Hello, Thank you for your question. One significant disadvantage to having plastic surgery distant from your home, is the inability to easily see your surgeon if the need arises. By all means however, please contact your surgeon and ask him or her these very questions. Be sure to send clear photos of both eyelids from the front and three-quarter views. Have a friend take the photos so they are clear and at a proper distance. In the mean time, I hope my answers are helpful. By viewing your photos, the scars are not considered hypertrophic at this point. Also, your scars are not exceptionally abnormal at 47 days post-operatively. Darker skin types, including Asian skin, tends to scar more than Caucasian skin and also may take more time for erythema (redness) to dissipate. The use of topical steroid creams may be helpful to reduce both the raised scar and the red color. A medium potency steroid cream may be a better choice but low potency hydrocortisone 2.5% can be purchased over the counter. Your surgeon may recommend obtaining a prescription from a local health care professional. Without seeing you and knowing more about your health and physical exam, I am not recommending that you use a steroid cream. That answer is for information purposes only. Regarding the "cyst" on your left eyelid scar, it's difficult to assess definitively. If you are not allergic to bacitracin, I do recommend you use bacitracin ointment on that area 3-4 times per day. You may also use a 50% hydrogen peroxide and 50% water solution to clean that area morning and night before placing the bacitracin ointment on the area. If it gets larger and develops whitish cream discharge you must seek medical attention right away. That area should settle down soon. As for the incisions being too high, it looks like your surgeon gave you a "medium" size height lid. This is something that should have been clearly discussed prior to surgery with your surgeon. The surgery cannot be reversed. I cannot tell if your eyelid truly covers your pupil but I doubt you have a true ptosis (droopy eyelid) following surgery. I suspect you still have swelling and more time should help with your eyelid height. You may have strabismus (eyes point in different directions) naturally that wasnt appreciated when you had the epicanthal folds prior to surgery. You should see an ophthalmologist for an eye exam. Also, most people have pre-operative asymmetries and unless clearly pointed out by your surgeon pre-operatively, many people identify their pre-existing asymmetries after surgery when they are focused on the surgical sight so intensely. I recommend that you not obsess about your eyelids for the time being and try to be patient during this healing period. There should be no reason to be truly depressed and if you are feeling down, this is a normal emotion after undergoing plastic surgery for some people and these feelings will resolve in due time. Think positively. Your result looks very nice. You changed your physical appearance and it will take time for you to get used to your new appearance. I really think you will come to like your new eyes within a few months. I believe your result objectively looks very nice.
