Follow-up Question: Post-upper eyelid surgery. (photos)
Doctor Answers 1
Hi there. Greetings from the UK! It's a bit early at the moment to make any final judgements about your eyelids but as you say you do have an accessory crease in YOUR right upper lid which was moderately apparent preoperatively. You can see that in your preoperative photo that you had a subtle higher accessory natural crease with a deeper sulcus due to the fat pad being slight more retracted. Most often these accessory creases become temporarily more apparent post surgery due to swelling but they can take several months post op. Very rarely patients need further revisional surgery to regain symmetry although this can be fairly complicated surgery involving ablation of the higher natural accessory crease and anterior herniation of fat pad to fill up the sulcus deformity. Rest assured though what you're seeing now with this extra higher crease was not created by your surgeon as part of the operation but was already there. It's just that it's become a bit more apparent with the increased swelling below it and with the change in vectors. Try to not worry about it as they often improve spontaneously but can take several months. Indeed I wouldn't normally recommend revisional surgery until at least 6 months post op. Best wishes David.