Lowering and reconstructing the eyelid crease - Would the edited picture (#2) be a reasonable & possible outcome? (Photos)

Question

I would like to lower my eyelid crease, and slightly lift the tails of the creases. Would the edited picture (#2) be a reasonable & possible outcome? What would be involved in order to achieve such a look? Would I need any fat grafting to be done? I have read some negative opinions on fat grafting, so I am unsure about it. Overall are there any high risks? Will it look unnatural when I blink or close my eyes? Will there be obvious scarring? Thanks ^^

Zoran Potparic, MD · Answer

It would be very difficult to tell how much your upper eyelid fold could be lowered without in person consultation. It is unlikely that fat grafts will be needed in that procedure, but it can not be excluded without in person evaluation. Consultation with a board certified plastic or oculoplastic surgeon, is recommended. Good luck.

Kenneth D. Steinsapir, MD · Answer

Grafted fat struggles to survive and is associated with significant scaring. It can be necessary if the prior eyelid surgery was overly aggressive. In my series, less than 3 percent of cases require grafted fat. The reality is that it is possible to reconstruct the fold using adjacent eyelid fat in the vast majority of cases. Generally in eyelids with prior unsatisfactory double fold surgery, the prior surgeon has left the septum and the anterior orbital fat intact. That creates the opportunity to lower the upper eyelid fold, control the volume of skin and orbicularis in the eyelid platform and lower the upper eyelid crease using the living tissue in your eyelid. The challenge for you is that no surgeon in your area does this type of work. There is no substitute for a detailed, in person examination.

Lowering and reconstructing the eyelid crease - Would the edited picture (#2) be a reasonable & possible outcome? (Photos)

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Everything you need to know about Eyelid Surgery

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Lowering and reconstructing the eyelid crease - Would the edited picture (#2) be a reasonable & possible outcome? (Photos)

Answers (2)

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.