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Would Meibomian Gland Dysfunction affect the double eyelid procedure?

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Intuitive119495Jan 3, 2025

I’ve recently learned that I have blocked oil glands around my eyelids, which is why I get chalazions and styes occasionally. (Note, I don’t have dry eyes.) I’m considering whether or not to have IPL treatment for my Meibomian Gland Dysfunction before getting double eyelid surgery. Even if I don’t have an active chalazion, would MGD affect chances of success and recovery for the double eyelid surgery?

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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 Mar 31, 2025
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Donald B. Yoo, MD, FACS

The saggy and puffy feeling you have in your upper eyelids is due to some excess skin and fat. The best technique to address those aspects of your upper lids would be through an Asian blepharoplasty approach that removes the excess skin, and contours the excess fat while creating a crease shape...

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Donald B. Yoo, MD, FACS

You are a great candidate for Asian blepharoplasty. You have some excess upper eyelid skin, but also some asymmetry of your upper eyelid creases with multiple folds, especially on your left eye. It's important to seek out a surgeon specializing in Asian eyelid surgery as the crease will need to...

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Donald B. Yoo, MD, FACS

Normally there exists a connection between your eyelid muscle and skin that forms the crease whenever you open your eyes. It's not common for Asians to have a connection that is either naturally weak, or weakens with advancing age. That connection can be re-established during Asian...

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Donald B. Yoo, MD, FACS

It would be possible to change the shape and appearance of your upper eyelid crease to re-create a more tapered configuration with greater pre-tarsal show along the outer corner during a revision Asian eyelid surgery.

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Ronald J. Edelson, MD

Your epicanthal folds are perfect. Any attempt to mess with them surgically would be a big mistake. Leave them alone

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Donald B. Yoo, MD, FACS

Botox works as a neuromodulator to smooth out dynamic wrinkles created by the movement of facial muscles. While it can "lift" the brow temporally a mild amount, you do have some excess skin and a degree of brow ptosis that Botox alone would not correct. Blepharoplasty in combination with a...

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