Triple Eyelid Fix? (Photo)

Question

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?

Donald B. Yoo, MD, FACS · Answer

The upper eyelid crease is formed by interdigitations between the skin and the tarsal plate or levator aponeurois. This connection creates the fold in the upper eyelid when you open your eyes. When there is a poorly defined fold, or multiple fold, this connection has become weak. During a revision Asian blepharoplasty supratarsal fixation, or anchoring sutures, can be placed to re-establish a crisp, symmetric and single crease on each side.

Triple Eyelid Fix? (Photo)

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