Can the Creases Be Revised (Raised) After Upper Bleph?

Question

Hello, 30 y/F, full of regret after bilateral upper bleph (3mm skin removed) & left eye ptosis repair. Ptosis repair is fine. Upper bleph has left both creases too low, eyes look hooded / smaller. Some tissue was removed below the incisions, which were made a bit too low, especially medial half, where crease cuts down to the inner corners. Also, brow has very slightly relaxed. I am 1 yr/ post op. My surgeon said he might revise if it is safe. Any thoughts, is it safe / possible to correct?

Mehryar (Ray) Taban, MD, FACS · Answer

A photo or examination is needed for better assessment. Raising eyelid creases are generally possible, unlike the opposite. See an oculoplastic surgeon for evaulation.

Kenneth D. Steinsapir, MD · Answer

From what you have described, it should be possible to revise your upper eyelids. Generally it is possible to raise a crease and very difficult to lower a crease. The key is carefully tailored surgery for precisely you situation. This means a detailed eyelid examination. If the surgeon spends 3 minutes with you assessing your situation, you are probably in the wrong office. Look for a surgeon who has aesthetic eyelid reconstruction as a big focus of their practice. If you live in Orange County, you will need to travel to West Los Angeles or Beverly Hills for this sort of care.

Nima Shemirani, MD · Answer

Dear Jenal,

	
		It sounds like your incisions can be revised
	
		I would check with your surgeon first to see if they will revise it


	Best regards,

	Nima Shemirani

David Shafer, MD, FACS · Answer

Without pictures, it is impossible to give you specific advice.  If there is still extra skin, then you could possibly have a revision.  If the skin is already tight, then excising more will not help and may make things worse.  If you post before and after pictures, we may be able to give you more specific advice.

	 

	Good Luck.

Vincent N. Zubowicz, MD · Answer

Without a picture, it is difficult to be clear about what your problem is. Nevertheless, revisions to upper eyelid surgery although in common can be successfully performed. Make certain you and your surgeon has a specific goal in mind.

Can the Creases Be Revised (Raised) After Upper Bleph?

Answers (9)