My nose bridge and eyes creases are too high. And give me this weird look. Any suggestions? (photos)

Question

I had asian blepharoplasty with ptosis correction, rhinoplasty and chin implant for a month now. My concerns are on the swelling of my upper eyelids and I feel like my nose bridge is too high. How much the swollen can goes down if the doctor put gore-tex implant on my nose bridge? My eyes has the sausage affect and feel heavy if I look up. Can you please confirm with me as why my face look "artificial", does it due to the nose bridge and eye creases are too high or it's just the swelling?

Charles S. Lee, MD, FACS · Answer

A lot of things change during the initial six months. You had a fair amount of facial surgery. The ptosis repair looks good at this point. Once the swelling is improved, you'll look much more normal and you can more readily assess your surgery.

Jonathan Zelken, MD · Answer

Dear fashion2811,A month ago you had augmentation rhinoplasty with a Gore-tex implant and an Asian blepharoplasty. You have 2 things going for you: first, it's only been a month, so there's still some swelling that will reside, particularly with your eyes. Second, you had a implant that can be removed so I presume there is nothing irreversible at this point. That nose bridge look you describe is common. I call it the "elevated radix" deformity, and it occurs when the nasal radix (bridge) is both flattened and elevated toward your eyebrow. This is a common result of I-shaped dorsal implants and smaller Gore-tex in Asians. I consider it to be a telltale sign of augmentation rhinoplasty and some women even seek that look. I suggest you wait another 3-4 weeks before making any decisions. There are ways to enhance the nasal radix without elevating it using a two-piece implant that better molds to your natural nasal profile. This technique was developed in the Far East and I would be happy to discuss it further if you are interested. I only mention it to reassure you that 1) the contour may improve on its own, and 2) there are options should you wish to pursue revision surgery in the future.Ultimately, the decision to revise is purely up to you but it is way too early to make that call. You do seem to be off to a great start. Some women would be happy to have a nose like yours, but as we know, we are all individuals and you are certainly entitled to your own opinion.I hope this helps,

Lily Lee, MD · Answer

Hello! Thank you for your photos. It appears to me that everything looks normal for 1 month after Asian beloharoplasty and rhinoplasty. However, I do not know what exactly was done. Eyelids, particularly Asian eyelids, swell and stay swollen a lot longer than average. I would expect 3-6 months before you can judge. Your folds will very likely come down. As for your nose, you would want to go back and look at what it looked like immediately after the splint was taken off. While nasal swelling can be intense especially after a prosthesis was placed, your surgeon should have an idea of the radix (take off from your nasal root) height that was set with the implant. You could also talk to your surgeon about a kenalog injection to the nose to calm the swelling faster. Hang in there!

My nose bridge and eyes creases are too high. And give me this weird look. Any suggestions? (photos)

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My nose bridge and eyes creases are too high. And give me this weird look. Any suggestions? (photos)

Answers (3)

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Everything you need to know about Double Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.