LEA Plastic Surgery

A: Yes, the concern you have about wide-set eyes can be addressed surgically. The procedure you're referring to is known as medial epicanthoplasty. This surgery is often performed alongside Asian double eyelid surgery but can also be done independently. Medial epicanthoplasty involves the modification of the medial canthal area to elongate the appearance of the eyes. By doing so, it effectively reduces the intercanthal distance, making the eyes appear closer together. This procedure can be a suitable option for individuals looking to make their epicanthal folds appear less pronounced, or to alter the spacing of their eyes, making it a potentially viable solution for your concerns about wide-set eyes. However, as with any surgical procedure, it's crucial to consult with a board certified plastic surgeon who is experienced in such procedures to discuss the risks, benefits, and feasibility in your specific case.

A: Don’t stop smiling, you have a genuinely beautiful smile on your photo! I understand your concerns about the wrinkles and skin folding under your eyes, but that can be addressed. Given your history of upper and lower blepharoplasty and regular Botox treatments, you're certainly proactive about your appearance, which is commendable. However, Botox may not be able to address the skin excess issue effectively. A potential solution could be a lower blepharoplasty, possibly combined with a mid-face lift. This procedure, performed through the lower blepharoplasty incision, can help in tightening the skin and reducing the appearance of wrinkles and folds. Additionally, a nanofat transfer, which involves using your body's own fat to improve skin quality and add subtle volume, might also be beneficial. Laser resurfacing treatments are another option to consider. These treatments can improve skin texture and stimulate collagen production, which may help in reducing the appearance of wrinkles. However, it's important to set realistic expectations, as the improvement from laser treatments might not be as drastic as surgical interventions. Consulting with a qualified board certified plastic surgeon can give you a better understanding of the most suitable options for your specific case. They can guide you through the choices, ensuring that you make an informed decision that aligns with your goals. I wish you all the best in finding the right solution that allows you to smile freely and confidently again!

A: Thank you for sharing your concerns regarding your incisional double eyelid surgery. I understand how distressing it can be when a surgical outcome doesn’t meet your expectations. Based on your description, it seems unlikely that the triple fold is a result of the fat graft. It's more probable that it’s due to the asymmetric incision and/or pretarsal fixation technique performed during the surgery. These factors are crucial in determining the final appearance of the eyelid, and asymmetry in these steps can lead to uneven results. While it’s normal for there to be some degree of swelling after such a procedure, prolonged swelling usually resolves over time. In your case, if the triple fold is indeed a result of the surgical technique rather than swelling, it's unlikely that it will improve significantly with time. Hence, waiting until May 2024, as advised by your clinic in Korea, is a reasonable approach. This will give your body ample time to heal fully and will provide a clearer picture for any potential revision. Should the issue persist, seeking a revision surgery seems to be the most plausible course of action. It's important to remember that, although we strive for perfection, revision surgeries are sometimes necessary in the field of plastic surgery, especially bilateral structures on the face! I empathize with your situation and understand the anxiety and uncertainty that comes with it. I wish you all the best for your healing journey and hope that your revision surgery, if needed, will bring you the results you desire.