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The upper eyelid incision is 1 centimeter from the lash margin, and is no where close. Lower lid surgery can be performed on the inside (transconjunctival approach) or an external approach to tighten skin. Even when the incision is on the outside of the lower lids, we are extremely careful not to have patients lose their eyelashes
This is an extremely rare complication after eyelid surgery if performed by an experienced surgeon. This complication may occur if the incision is made too close to the eyelid margin where the follicle for eyelashes are located. The risk is probably higher with the lower eyelid surgery since the incisions are usually made closer to the eyelashes. Again, this is a rare complication.
The incisions for eye lid surgery is far from eye lashes. For blepheroplasty there are two approaches to the lower lid. One is on the skin below the lash line and the other approach is inside the lower lid , Subconjunctival.
Your photos actually look very good. You can expect the swelling and therefore the height of your crese to start decreasing over the next few weeks. Your results at 2 weeks are right on track and your going to have a very nice result.
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...
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