22 year old Asian female had double eyelid surgery a year ago. Do I need a revision? (Photo)

Although an in-person exam would be necessary to provide a definitive answer, based on the photo you have provided it does appear you would be a suitable candidate for revision upper blepharoplasty to re-create a more even and defined crease. If you want the best idea of what is possible for your eyes, do your due diligence, find an experienced surgeon, and have him/her evaluate you in person and discuss your options. @drdonyoo

If you had surgery over a year ago, the healing is likely all done and the final product is what it is.You have the option to either try and lower the inner half or raise the outer half, but I would try to lower the inner half - it seems too high.It is hard to tell your brow position from the pic - if your outer brows are low, a lateral or temporal browlift may be an option as well.

It seems that there are some probs. First of all, as you mentioned, the shape should be narrow to wider but it is totally opposite. Also, the shape of epicanthus is asymmetry. I would like to recommend revision surgery for full incisional double eyelid + ptosis correction + reconstructure epicanthoplasty. Also, the distance of your eyebrows and the eyes are too close, so if you want to have high crease then we also recommend FOREHEAD LIFT (ENDOTINE). If you have further questions then please leave the message:) Thank you!