1) How is double eyelid revision done to make eyes bigger or smaller? 2) Do you make an incision on the old crease and suture it inside higher or lower, or do you have to cut out the old crease and make a new crease? 3) What about revision just for ptosis sake? Do you make an incision on the same crease or make a new crease?
July 22, 2019
Answer: Double eyelid revisions Hi,Addressing your questions:1) How is double eyelid revision done to make eyes bigger or smaller? Generally double eyelid surgery is performed to give the "impression" of a larger eye. The distance between the upper lid and lower lid margins (aka palpebral fissure) remain the same as if the double crease were not created. If ptosis surgery is performed along with the lid crease formation and/or the surgery is performed to primarily remove skin, then the palpebral fissure maybe enlarged. 2) Do you make an incision on the old crease and suture it inside higher or lower, or do you have to cut out the old crease and make a new crease? If the old crease is at desired height then it can be used. If the crease is too low, then a higher crease can be formed. If the crease is too high, then the lower crease is created. Scarring can be encountered when performing this surgery so it is important to either leave enough upper lid skin to drape over the crease if the previous crease was too low. If the crease was too high, careful skin removal is imperative. This is done to allow the skin above the previously higher crease to cover it.3) What about revision just for ptosis sake? Do you make an incision on the same crease or make a new crease?If the crease is at the desired height, then it's fine to make the incision at this site. If not, then it's fine to change the height. Crease height doesn't affect ptosis repair results.Hope this helps
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July 22, 2019
Answer: Double eyelid revisions Hi,Addressing your questions:1) How is double eyelid revision done to make eyes bigger or smaller? Generally double eyelid surgery is performed to give the "impression" of a larger eye. The distance between the upper lid and lower lid margins (aka palpebral fissure) remain the same as if the double crease were not created. If ptosis surgery is performed along with the lid crease formation and/or the surgery is performed to primarily remove skin, then the palpebral fissure maybe enlarged. 2) Do you make an incision on the old crease and suture it inside higher or lower, or do you have to cut out the old crease and make a new crease? If the old crease is at desired height then it can be used. If the crease is too low, then a higher crease can be formed. If the crease is too high, then the lower crease is created. Scarring can be encountered when performing this surgery so it is important to either leave enough upper lid skin to drape over the crease if the previous crease was too low. If the crease was too high, careful skin removal is imperative. This is done to allow the skin above the previously higher crease to cover it.3) What about revision just for ptosis sake? Do you make an incision on the same crease or make a new crease?If the crease is at the desired height, then it's fine to make the incision at this site. If not, then it's fine to change the height. Crease height doesn't affect ptosis repair results.Hope this helps
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July 21, 2019
Answer: How is double eyelid revision done to make eyes bigger or smaller? Sometimes the placement of the new crease is where the original crease is. Other times it is farther back. It all depends on who much lid show the patient wants..
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July 21, 2019
Answer: How is double eyelid revision done to make eyes bigger or smaller? Sometimes the placement of the new crease is where the original crease is. Other times it is farther back. It all depends on who much lid show the patient wants..
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