My left eye is a single eyelid, but my right eye has way more eyelid and sometimes can become a triple fold that won't go away no matter how I try to fix at it. What type of procedure would it take to make my right eyelid the same as my left one? And roughly how much would it cost?
Answer: Fold removal Thanks for your question.If you wish to remove the folds of your right eyelid, it is possible to cut the attachments between the skin and deeper structures of the eyelid that are responsible for the fold. The is the opposite of what we usually do in single asian eyelids, which is to create a fold.A complication after double eyelid surgery is the creation of extra folds, often called triple folds. I have never seen this complication in my practice after a non-incisional double eyelid procedure, but theoretically it is possible. With incisional double eyelid procedures, especially with fat removal from the upper eyelid, additional areas of adhesion above the created eyelid fold can occur, which creates additional, unwanted folds. The surgery to correct this is to release these adhesions. A similar procedure could be done in you. There is a risk of recurrence and I would recommend the interposition of some of the fat in the upper eyelid between the orbicularis muscle and the levator muscle/aponeurosis to prevent recurrence.Please seek a board certified plastic surgeon or opthalmologist that has significant experience in revisionary asian eyelid surgery.Aloha,Shim Ching, MD
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Answer: Fold removal Thanks for your question.If you wish to remove the folds of your right eyelid, it is possible to cut the attachments between the skin and deeper structures of the eyelid that are responsible for the fold. The is the opposite of what we usually do in single asian eyelids, which is to create a fold.A complication after double eyelid surgery is the creation of extra folds, often called triple folds. I have never seen this complication in my practice after a non-incisional double eyelid procedure, but theoretically it is possible. With incisional double eyelid procedures, especially with fat removal from the upper eyelid, additional areas of adhesion above the created eyelid fold can occur, which creates additional, unwanted folds. The surgery to correct this is to release these adhesions. A similar procedure could be done in you. There is a risk of recurrence and I would recommend the interposition of some of the fat in the upper eyelid between the orbicularis muscle and the levator muscle/aponeurosis to prevent recurrence.Please seek a board certified plastic surgeon or opthalmologist that has significant experience in revisionary asian eyelid surgery.Aloha,Shim Ching, MD
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May 25, 2016
Answer: Cost vary. Your focus should be on finding the right surgeon rather than the lowest dollar. This is your face we are talking about. You need an anchor blepharoplasty to create a single double fold on the left side that matches the right side as closely as possible. This requires tremendous experience. Many surgeons who offer eyelid surgery do not know how to properly expose the levator aponeurosis which is the upper eyelid tendon. This tendon must be exposed to make a lasting repair that will hold up for the long term. Do you homework. See more than one surgeon. The consultation should not be conducted by the surgeon from the door of the consultation room (i.e. "You'll do great with surgery. My assistant Sally will answer all your questions and schedule your surgery").
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May 25, 2016
Answer: Cost vary. Your focus should be on finding the right surgeon rather than the lowest dollar. This is your face we are talking about. You need an anchor blepharoplasty to create a single double fold on the left side that matches the right side as closely as possible. This requires tremendous experience. Many surgeons who offer eyelid surgery do not know how to properly expose the levator aponeurosis which is the upper eyelid tendon. This tendon must be exposed to make a lasting repair that will hold up for the long term. Do you homework. See more than one surgeon. The consultation should not be conducted by the surgeon from the door of the consultation room (i.e. "You'll do great with surgery. My assistant Sally will answer all your questions and schedule your surgery").
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May 24, 2016
Answer: Triple eye lid Normally the eyelid skin forms one fold.Patients with low brows may form an extrafold. In your case there appear to existsbilateral epicanthal folds. You should beevaluated by a board certified plasticsurgeon with expertise in this area to recommend your best options. Best wishes.
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May 24, 2016
Answer: Triple eye lid Normally the eyelid skin forms one fold.Patients with low brows may form an extrafold. In your case there appear to existsbilateral epicanthal folds. You should beevaluated by a board certified plasticsurgeon with expertise in this area to recommend your best options. Best wishes.
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May 29, 2016
Answer: Tarsal fold variations Often in Asians the skin is not attached to the tarsal plate, or cartilage that forms the support of the eyelid. On one side it appears as you wish it and the other the skin appears unattached. There is a difference in the fat compartments as well that must be addressed. There may actually not be any difference in the amount of skin, just its distribution. Prices will vary but this is a procedure that can generally be done under local anesthesia with sedation.
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May 29, 2016
Answer: Tarsal fold variations Often in Asians the skin is not attached to the tarsal plate, or cartilage that forms the support of the eyelid. On one side it appears as you wish it and the other the skin appears unattached. There is a difference in the fat compartments as well that must be addressed. There may actually not be any difference in the amount of skin, just its distribution. Prices will vary but this is a procedure that can generally be done under local anesthesia with sedation.
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May 31, 2016
Answer: Blepharoplasty A Left upper lid blepharoplasty with excess skin excision and new fold creation. There may be a need to operate on the right upper lid also to gain equality. The cost would be 3,000 for one lid and 5,800 for both if needed.
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May 31, 2016
Answer: Blepharoplasty A Left upper lid blepharoplasty with excess skin excision and new fold creation. There may be a need to operate on the right upper lid also to gain equality. The cost would be 3,000 for one lid and 5,800 for both if needed.
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