Imtiaz A. Chaudhry, MD, PhD, FACS

It may take up to 6 months to have the incision areas look like the neighboring skin. Anytime one has trauma or surgical incision, it could take several months for the wound to mature. I see that you have obvious visible incision sites, I would not call scars at this time. Everyone behaves differently to the same surgical undertaking and I would not recommend any surgical intervention at this time and advice conservative approaches to mask the incision sites. It is possible that with time, these surgical incision sites may blend-in with your natural skin lines. Since I did not see your pre-operative photos, it is difficult to make any judgment calls about the approach your surgeon had to take to address your upper eyelid hooding problem. In any case, follow up your surgeon's advise, I am sure you had your faith in your surgeon's abilities before you decided to have the operation. Good luck to you and I am sure, with time you will be more satisfied.

From the pictures which you have provided, I could not determine your marginal reflex distance (MRD1). This is very important to see if your upper eyelids droopiness is also causing your visual fields defect beside making you look older and "madder," as you state. Upper eyelid lift definitely can help with enhanced brighter appearance and may improve visual field as well. One has to examine you to determine what kind of options can be used to address your concerns.

Depending how long ago you had a sling placed and what kind of sling you had. Sometimes, scaring around the sling can form and even if the sling is removed, eyelid elevation with frontalis use can continue to occur. On the other hand if you had silicone sling and it is recent, chances are that your eyelid ptosis will recur and you may not have down-gaze eyelid tightness or retraction after the sling is removed.

Have you been given a choice of doing bilateral levator dis-insertion and then sling on both sides. You may consider looking into that option.

Any oculoplastic doctor can work on your eyelid after the previous surgeries.

Impressive illustration and the story. People will try anything to be someone else rather than in their own skin and be happy. Nothing wrong to bring one's own inner beauty by any means which makes one to like them more as long as it is not done to please someone else.

Your photos shows that you do have minimal skin fold when your eye is closed. When your eye is open you do have mild lower eyelid retraction which makes your eye fissure appear more wider than it is.

One may consider removing the upper eyelid skin fold if it causes significant concern. On the other hand you may consider awaiting couple of years before resorting to re-do. In my opinion, you are better off having less skin removal than having too much at one time. I am sure your doctor made the marking based on how much extra skin you had to be removed. In some patients, there is more relaxation of the skin after the procedure and that can be addressed in future. I believe that it is better to remove less and remove more if needed rather than removing too much and then using skin graft to help with complications of eye exposure.