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Reduction of volume in any eye is a combination of evaluation of skin, orbicularis muscle, and periorbital fat. Proper final volume of the lid requires the correct management of the structures.
Puffiness and thickness of the eyelids is usually caused from combination of herniated fat in both compartments of the upper lids. A small strip of skin, muscle and fat removal give more eyelid definition and reduced thickness in asian eyelid surgery
The puffiness of Asian eyelids is because of the eyelid anatomy and it is quite different from non-Asian eyes. The fat comes down and gives a puffy appearance. If you are only looking to reduce the puffiness, it can generally be done by removing some of the fat without removing part of the muscle; however, if you are looking to create an eyelid crease and remove fat, then the surgery would be different. Please consult with a board certified specialist who can assist you in achieving the results you seek.
Without a photograph, it is hard to answer your concerns. In my past, I have improved the puffiness in Asian eyelids with selective fat removal. If other correction is requested, a better crease is made in the upper lids.Consult a board certified plastic surgeon in your area. All the best.
Sometimes after ptosis repair it looks like nothing's been done because swelling pushes the the lid down. As this subsides the lid will assume a better position.
Small lumps are common at the lateral canthal incisions in the first few months after blepharoplasty surgery. They often are just reactions to the deeper sutures that usually will resolve on their own. They may also represent some bunching of the tissues which likewise will settle with more...
I agree with Dr. Hughes that you do appear to have an upper eyelid droop (ptosis). Seek a consultation with an Oculoplastic Surgeon or Plastic Surgeon with ptosis repair experience. A simple upper eyelid lift will likely not create any improvement in symmetry for you and might actually create a...