I really feel like my crease is too big for my eye. Do I Need a Revision? (photo)

Just had asian eye lid surgery on 6/3/13. I know it's too soon to tell but I really feel like my crease is too big for my eye. The crease is right above my incision line which makes the left eye crease look bigger. My right eye seems to be healing fine. Are the creases too big for my asian eyes? is the red lines normal? I had slight potosis before surgery but now my eyes seem to be worse. I mentioned it to the surgeon and he said it doesn't matter????

Doctor Answers 6

Transiently high crease after Asian blepharoplasty

In the early post-operative period, the crease will always appear somewhat high because of swelling from the surgery.  As the swelling resolves your crease will settle into its final position (which may take up to 3-6 months depending on the technique used).  

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 58 reviews

Way too early to worry

Asian blepharoplasty [eyelid crease surgery] can take several weeks to normalize and the eyelid creases ALWAYS look way too high early in surgery. I would recommend patience [at least 3 months] before worrying about revision surgery.

Redness is quite normal and can take 3 months or even longer to fully go away.

A.J. Amadi, MD
Seattle Oculoplastic Surgeon
5.0 out of 5 stars 41 reviews

It takes time to see the final results of Asian eyelid surgery

With Asian eyelid surgery, it's important to be patient to see the final results -- 2 weeks post-op is far too early. Swelling is completely normal and not anything to worry about. Also, remember that the scars will heal in the coming weeks and months, so the whole process is more like a marathon than a sprint to the finish line. You should be quite satisfied with your results in the long run, but if you are still concerned in the future, consult the surgeon who performed your surgery.

Cory Torgerson, MD, PhD, FRCSC
Toronto Facial Plastic Surgeon
4.8 out of 5 stars 151 reviews

Healing after Asian eyelid surgery

Many patients have shared your stress but don't worry it should improve. While it is uncommon to have swelling lasting more than a month or two and some patients depending on the technique used the swelling can last 3 to 6 months. You should also know that The eyelid crease will continue to change its appearance for as much is 9 to 12 months in some cases.

i'm sure things will continue to improve and do not jump ahead and do a revision to early.

Chase Lay M.D.


Chase Lay, MD
Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 76 reviews

Asymmetry after eyelid surgery

You do have some degree of asymmetry, but it is definitely too soon to consider a revision.  I actually think your result looks quite good and would not consider a revision for at least six months from the time of surgery.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 27 reviews

Wait for it to completely heal

This is a very common concern directly following a blepharoplasty. However, it is very important to wait for healing to occur before undergoing a revision. I would recommend waiting at least 2-3 months before making that decision. But in any case, it is always best to speak directly with your surgeon about any concerns you may have.

Rondi Kathleen Walker, MD
Washington Facial Plastic Surgeon
4.5 out of 5 stars 16 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.