Revision blepharoplasty on one eye now crease is too high, will it lower to match the other eye?

Question

I had revision blepharoplasty 10 days ago to remove a little extra skin on the left side. I know it's early only 10 days but the crease is now higher. The Dr said it would look the same only the extra skin removed. I'm really nervous that it won't look the same as the other eye. I don't for see the crease dropping. It also give the appearance of a lazy and seems unnatural. For reference he is an oculoplastic surgeon.

Kenneth D. Steinsapir, MD · Answer

About 70% of my practice is fixing other surgeon's cosmetic eyelid surgeries. It is very early from your surgery so, yes, this eyelid needs to heal.  Specifically, it needs to heal 6 months before I would reconstruct it if it stays like this.  My hunch is that it will be a bit better as it heals but still not right.  What I can't tell you is whether you will feel motivated to have revisional surgery if the lid does improve.   I personally think both eyelids are a bit off.  They both look heavy and the creases appear to be too high. In the pictures, you don't see the eyelashes which suggests that there is no support for the upper eyelid lashes.  The high crease can be lowered, the ptosis can also be repaired. See my video below.  Once you get out about 3 to 4 months, if your issue is still not to your satisfaction, consultations for reconstruction would be appropriate.  Very few surgeons do this type of work.

Mitesh Kapadia, MD, PhD · Answer

The area between the eyelashes and the eyelid crease is often swollen after upper blepharoplasty surgery, causing the crease to appear higher than where it will eventually settle. It can sometimes take up to 6 months to see the final results.

Joseph A. Russo, MD · Answer

It is difficult to say. only time will tell. The most difficult thing for a patient to hear is to be patient, but that is the bottom like. Do not lose faith in your doctor. Trust the process and take photos every 2-3 weeks

Soon Woo Choi, MD · Answer

Hello from View Plastic Surgery in Korea.
By looking at your photos, one eye doesn't seem to open all the way because of swelling. Let's wait a bit to see if it becomes more symmetrical. 
Regards,

Sara A. Kaltreider, MD (retired) · Answer

The incision is likely to stay exactly where it is. After additional healing, if you are not happy with the appearance, see a surgeon who is experienced with cosmetic blepharoplasty revision. The crease incision should be lower, and the crease should be anchored to rotate the lashes into a proper position. Consider consultation(s) for a more meticulous approach to eyelid revision. Best wishes.

Revision blepharoplasty on one eye now crease is too high, will it lower to match the other eye?

Answers (6)

Answer: Blepharoplasty

Answer: Blepharoplasty

Answer: High crease after revision blepharoplasty

Answer: High crease after revision blepharoplasty

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Everything you need to know about Eyelid Surgery

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Revision blepharoplasty on one eye now crease is too high, will it lower to match the other eye?

Answers (6)

Answer: Blepharoplasty

Answer: Blepharoplasty

Answer: High crease after revision blepharoplasty

Answer: High crease after revision blepharoplasty

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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.