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You should try to avoid being in this unfavorable situation by knowing whether you would be a good candidate for medial epicanthoplasty with Asian eyelid surgery. An experienced surgeon should be able to show you how you may look with or without the epicanthoplasy. You should also know the risks associated with this procedure. Medial epicanthal fold is not an abnormality and thus not everyone needs this procedure done. In fact, many doctors and patients find this feature quite attractive.
Epicanthal folds can be addressed at the same time or after double eyelid surgery. Somehow, in some patients epicanthal folds appear more prominent after upper eyelid surgery. That is why some patients are not sure if they need the epicanthal fold surgery along with double eyelid surgery. If I see epicanthal folds, I usually recommend addressing their correction at the same time of the upper eyelid surgery. It may take additional 15 minutes each side, but correction really makes horizontal fissure wide and significant enhanced cosmetic appearance.
If you do not have significant skin in the inner corner, then a medial or inner epi is not necessary. The removal of the inner skin is mainly to enhance the natural curvature of the double eyelid fold.
The inner skin fold correction leaves a small scar. There are cases in which the correction is unavoidable, and in other cases the correction is optional. I find that in the overwhelming number of cases the scar is not very noticeable and worth the small scar. I do not charge to add this...
This warrants aggressive treatment. A trial of steroids would definitely have been worthwhile at 7 days. It is often worth taking the lid apart at 7 days to reduced the anchor sutures that are causing over-rotation of the lid margin. This will soften but based on the photo, I...
How long after surgery are the photos that you have posted? You may be able to improve the appearance of the scars with laser resurfacing. There is a risk of pigment changes with your skin tone, but that may be minimized with some pretreatment with bleaching creams. Injection of incision...
Although the right eye is the one bothering you, the cause of the problem more likely lies in your left eye, which is slightly droopy. To maximize symmetry, both eyes should be corrected: the left eye opening muscle needs to be strengthened and a crease placed to match the opposite eye; and the...
Hello You have to differentiate the fold versus depression. If fold is just under the eyebrow then it is more likely depression rather than crease and is due to fat loss. If the triple folds are presented on eyelid itself then it may be either due to multiple attachment between...
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