Will a revision improve my upper blepharoplasty results - wanting a more defined crease? (Photos)

Question

I had an upper blepharoplasty 9 months ago, I’m not seeing much difference from how my eyes looked before the procedure. My surgeon has offered to do a revision and take more skin from the outer edges of both my eyelids. Will this give a more defined crease and make my eyelids look smoother, I am also concerned about my eye shape being changed after the revision.

Jeffrey M. Darrow, MD · Answer

Thank you for your photographs. It does appear that you have residual excess skin of your upper eyelids. The contour and shape of your upper eyelids as well as the definition of your upper eyelid crease should be improved by a small revision. As always, the parameters of the revision should leave your central upper eyelid crease approximately 1 cm above your eyelashes and the lateral incision about 5 mm above the lateral canthus. In addition, the removal of the excess skin should only go up to the junction of the thin upper eyelid skin and the thicker skin which is just below your eyebrow. Properly done, this should not change your eye shape, but should give you a better, more rejuvenated appearance to your upper eyelids. Best wishes.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can see from your photos, I definitely recommend a revision blepharoplasty. For more details, you need to discuss in detail in the consultation, can you send your photos from the side profile in a better light. Best Regards.

Lexie Wang, MD · Answer

it does look like you could benefit from a little more skin excision esp on the left eye, although I would caution you and your surgeon to be conservative because since it'll be a revision, this time aroun d you may develop some more scarring, which may then result in issues closing your eyes, among other things. you also seem to have deeper set eyes, which puts you at a slightly higher risk for that as well.

Kyle Kimura, MD · Answer

Thanks for the great question and the accompanied photos! 
I think there is certainly some room for improvement in the amount of excess skin of your upper eyelids (more on your left than the right ). But the big question is whether this is just excess eyelid skin or if it is because your eyebrows are a bit lower which contributes to the weight of the upper lid and can be a reason for a failed initial blepharoplasty. I would discuss this with your surgeon and make sure they are taking this into account as I think this is the most common reason why patients need revision upper blepharoplasty.
Hope this helps and best of luck! Kyle Kimura, MD

Diana Marquez, MD · Answer

Hello I am Dr Diana MárquezI understand what you say and what you want.I have some questions for you Since when you have more dropped one eye than another?Do you have a photo without your hair near your brow ?Hugs.

William Portuese, MD · Answer

You still have excess skin on your left upper lid, so a unilateral upper eyelid surgery can  make the hooded eyelid look more like the opposite side. This can be done under local anesthesia and an outpatient procedure.

Will a revision improve my upper blepharoplasty results - wanting a more defined crease? (Photos)

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