Can I go from a parallel crease to a tapered crease? (photos)

Question

Hi, I have gotten asian eyelids done 4 years ago and hasn't been happy with my result. I was looking for a natural look but the surgeon gave me a high parallel crease. I have a hard time opening my eyes in the morning at times and they look puffy as well. Many people has noticed a dramatic change in my facial feature as if I slightly have caucasian in me. I assume that if I went from parallel crease to tapered, the crease will look lower and more natural? Thanks

James R. Gordon, MD, FACS, FAAO · Answer

You had an acceptable result following the upper blepharoplasty. The risks of improving the arch of your crease are far greater than the benefits you would achieve. In your situation pursuing a better crease may lead to a complication. I hope you find this helpful.

Andrew Choi, MD · Answer

Yes, it can be corrected. Make a small crease below the current parallel crease and remove the skin between two creases, so you will not get two separated crease afterward. Also your crease have quite thick muscle under the skin which sometimes patients called this as sausage crease can be corrected by removing the muscle under  skin.

A.J. Amadi, MD · Answer

There are many types of naturally occurring "Asian" creases in the Asian/Southeast Asian ethnicity. I agree with you that the tapered crease is a more commonly accepted type of crease.With a revision lid crease surgery this could be achieved, though there is always a risk of visible scar and/or multiple crease formation.I would recommend seeing an Oculoplastics surgeon with experience in Asian blepharoplasty.

Suzanne Kim Doud Galli, MD, PhD, FACS · Answer

Surgical revision would be your only option. You would benefit from an in person evaluation by a board certified surgeon with expertise in revision Asian blepharoplasty.

Can I go from a parallel crease to a tapered crease? (photos)

Answers (4)

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