Droopy Asian Eyelids - Is There a Procedure That Doesn't Require the Fold?

Question

In 7th grade, I curiously played around with eyelid tape & glue - my eyes are droopier & 'less brighter' because of it. It's been bothering me over the years, & I just want my eyes back to the way they were. I was so stupid, and had i known my eyelid skin would sag, I would not have messed around with it. So, I was wondering if there was surgery that simply reversed this "sag" WITHOUT double eyelids (i want to look like myself). I just want my eyes back to the way & shape they were before

Mark J. Lucarelli, MD · Answer

Hi,

	Although your photos are a bit fuzzy,  a few things can be said:

	Upper blepharoplasty can certainly be performed without the intention or the result of creating a "double fold."  Many patients do not prefer to have the eyelid crease made more prominent and in these cases upper lid blepharoplasty is still very much an option. 

	I agree with Dr. Steinsapir, too.  Your activities as a child probably did not cause this.   Many patients come in with similar findings...

	Best wishes,

	 

	Mark Lucarelli, MD, FACS

	Madison, WI

James Chan, MD · Answer

An Asian blepharoplasty can remove excess/hooded skin
without creating or changing the double eyelid crease. I recommend that you
consult with a board certified facial plastic surgeon that specializes in Asian
eyelid surgery.  You may want to consult
with several surgeons before choosing because this type of procedure is highly
specialized.

A.J. Amadi, MD · Answer

Forming a "double eyelid" involves additional steps during surgery, without which an eyelid crease will not form. If it is only excess skin that is bothering you, it can can be done without creating a fold. If it is the entire eyelid that is drooping and not just skin, ptosis surgery can be done withou any external incisions whatsoever. As mentioned above, your photos are difficult to assess and a consultation with an Oculofacial/Oculoplastic surgeon would be helpful.

Kenneth D. Steinsapir, MD · Answer

Dear Iloveoranges

	It is very hard to restore an eyelid to the way it was in 7th grade.  Please do not blame yourself for the changes you see.  Most like the tape and glue has less to do with the appearance than time, wear and tear.  Unfortunately your photos are not that illuminating.  However, there are options for the upper eyelids that do not involve double fold surgery.

James Tang, MD · Answer

Yes, upper eyelid surgery can be performed just to remove skin without creating a fold if one is not present before. In this surgery, just skin and perhaps some internal fat are removed. No internal sutures will be used to create a fold if one is not desired. External sutures are placed which are removed in three to five days.

Droopy Asian Eyelids - Is There a Procedure That Doesn't Require the Fold?

Answers (5)