What can be done to correct asymmetrical incision lines and swollen appearance caused by upper eyelid surgery? (photos)

Question

Hello Drs, My whole adult life I had wanted an upper blepharoplasty. It seems like I was born with hooded eyes. As I got older it became worse. I finally had the procedure in April of 2023 and unfortunately walked away with asymmetric incision lines, a lower brow on one side and total dissatisfaction. It looks like one eye is swollen. Every day I look in the mirror and want to cry. I would like to know what can be done to repair this, any advice and suggestions are welcomed.

Camille Cash, MD · Answer

The best place to begin is a consultation with a board certified plastic surgeon near you for an evaluation.  A revision could help improve the lid symmetry that concerns you.  A brow lift may be recommended to even the brows.  I've included a video I hope you find helpful.

Philip S. Schoenfeld, MD, FACS · Answer

Your particular issue is actually not terribly difficult to correct.  A revision of the right upper eyelid should provide you with symmetry.  The crease is a bit high on the left side but that would be a bit more difficult to correct.  A physical exam may indicate that both lids need to be adjusted slightly.

Gary M. Horndeski, MD · Answer

You describe your brow as being asymmetrical so you may benefit from a browlift.  You appear to have a high forehead.  A frontal hairline incision can be done to elevate the brows to create symmetry of the brows.  This will help with some of the upper eyelid skin.  You will need a revision of the upper blepharoplasty as well.

Best Wishes,

Gary Horndeski, M.D.

Zoran Potparic, MD · Answer

It would be very difficult to evaluate your result without preoperative photos to compare. There is some asymmetry in the upper eyelids that can be corrected. It is also possible that you have ptosis of both eyelids, which can be ruled out only based on in-person evaluation. Second opinion consultation with a board-certified plastic or oculoplastic surgeon is recommended. Good luck.

Arnold Almonte, DO · Answer

Hi, no need to despair. Based on your pics, it looks like enough time has passed that your scars are matured and soft. See your original surgeon and ask about revision to restore symmetry. Alternatively seek a second opinion from an experienced surgeon who can do a scar revision for symmetry.

What can be done to correct asymmetrical incision lines and swollen appearance caused by upper eyelid surgery? (photos)

Answers (8)

Answer: Asymmetry after upper blepharoplasty, possible ptosis

Answer: Asymmetry after upper blepharoplasty, possible ptosis

Answer: Need Blepharoplasty Revision

Answer: Need Blepharoplasty Revision

Recommended reading

Everything you need to know about Eyelid Surgery

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

What can be done to correct asymmetrical incision lines and swollen appearance caused by upper eyelid surgery? (photos)

Answers (8)

Answer: Asymmetry after upper blepharoplasty, possible ptosis

Answer: Asymmetry after upper blepharoplasty, possible ptosis

Answer: Need Blepharoplasty Revision

Answer: Need Blepharoplasty Revision

Browse related questions

Recommended reading

Everything you need to know about Eyelid Surgery

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