8 months post-op double bleph: uppers seem asymmetrical, lowers scooped. Is this a normal result or overcorrection? (photos)

Question

I had double eyelid surgery eight months ago to address fairly severe eyebags. It seems to me that, particularly in the right eye, the doctor may have removed too much fat as there is a slight scooped appearance. Also, the uppers seem a bit asymmetrical as there is a bit of a peak on the right side. Would like some expert advice as to whether I should ask him to address these issues or if this is a normal, expected result. Thanks.

Sana Ali, MD · Answer

Did you see an oculoplastic surgeon? the lower lid is retracted (pulled down) which can happen after lower eyelid surgery due to healing and contraction of tissue. I am not sure if it was just skin or also muscle surgery of the upper eyelids but if it was just skin removal, I would recommend revision with possible fat transfer to address this.

Marc Polacco, MD · Answer

Thank you for your question. In general, incisions take a full year to mature completely, so it may be a little too early to make a judgement. When there is asymmetry as such, there are small procedures that could be utilized to help improve symmetry. However, the best option would be to present your concern to your surgeon, as I'm sure he or she has your best interest in mind!
-Dr. P

Christopher C. Lo, MD · Answer

It appears like there is what is called a superior sulcus defect in the right upper eyelid. This hollowness can be caused by lack of fat in this area. It is important to have your physician look at this area in person. Sometimes a small amount of filler can be added to this area to counteract the volume deficit in this region. Be well.

8 months post-op double bleph: uppers seem asymmetrical, lowers scooped. Is this a normal result or overcorrection? (photos)

Answers (3)