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Will my eyelids get smaller as I age and if not will a revision be worth it? (Photos)

Vy TrinhAug 23, 2021
Eyelids still look big and puffy after 1 year. I had blepharoplasty when I was 18. At first I thought they were gonna be natural as they recovered, but it has been more than a year now and my eyelids look swollen most of the time (I'm Asian). I have a hypothesis that the puffiness is caused by dry eyes? So I tried moisturizing them, and surprisingly they were a bit less puffy. My questions are: Will my eyelids get smaller as I age? If not, will a revision be worth it?

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Donald B. Yoo, MD, FACS

Although an in-person exam would be necessary to provide a definitive answer, based on the photo you have provided it does appear you would be a suitable candidate for revision upper blepharoplasty to re-create a more visible, symmetric, and defined crease. If you want the best idea of what is...

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Ben Lee, MD

Thank you for your question. The reason for the regression of your initial result is a loosening of the adhesions that were created at the first surgery. This can result in multiple folds and is also seen in natural double creases as we age. You can certainly have a revision procedure to restore...

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Christopher Chui, MBBS, MRCS Ed, MMed

Thanks for your question.Yes, it is possible to change your eyelid crease to a lower position and improve your look.Depending on the technique used previously, scar tissue or suture material would need to be removed and a new fold created. Therefore it can only be revised through an open...

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