Can an eyelid crease made too high during blepharoplasty be lowered later? (Photo)

Question

If a surgeon places an eyelid crease too high during an eyelid lift surgery, can that crease be lowered later?

Kenneth D. Steinsapir, MD · Answer

However, the technique is not widely available. I am the only surgeon I know of who regularly performs this work in the United States. Generally we encourage patients to come early for consultation to learn what is possible for their particular situation (surgical success varies based on what has been left in the eyelid by the prior surgeon). It is best to schedule reconstruction after the eyelids have healed for about 6 months from the original surgery. The goal is to lower the prior crease. In some cases the old scar can be removed. Some of these eyelids develop upper eyelid ptosis, crepey upper eyelid platform skin, and lash ptosis. Internal scaring can mat down anterior orbital fat and prevent it from contributing volume to the upper eyelid fold. I attaching a reference to an article I wrote on Post Upper Blepharoplasty Syndrome. There is help for you.

Zoran Potparic, MD · Answer

Yes, this scar can be lowered providing that there is sufficient amount of skin to be removed. Lowering scar to average distance of 8-11 mm from eyelid edge should be delayed at least for one year after initial eyelid surgery. Good luck.

Akshay Sanan, MD, FACS · Answer

Hi Regret2022,
Thanks for asking your question and uploading your photo. From your photo review, it appears you had surgery recently and your skin is healing. Once fully healed, I recommend consulting with a surgeon to see where your crease is and if another follow up procedure can be performed. It is possible to create a new crease (lower) by making an incision in the desired crease, removing the the intervening skin, and stitching the new crease. It also depends on how much skin you have left behind. I hope this helps answer your question.
All the best,Dr. Sanan, MDAkshay Sanan MD Facial Plastic SurgeryLos Angeles, CA

Can an eyelid crease made too high during blepharoplasty be lowered later? (Photo)

Answers (3)

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