Excess Fold of Skin Left After Asian Double Eyelid Surgery?

Thank you for your question. I ‘ve performed Asian eyelid surgery (as well as revision surgery) for than 15 years in New York City. Although you will probably benefit most by discussing your concerns with the operating surgeon I can address your question. Swelling after eyelid surgery is normal and 2.5 weeks is early in the postoperative period. Swelling can be variable and can last for up to a year.

Good morning hyannis,

It's very hard to say without photos or a physical exam but over all I'd say it's early post op.  Wait a few more weeks and see.  I will say that if the surgeon is someone who only occasionally performs Asian eyelid surgery they may have been conservative with the skin removal and this is not all bad.  My surgical practice is large majority Asian eyelid surgery and fine tuning the position of the crease while removing enough excess skin is a challenge. While I am aggressive enough with skin removal I tell all my patients you have a 1 to 2% chance of needing a small amount of skin out or some touch up after surgery.  This is because you can always do a bit more if something was under corrected, it's very difficult to fix something that has been over resected.  Just be patient.  Follow up with your surgeon.

 

Best of luck

Chase Lay, MD

 

After Asian eyelid surgery, you will need to wait at least six weeks to determine whether there is still excess skin on your upper eyelids.  Right after surgery, there will be some swelling which stretches the skin.  After the swelling goes away, the skin which has been stretched will need some time to shrink back.  Therefore, I recommend waiting until six weeks after your surgery before determining whether there is still excess skin.