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

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

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

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