Upper bleph changed face completely. Botched? (Photo)

Question

I'm 6w post upper bleph.intention was 2 remove the excess skin I had when my eyes were closed.One eye did fold outward &that bothered me.I didn't think much more upper lid needed 2 show but understood the nature of removing the skin would do so some.Concerned about changing my almond eyes and believe it did.Obvi im healing but does this look botched?Double the lid amount I want shows,they're less elongated &assymetric &im more unattractive.is this what u wouldve done

Kenneth D. Steinsapir, MD · Answer

Sure, your surgeon thought they did everything right except help you understand the effect of their surgery on your face. They are not gas lighting you intentionally. They simply don't understand why you are not happy with the result of their surgery because they "did everything right." The truth is they did not understand what your concerns were, how to address them, or how to have the appropriate conversation that would help you understand where eyelid surgery might take you. The two photos are dramatically different in how they were taken and tend to exaggerate differences in the face. The phones use a 28 mm focal length lens. The closer you hold this to the face, the more barrel and axial distortion is induced. Your surgeon most definitely removed upper eyelid skin. That was not really your problem. Also between these two pictures, you look like you may have lost 4-5 pounds, which definitely makes a difference in the face. Your problem before surgery was the left upper eyelid (assuming you have not flipped picture) has an early levator disinsertion causing a duplication in the left upper eyelid fold. There was not really "extra" skin. You need skin to operate the eyelid and make the fold. Before surgery, the full upper eyelid fold, which is an essential feature of your appearance, stimulated your frontalis muscle to raise both eyebrows. With the upper eyelid fold clipped by surgery, the incentive to raise your eyebrows disappears. The eyebrows relax down crowding the eyelid space. This is a big part of the difference in your appearance. Also The upper eyelids have been converted from an outie eyelid (antiform fold) to an innie eyelid (synform fold). Generally the synform fold gives us an older appearance. Obviously that is not a change that we desire. There may be some change in the lateral canthal angle position which can contribute to rounding of the eyelid. That is best assessed during an in-person assessment. I have developed surgery to address these changes. I encourage you to study my web reference and the attached video. You can have help but it is not the sort of thing that a local surgeon can help you with.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Upper bleph changed face completely. Botched? (Photo)

Answers (2)

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

Upper bleph changed face completely. Botched? (Photo)

Answers (2)

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.