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Triple Eyelid Fix? (Photo)

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Graceful4280Apr 16, 2024

I had a double eyelid surgery 3 years ago, and noticed that after my eyelids have fully healed from the surgery (and all swelling has subsided), that I now have triple eyelids. Usually in the morning, my eyes will look normal (with a double eyelid), but a few hours later, they will turn into triple eyelids. The more rested I am, the more frequent it will be triple eyelids. What procedures would I need to fix this, and make it double eyelid throughout the day?

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Dr. Donald B. Yoo, MD, FACS
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Dr. Donald B. Yoo, MD, FACS
Board Certified Facial Plastic Surgeon
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Answered on Apr 19, 2024
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Donald B. Yoo, MD, FACS

Your upper blepharoplasty looks to have healed nicely. There is an outfold, or parallel crease on the left eye while there is an infold or tapered crease on the right. The right eye could be revised to create an outfold with or without a medial epicanthoplasty, though the question of whether the...

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Donald B. Yoo, MD, FACS

The amount of asymmetry that you have remaining is slight, and likely not worth the risk of pursuing an immediate revision at this time if you've already had 3 surgeries recently as one of the main risks of surgery would be for crease asymmetry of some sort to remain.

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Donald B. Yoo, MD, FACS

I didn't see where you mentioned how long post-op you are, but based on your scar it appears somewhat recent. 5-fluoruacil would be an option as you mentioned, as would massage and tincture of time. As long as the fixation sutures were well-placed, I would expect the lash to return to a normal...

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Donald B. Yoo, MD, FACS

Double eyelid surgery is a bit of an old-fashioned term, but refers to Asian blepharoplasty - which is upper eyelid surgery performed to address some anatomic features that are unique to Asian eyelids. During Asian blepharoplasty, excess skin and fat in the upper eyelid may be removed while also...

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Azita Madjidi, MD, MS, FACS

The reason you look older is the fat atrophy of your face and mostly your cheek over the cheek bones. That area also supports your lower eyelids and make a better transition between your lower eyelids and your cheeks. If you look at your own pictures from 10-15 years ago, you'll notice that you...

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