Triple Eyelids After Asian Double Eyelid Surgery? Normal To Use Dissolvable Sutures?

Perhaps you have not accurately summarized what your surgeon actually told you.  However it is improbable that placing a dissolvable suture will address the triple fold.  It is not appropriate to suture the upper eyelid crease to the eye brow, even temporarily.  It is accurate that removing fat in an Asian eyelid can cause unexpected adhesions between the eyelid skin and the levator accounting for the unexpected triple fold.  This is the case that the best way to get out of trouble is to stay out of trouble.  For these reasons, I do not recommend doubling down with this surgeon.  If you were my patient, I generally advise waiting at least 6 months but there are circumstances where earlier intervention is appropriate.

Asian blepharoplasty can be complex and the anatomy needs to be understood. Volume loss can certainly lead to overlying skin deflation and possibility of multiple crease formation. These days, our goal is most often to preserve volume, however in the Asian eyelid, sometimes there is profound herniation of fat that requires fat removal.

I would not jump in to have surgery again so soon. I would recommend waiting at least three months, and ideally even longer to allow all the swelling and scarring to soften to figure out the true post operative result.

Then obtain a second opinion with an ASOPRS trained oculoplastics surgeon that has experience with Asian eyelids. You can find one near you on ASOPRS dot org

 

Good luck