Considering revision blepharoplasty - How risky is it to lower a surgically made crease from 6mm to 4.5mm? (photos)

Question

I had incisional upper blepharoplasty about a little over 4 months ago and I unsatisfied with how high the crease is (6mm). Ideally, I would like : 1. my crease to be lowered to 4.5mm. 2. I also would want to tuck in my tarsal platform so my eyelashes could lift and the outer shape of my eyes be in an inverted v-shape. 3. Slight exposure of the tarsal platform I was made aware that crease lowering is really unpredictable, but given my situation, are my goals for revision high risk?

Kenneth D. Steinsapir, MD · Answer

It is possible to lower a crease. The details that go into that make the difference in success in these eyelids. In order for your lid to fold in in the manner you are trying to demonstrate, there needed to be an attachment between the eyelid platform skin and orbicularis and the cut edge of the levator aponeurosis. This is called an anchor blepharoplasty. Other types of creases include static creases and dynamic creases but these two types of creases are not as strong as the crease that is made by the anchor blepharoplasty. There is no substitute for a detailed in person assessment.

Mark L. Mazow, MD, FACS · Answer

Unfortunately your photos aren't in the correct views to give you an adequate answer. You need to  make an appointment with an ASOPRS affiliated Oculoplastci surgeon fr an in person exam and consultation

Considering revision blepharoplasty - How risky is it to lower a surgically made crease from 6mm to 4.5mm? (photos)

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