Will my eyelid creases go down a lot after my eyes completely heal and few months go by? (photos)

Question

6 days ago, I had a blepharoplasty and an epicanthoplasty done. Surprisingly, my eyes did not swell as much as I expected. I think that the size of the crease is perfect for me; I don't want them get any smaller. I think that my eyes are still a little bit swollen, & I'm worried that after my stitches come out tomorrow and my eyes heal after a few months, the creases are going to get so small that they'll look non-existent. Do you think that the crease will get much smaller? If so, by how much?

Kenneth D. Steinsapir, MD · Answer

Upper eyelid platform swelling makes the crease appear higher.  It is inevitable that the hight of the crease will fall as the eyelid heals.  Despite the feeling that the current height is perfect for you, the effect is a bit overdone.  However, as you heal, the swelling dissipates, and the apparent crease height falls, your look will actually be better.  I predict that if you like your appearance today, you will like it even more when you have healed.

Raymond E. Lee, MD · Answer

You are healing very well after your eyelid surgery and it look nicely performed.  You do have swelling and as it goes down the skin above the crease will descend but also tighten a bit. The height of your eyelid won't change as this is determined by the incision line and that will stay where it is at.  From what I see, I feel you will have a great result.

Thomas Trevisani, MD · Answer

The upper eyelid crease is determined by the insertion of the special muscle that opens the eye. This can be elevated to a degree with special procedure. It appears from your 5 day post-op pic that you have a very nicely placed incision of the upper lid. The swelling will subside, the length is fixed and the visibility of the scar will markedly fade with time.

Jeffrey M. Joseph, MD · Answer

While the swelling is making the crease appear a bit high, and it will lower a bit as the swelling subsides, what makes the crease stay is the support created by the stitching technique. If the support is adequate, and there is no reason to think it is not by your photos, then you will end up with a very nicely contoured eyelid fold.

Will my eyelid creases go down a lot after my eyes completely heal and few months go by? (photos)

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