Asian Double Eyelid Surgery, for the Second Time?

Hello everyone ! I had an asian eyelid surgery in March 2009. My doctor did a wonderful job but my fold is not as big as I wanted. I was wondering if it was safe to have another asian eyelid surgery to cut the corner of my eyes and make them look bigger. I want my double eyelids to show instead of having inner creases, which I already had pre-surgery. Is it worth the money and is it safe to have this procedure again? Thank you !

Doctor Answers 9

Double eyelid crease formation and epicanthoplasty can be done as a revision

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Double eyelid crease formation and epicanthoplasty can be done as a revision.  There are a few nuances that need to be considered in this situation.  Making a higher crease, will or may entail a higher incision and fixation at a higher point with also more skin excision.  It is usually easier than making a higher crease smaller. 

When you mention opening the corner of your eyes, do you mean the inner or outer corners.  The inner corners are more likely the area that will open your eyes more than the outer corners from a congenital standpoint.  Asian epicanthal folds are in the medial or inner corners of the eyes. This is what distinguishes Asians from Caucasians in many Asian people and not the outer corner of the eyes. 

I have seen many results from the outer corners being cut and they don't make as much difference as when the procedure in the inner part of the eyes are done.  One thing to remember is that most Asian appearing eyes have a crease that is 3mm or less when the eyes are open.  When they are larger they begin to take on more of a western caucasian look.  There are studies that validate this assertion in the literature.

Thanks for reading, Dr Young.

Bellevue Facial Plastic Surgeon

Yes, revision eyelid surgery is reasonable

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Hello Rachel,

It is not unusual to have the lid height drop slightly over time. Your crease position was likely set at 6 or 7mm, but may have required some more skin excision at the time to enhance your new lid posiiton. Your result is overall very nice, very natural but I have treated a number of patients who have asked about the same concerns. I cannot tell if you need a medial epicanthoplasty (inner lid skin release), but since you are now 9 months out from surgery, you are in a safe time for revision. As the other surgeons have mentioned, revision is always more risky than the first surgery, just be sure your surgeon has ample experience. Good luck!

Charles K. Lee, MD, FACS
San Francisco Plastic Surgeon
5.0 out of 5 stars 16 reviews

Revision Asian blepharoplasty

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The question of whether or not it is worth the time and money to have a revision procedure is one that only you can answer, but your aesthetic goals could certainly be achieved during revision surgery with an experienced surgeon.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 64 reviews

Redo Asian eyelid surgery

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Hello GirlfromNYC


it's reasonable to perform a revision surgery on your eyes. Is it worth the money? That's a question that you can only answer for yourself. However, so long as it is apparently safe and reliable based on your physical exam you can certainly make changes to the appearance of your crease at this stage postoperatively and at your apparent age. Get a few consults and ensure that these surgeons can show you a variety of different creases and plenty of photo evidence that they operate on Asian patients.

Best of luck

Chase Lay, MD

Chase Lay, MD
Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 80 reviews

You can have a second double eyelid operation

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It's reasonable to redo the double eyelid and also perform the epicanthoplasty. Ideally, combining your eyelid surgery with a browlift would give you a nicer result, but that may be more surgery than you want to undergo at this time.

Charles S. Lee, MD
Beverly Hills Plastic Surgeon
4.5 out of 5 stars 79 reviews

Oriental eyes

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You said your doctor did a wonderful job.

Discuss your concerns with him/her. The surgery can be redone but carries a certain risk. The inner eye (you might be talking about the EPICANTHAL FOLD) can be repaired, but puts a scar on the inside of the eye.

Samir Shureih, MD
Baltimore Plastic Surgeon

Repeat Asian Double Eyelid Procedure

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You might be OK with a strengthening of the crease towards the nose. The problem is if it is cut there may be a more noticeable scar. Sometimes a suture technique can be used with less of a risk of a noticeable scar. Good Luck.

Janet M. Neigel, MD
Florham Park Oculoplastic Surgeon
4.6 out of 5 stars 21 reviews

Repeat double eyelid surgery

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It sounds like your surgeon did well by you and that you have confidence in them. What is their advice? Perhaps see a few other surgeons and ask the question. More scars might detract from a nice result.

There is an old saying in surgery that "perfection is the enemy of good!" Watch out for this as further surgery might ruin the result you currently enjoy.

Repeat Asian Eyelid

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In order to achieve a greater definition in the inner corner of the eyelid, you will require an incision in this area, This has the potential to create a visible scar and is generally not used for this reason,

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

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.