Denise Wong, MD, FACS

Thank you for your question. Based on your photos, your lower eyelids have “bags” which are due to excess fat protruding out from under the skin. A Lower Blepharoplasty can remove the excess fat and skin, improving your lower eyelid contour. In addition, I would recommend a lateral canthopexy procedure to support the lower eyelid to prevent an ectropion (ie. when the lower eyelid is too loose and pulls away, causing inadequate contact with the eyeball). You also may benefit from fat transposition to fill in the hollowness along tear trough region. In addition, an Upper Blepharoplasty to remove the excess upper eyelid skin would help improve your upper eyelid contour and correct the asymmetry of your upper eyelids. I would advise you to see a Board Certified Facial Plastic or Plastic Surgeon to determine the best treatment to address your aesthetic concerns.

Thank you for your questions. Based on your photos, your eyes appear asymmetric, with only your left eye having an existing double eyelid. I would recommend having surgery done on both eyes to create symmetric double eyelid creases. Two main methods exist to create a double eyelid crease: suture technique and full incision technique. In the suture technique, a very fine suture is placed within the eyelid to create the double eyelid crease. In the incisional technique, a full incision is placed where the new crease will be created. I recommend seeing a Board Certified Facial Plastic or Plastic Surgeon with experience in Asian eyelid surgery to evaluate your eyes and determine the best treatment plan for you.

Thank you for your question. Based on your photographs, your right upper eyelid appears heavier than your left upper eyelid. Your eyelid asymmetry may be due to a condition called ptosis or weakening of the eye muscle. Ptosis can affect your ability to open your eye in the vertical dimension and can typically be surgically corrected. I would recommend seeing a Board Certified Facial Plastic or Plastic Surgeon to evaluate your eyes to determine the best treatment.

Thank you for your question. Based on your photos, your eyelids are still swollen. I advise waiting at least 6 months for all the swelling to completely resolve before undergoing any revision surgery. I recommend seeing a Board Certified Facial Plastic or Plastic Surgeon to evaluate your eyelids and determine the best treatment to meet your aesthetic goals.

Thank you for your question. It is possible to revise your eyelids if needed, however, given it has only been one month since your surgery, I recommend waiting at least 3-6 months for all the swelling to resolve and reevaluating your eyelids first before deciding to undergo revision surgery. I recommend seeing a Board Certified Facial Plastic Surgeon or Plastic Surgeon who is experienced in Asian Upper Blepharoplasty to evaluate your eyes.

Thank you for your question. Based on your photos, you have some excess upper eyelid skin that is causing some heaviness or hooding of your upper eyelid, especially laterally (on the side). The extra fold at the inner corner is due to your double eyelid crease starting above the medial epicanthal fold (crescent shaped skin at the inner corner of the eye). To elongate the eye and address the extra fold, you can consider a medial epicanthoplasty to adjust the inner corner shape and open up the eye in the horizontal direction. You would benefit from an Upper Blepharoplasty surgery to remove excess skin and make your double upper eyelid crease more defined. I would recommend seeing a Board Certified Facial Plastic Surgeon or Plastic Surgeon with experience in Asian Upper Blepharoplasty to evaluate your eyes.

Thank you for your question. Based on your photos, your upper eyelid crease does not appear to be secure as it changes throughout the day. You would benefit from a formal Upper Blepharoplasty surgery to create a more defined upper eyelid crease. I recommend you see a Board Certified Facial Plastic Surgeon or Plastic Surgeon who is experienced in Asian Upper Blepharoplasty to evaluate your eyelids.

Thank you for your question. Based on your photos, your upper eyelid creases do display some asymmetry. Your right upper eyelid crease appears less defined than the left which may be secondary to either weakening of the fold or loss of the fold itself. Correcting any eye muscle weakness or ptosis is important in addressing the “heaviness” of both your eyelids. In general, multiple skin folds may result from a poorly defined crease or possibly excess skin. I recommend seeing a Board Certified Facial Plastic or Plastic Surgeon who specializes in Asian eyelid surgery to do a formal exam to evaluate your eyelids, so that the best treatment plan can be determined.

Thank you for your question. Three weeks postop is still early in the recovery process. Based on your photos, you still have swelling of the upper eyelids which can take several months to resolve before you can see your final result. I recommend waiting at least 6 months before undergoing any revision surgery to allow adequate time for your upper eyelids to heal and for all the swelling to resolve. In the interim, you can discuss your concerns with your surgeon to determine the best treatment plan that will meet your goals.

Thank you for your question. Based on your photographs, your eyelids appear to have some excess skin which can create the multiple folds on your eyelids. The temporary crease that sometimes forms is likely related to the excess skin that can fold over, creating a "double eyelid" formation. An Upper Blepharoplasty surgery would help create a secure, more clearly defined double eyelid crease. There are two main methods to accomplish a double eyelid crease: Non-incision Suture Technique and Full Incision Method. The Non-incision Suture Technique Upper Blepharoplasty can typically be performed if you do not have much excess skin or fat and prefer smaller, more natural appearing double eyelids. If there is too much skin or excess fat, then a Full Incision Upper Blepharoplasty would likely be indicated. I recommend that you have your eyelids formally evaluated by a Board Certified Facial Plastic Surgeon or Plastic Surgeon who is experienced in performing Asian Upper Blepharoplasty to determine which method would be best for you.