Should I Have a Revision Upper Blepharoplasty to Fix Asymmetry from High Incision?

Lowering a malpositioned eyelid crease after a Blepharoplasty can be very challenging esp. if there is minimal skin left in the upper lid.  If there enough skin and soft tissue left above the crease, it may be possible to use this tissue to reposition the crease inferiorly.  In my opinion, it is less difficult to lower the crease in these circumstances than to attempt to raise the crease where there is almost always a lack of skin to lift.  Key to determining if the repositioning you seek may be possible is a detailed consultation with a  plastic surgeon who is experienced in eyelid revision procedures.

If the asymmetry bothers you, it is possible to revise the blepharoplasty incisions for the lid crease asymmetry. In my opinion it is easier to lower a crease then raise a crease. You should discuss this with your surgeon.