longer this time. I will update again shortly.

Provider Review

Board Certified Facial Plastic Surgeon
300-1788 W. Broadway, Vancouver, British Columbia
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