Settlement After Asian Epicanthoplasty and Ptosis Correction?

Question

I am an Asian male about 7 weeks post-op for epicanthoplasty and ptosis correction. A full incision was required for the ptosis correction. I requested a hidden crease but it is still slightly visible. Over time will the eyelids settle from the ptosis correction, appear smaller, and cover the crease? Over time since the epicanthoplasty, my eyes keep getting wider as the wound heals. It is starting to make my eyes look too wide and big. When does this progressive widening cease?

Goretti Ho Taghva, MD, FACS · Answer

Thank you for your question. At 7 weeks post op, there is definitely still room for the swelling to go down.  The eyelid crease will likely decrease in size once the swelling at the pretarsal segment subsides (assuming that you have discussed with your surgeon preop that you wanted a small, hidden crease and he designed the crease as such). I doubt the eyelid width will get much bigger than now, and you should see the final result at around 6 months.  Best wishes!

Hugo Higa, MD · Answer

I'm assuming you had a blepharoplasty and ptosis correction since you mentioned that a full incision was required.  When you say the eyelids will settle, are you referring to the height of the crease or the height of the eyelids?  Generally, the eyelid height increases as the inflammation decreases.  This usually takes 1-3 months.  The height of the crease depends on how much skin was removed above the incision since this skin is what is eventually supposed to hide it.  The more skin left over, the lower the crease. Again, look for everything to settle down by three months. Cheers

Chase Lay, MD · Answer

If you had an epicanthoplasty along with your asian eyelid surgery then the final appearance of your crease, especially towards the inner corner is many weeks if not months away.  While you should be mostly healed by now there is certainly swelling still present (even if you can't see it) that will continue to improve.  As for how your crease will look exactly we can't help much without some photos and additional details of the surgery.Chase Lay MDAsian Eyelid Surgery Expert.

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