5 years post non-incisional double eyelid surgery and right eye sutures loosening--how to fix it? (Photo)

Question

~5 years ago, I got non-incisional double eyelid surgery with epi. I was very happy with the results and have no complaints. A few weeks ago, I noticed that my creases were uneven. At first, it wasn't too bad, but now the right eye crease is visibly fading--it's shorter and not as deep/obvious as my left crease. What are my best options for getting symmetrical creases again? Re-suture the right eye only? Resuture both? Incisional method? Is "resuturing" one eye for symmetry a difficult surgery?

Hugo Higa, MD · Answer

Yuchang89, the major problem with sutured creases is that they do have a tendency to revert back to the pre-crease days because the suture breaks and/or the scar line never really establishes itself.  The best option is to get an incisional crease procedure.  This will produce a scar which will make up your new crease (the scar is generally not visible).  You could undergo the suture procedure again for the right eye, but be aware that the left lid may lose the stitch and that this is not a long term way to form a crease.  Hope this helps.  Cheers

Goretti Ho Taghva, MD, FACS · Answer

Hello Yuchang89, thank you for your question and photos.  I see patients who lose their eyelid fold(s) years after undergoing the suture method quite often.  My preferred treatment for those patients is to perform a full incision Asian blepharoplasty on both sides for symmetry.  It's hard for me to replicate exactly what was done previously by other surgeons, but I can better ensure symmetry when I perform both eyelids from scratch.  Hope that helps!Goretti H. Taghva MD

Michael Eisemann, MD · Answer

I would recommend a supra tarsal fixation on the affected eye with a possible staged  procedure on the opposite eye if necessary for symmetry under local anesthesia or with iv sedation. The results are longer lasting and more precise.Michael Eisemann M.D.Plastic SurgeonHouston Texas

Chase Lay, MD · Answer

Good morning, thank you for the photos those are very helpful. While repeating the suture technique on the right eyelid maybe effective it doesn't have the same longevity  and Precision as incision Asian eyelid surgery.  over the long run incision technique should give you the best results and you can still maintain a very natural appearance and not change your overall look as long as you see an experience Asian eyelid surgeon.Chase Lay MD

5 years post non-incisional double eyelid surgery and right eye sutures loosening--how to fix it? (Photo)

Answers (4)

Answer: Suture method versus incision method for revision Asian eyelid surgery

Answer: Suture method versus incision method for revision Asian eyelid surgery

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Everything you need to know about Double Eyelid Surgery

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5 years post non-incisional double eyelid surgery and right eye sutures loosening--how to fix it? (Photo)

Answers (4)

Answer: Suture method versus incision method for revision Asian eyelid surgery

Answer: Suture method versus incision method for revision Asian eyelid surgery

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Recommended reading

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.