Can I reverse my double eyelid surgery by stretching the upper eyelid and making the crease lower? (photos)

Question

I had revision double eyelid surgery 3 month ago . Eyelids were created too high and distance between brow - crease and crease - eyelashes is the same . Is it possible to stretch the upper eyelid and make crease lower (my preference is single eyelids)?also i got prominent long scar. Please, could you help me with any advice

A.J. Amadi, MD · Answer

Unless you have some excess skin to excise, lowering a crease is extremely difficult to achieve. From the photos, it seems like you do not have enough excess skin at this time. Stretching the eyeild will not lower the crease. As far as the scar goes, this will improve with time. Scars will improve up to a year after surgery.Be patient.

Chase Lay, MD · Answer

fortunately it has only been 3 months so you can expect it to lower.  If your desire is to have a single eyelid or model lid then your plan must have changed from your original surgical consult because that appears to be what you had an your preoperative photo.  This will relax and decrease in height with time.I would not doing any stretching nor would I recommend any surgical procedures at this point.  Revision may be possible for you but it probably will be in the distant future.  However, the patient because I do predict that this will be better within the next 6-9 months.Chase Lay, MDdouble board-certified facial plastic surgeon

Amiya Prasad, MD - Account Suspended · Answer

The challenge after incisional Asian eyelid
surgery is that it is almost impossible to get the results that you had before
surgery. Excisional procedure involves removing skin and fat in order to
connect the skin to the muscle called the levator muscle. The levator muscle is
responsible for lifting the eyelid. When someone has a crease, nature has
allowed a connection between the levator muscle and the skin so that a crease
is made. In surgery, we create that crease artificially with sutures.

If you want to stretch your skin, you have a long
time before it becomes stretched enough to cover this area over. In addition,
you are 3 months after surgery and you’re still in a healing phase. The process
of healing will go on up to a year. When you talk to your doctor, I think that
expressing your concerns is very important. With your eyes closed and the
crease being in a particular position, it’s not as relevant compared to how the
eyes area like when they are open. If there is a proper or appropriate
aesthetic fold of skin that shows a narrow type of shell for platform, or as
everyone refers to as the lid, then it should look natural and satisfactory
with how you wanted it to look like when you first decided on Asian eyelid
surgery.

In our practice, when a patient comes in we will
do fat grafting to fill an area where too much fat has been removed, or if the
person lost fat because of aging. One of the things that is observed with
Asians is they have full eyelids when they are younger, but as they get older,
the eyelids hollow out. If there is extra skin, the eyelids can look like there
is actual volume or fat loss. In those situations, we will do fat grafting.

At this point, you should be patient about the
progression of your healing process. You can’t undo everything that’s been done
like when you had skin and fat removed. Meet with your doctor, review your
before pictures and after photos and see if there are ways that your doctor can
help you get to a point where you will be satisfied with your result. I hope
that was helpful, I wish you the best of luck, and thank you for your question.

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Can I reverse my double eyelid surgery by stretching the upper eyelid and making the crease lower? (photos)

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