Is Asian Blepharoplasty Revision Possible For Higher Crease?

I had double eyelid surgery 8 months ago, however I would like a higher crease now (more platform for make up, etc). Is this possible to achieve? According to my doc I dont have any extra skin, therefore he can't remove the old incision while creating the higher one above it. Is this ok? Is it acceptable (aesthetically)? Thank you very much.

Doctor Answers 8

Raising the Asian eyelid crease

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Having a revision for this may be possible but it would be best to leave it to specialized hands and your particular case. Even when no more skin can be removed in some cases it is possible to raise the Crease further.   However, it is true that it may be unnecessarily risky and you may simply want to wait a little later in life to make this change via revision Asian Island surgery.

Chase Lay MD

Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 80 reviews

It is possible but not worth the money and risks.

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Although you crease may be smaller than you wanted, I think you have a great outcome. I just don't think it's worth spending money and taking the risks. I can tell your doctor is good and would advise you to listen to him.


Eric In Choe, MD
New York Plastic Surgeon
4.6 out of 5 stars 51 reviews

Revision Should Be a Simple Procedure

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Although I think your eyes look very good and your surgery went well, your eyelids could be revised so your crease is higher.  This could be done with a non-incisional technique that would have minimal recovery.  We perform this type of surgery frequently for revisions.



Shim Ching, MD
Honolulu Plastic Surgeon
4.6 out of 5 stars 51 reviews

Higher crease after Asian eyelid surgery in the past

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Yes you can increase the height of the crease after Asian Eyelid Crease Surgery. It will entail setting the crease higher with a higher incision. The drawback in this situation is that you may have two incisions that could be exposed if you don't have enough skin. It is likely that your crease is high enough and that all you need is more skin taken out. This is much simpler to do.  The options are there for you. I think non incision techniques that the others are advocating is harder to achieve symmetry and long lasting results and you may need to get more surgery in the future to correct that approach.

Thanks for reading, Dr Young

Philip Young, MD
Bellevue Facial Plastic Surgeon

Yes it works

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Yes, it is definitely possible to create a higher crease. This procedure is relatively an easy procedure. You do not need extra skin to create a larger crease. It will be aesthetically acceptable as long as your eye elevating muscle can tolerate the higher crease. If the higher crease formation creates a slight ptosis, then a ptosis surgery will be performed at the same time so that a high crease can be created which also looks aesthetically pleasing. The surgery will be performed using a suture technique so there will not be any incision. One would not remove the old incision to create the higher fold. 

Kenneth K. Kim, MD
Los Angeles Plastic Surgeon
3.4 out of 5 stars 26 reviews

Revision Asian eyelid surgery to create a higher crease.

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A secondary procedure with a nonincisional suture technique may allow for creation of a higher crease especially if there isn't any "extra skin". It may improve the symmetry as well.

Suzanne Kim Doud Galli, MD, PhD, FACS
Washington Facial Plastic Surgeon

Is Asian Blepharoplasty Revision Possible For Higher Crease?

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You have a very good symmetric result, however, if you are absolutely sure you want a higher crease, this is achievable. The new crease is higher than it looks since your actual crease is hidden under a skin fold. 1-2mm skin resection will give you what you want.

Mohsen Tavoussi, MD, DO
Orange County Facial Plastic Surgeon

Double eye lid surgery

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You have a very aesthetic result. Getting the crease higher not advised especially if you had an open technique.

Samir Shureih, MD
Baltimore Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.