Could anyone give me advice on which doctor or clinic would be reliable to do a consulting appointment? (Photo)
Doctor Answers 5
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Treatment for Asian eyelids with dermatochalasis and possible ptosis
Your uneven eyelids may be due to lack of eyelid fold, or ptosis - you need an eyelid specialist with Asian eye experience
I can certainly assist you with this question. I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon. I have been in practice in Manhattan and Long Island for over 20 years. I also specialize in Asian eyelid surgery, so I’m certainly familiar with the situation in the photo you submitted. I can give you some guidance as to how to find a colleague in your area to assist you with your situation.
To begin with, your concern is about asymmetry. When I look at your photo, I noticed there is essentially one eyelid, the right eye, that looks a little lower than the left eye. Since you are wearing glasses and I can’t get quite as a good view of the pupil, but I suspect the asymmetry is related to one of two factors that affect the position and appearance of the eyelid. The first is the absence of an eyelid crease, meaning as opposed to having a defined crease, there’s just a mono fold or monolid. Not having a crease is a normal variation. It’s not unusual to have the difference between the two eyes. The reason why there’s an eyelid crease for those Asians born with creases, about 50%, is due to the connection between a muscle called the levator muscle. This muscle lifts the eyelid and sends fibers that are attached to the skin to create this crease.
The second factor is the levator muscle itself. The world levator is like the word elevator. It’s the muscle that lifts the eyelid when you look up and down.If this muscle is in any way stretched or not fully developed as in the case of congenital ptosis, then you have a condition called ptosis. Ptosis means the eyelid is drooping, and t the position of the eyelid relative to the pupil. This means not only addressing the eyelid crease in the absence of a crease, but also doing something to elevate the eyelid such as ptosis surgery, which we do a lot in our practice.
Just to familiarize you with the process, ptosis surgery and Asian upper eyelid surgery are performed under local anesthesia with LITE™ sedation. When we do ptosis surgery, we’ll actually sit the patient up during surgery to adjust the height, shape and contour of the eyelid.
In making a decision of who to find in your area, I suggest you look for an oculoplastic or oculofacial plastic surgeon. This is someone like myself who has training in eye surgery, followed by specialty training in plastic surgery of the eyes. What may also be a differentiating factor for you is their relative experience with Asian eyelid surgery. There is no question that there is another level of surgical decision making based on the difference of anatomy between an Asian eyelid and a non-Asian eyelid. You want to screen for doctors who have experience with Asian eyelid surgery and Asian eyelid ptosis surgery.
Begin with making those calls and doing online research for doctors in your area, and you should be able to identify a colleague who can offer this service to you, and who has that level of expertise and experience.
I hope that was helpful, I wish you the best of luck, and thank you for your question.
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Thank you for your photo and question, The best to search for a doctor who is experienced with Asian eyelid.
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