1.5 years post op Asian eyelid surgery, eyelid crease is too high and unnatural. Revision options? (photos)

Question

I did a double eyelid surgery (without upper eyelid fat removal) when travelling in Asia. Now it's been more than one and a half years after the surgery. However the double eyelid crease is still a bit high and thick and my eyes look puffy. This seems the final result since it’s been so long after the surgery. Should I go for a revision to make the crease lower and my eyes look less puffy? Will simply the removal of upper eyelid fat achieve the result? Your professional opinions are much appreciated!

Andrew Choi, MD · Answer

I agree. The crease is slightly higher and puffier than usual. The usual analysis of this kind of eye known as "sausage eye".
The crease can be lowered quite easily by revision surgery and puffiness may be due to residual muscle rather than fat.
No fat exists below the crease but Asian muscles are somewhat thicker than Caucasian muscles;this muscle can be removed without affecting eye function.

Dr. Choi

Eric YK Li, MD · Answer

Your crease is too high for an Asian ideal and you also have fullness in your lower lids which was not trimmed down during your operation.  The result that you see is that result you should expect going forward.  It can be fixed with revision surgery.  Hope this helps.

Malena Amato, MD, FACS · Answer

Your are correct in that waiting over a year should give you plenty of time to know the final result of your surgery. If you are not happy with the result, I would suggest bringing old photos before your surgery of yourself, as well as any pictures of what you think would be your desired look. To answer your questions: You can lower and eyelid crease. Removing fat may give you an even more caucasian look. If you have allergies, this can contribute to swelling at this point as well. Best to have a consultation with a physician who specializes in eyelid surgery with experience in Asian eyelid surgery for a complete exam an review of photographs. Hope this helps.

Amit Gupta, MD - Account Suspended · Answer

Good afternoon and thank you for your question. The scar appears to have been placed a little higher but I am sure that would have been discussed with you in the pre procedure period during the marking by your operating Surgeon, however if you are not happy with the current sighting of this scar as well as the person as we advise you to revision where the eyelid muscle will need to be removed and you may then also have to do a revision surgery since the stitches which are placed between the skin and the underlining muscle may break. You are advise to review with a well experience plastic surgeon in your area. Thank you , Regards Dr Amit Gupta,

1.5 years post op Asian eyelid surgery, eyelid crease is too high and unnatural. Revision options? (photos)

Answers (4)

Answer: Asian Eyelid Surgery

Answer: Asian Eyelid Surgery

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Everything you need to know about Double Eyelid Surgery

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1.5 years post op Asian eyelid surgery, eyelid crease is too high and unnatural. Revision options? (photos)

Answers (4)

Answer: Asian Eyelid Surgery

Answer: 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.