Double eyelid creases disappeared after repaired surgery, what should I do? (Photo)

Question

I did full incision double eyelids surgery on August 2017, but the double eyelid crease on my right eye disappear half year later, so I did repair surgery with the same doctor on 10 March 2018. However, it disappear again, particularly, in both surgery, there are excessive skins that grow in between my eyebrows and right eye after the surgery, what should I do?

Brett S. Kotlus, MD, MS, FACS · Answer

If your crease softened after the prior surgeries the best solution is often to repeat an incisional approach along with removal of scar tissue and sometimes a strip of orbicularis muscle to allow re-stabilization of the crease with fixation sutures, either from the skin to the tarsus or the skin to the aponeurosis.Best of luck!

Andrew Choi, MD · Answer

This is one of most challenging complication in Asian eyelid surgery.
I had quite a few cases like this and to resolve this issue is to repeat the procedure.
In revision surgery, it needs to do extensive dissection below the crease line (pre tarsal area) and remove all visible muscle.
Then place fixation suture onto the tarsal plate  directly and attach to the skin.
Even with this thorough dissection and fixation, crease still can disappear again.
Good luck

Dr. Andrew Choi

Chase Lay, MD · Answer

You have no other alternative than to have a revision Asian eyelid surgery using Anchoring technique.  This is a specifically designed technique not used by most Asian eyelid surgeons during which an crease is more deeply and effectively attached from the under surface of the skin to the  pre-tarsal tissues.However, sometimes it can be issues with the patient.  If you had a defined crease on the left and not not he right it could be the tissue but you still need to modify the anchoring technique with perhaps Vicryl sutures deep for a longer hold.You need an in person evolution to know for sure.Chase Lay MDAsian eyelid surgery specialist

David Kahng, MD · Answer

hi,
based on your picture, it doesn't appear that you have excess skin but the fold unraveled.  unfortunately you need revision surgery to re establish the fold again.  hope this helps.

Double eyelid creases disappeared after repaired surgery, what should I do? (Photo)

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