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
Answer: Possible reasons for high crease are swelling from ongoing healing, or results were affected by too much skin and fat removed 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. This personalized video answer to your question is posted on RealSelf and on YouTube. To provide you with a personal and expert response, we use the image(s) you submitted on RealSelf in the video, but with respect to your privacy, we only show the body feature in question so you are not personally identifiable. If you prefer not to have your video question visible on YouTube, please contact us.
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Answer: Possible reasons for high crease are swelling from ongoing healing, or results were affected by too much skin and fat removed 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. This personalized video answer to your question is posted on RealSelf and on YouTube. To provide you with a personal and expert response, we use the image(s) you submitted on RealSelf in the video, but with respect to your privacy, we only show the body feature in question so you are not personally identifiable. If you prefer not to have your video question visible on YouTube, please contact us.
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February 2, 2016
Answer: Very difficult 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.
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February 2, 2016
Answer: Very difficult 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.
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September 1, 2015
Answer: Lowering the crease in revision Asian eyelid surgery 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
Helpful 1 person found this helpful
September 1, 2015
Answer: Lowering the crease in revision Asian eyelid surgery 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
Helpful 1 person found this helpful