Upper Eyelid Incision Not Even 38 Days Post Op? (photo)

Hi I had upper eyelid surgery done on May 1st 2013 and I noticed that my left eye incision was not in the crease. Now 38 days later I see a significant difference in the size of my eye lids and they look very uneven to me. In addition the incision on the outside corner on the left had opened overnight and stitches were added so now there is more scaring too. Is there a chance that this will normalize over time or do I need to have a revision done ASAP. This does not look good to me!

Doctor Answers 12

Assymetry to upper lid eyelid surgery.

There does appear to be  some assymetries to the height of the eyelid incision on the left side, but this may yet improve with time.  Please give this several months before any decision is made about the need for revisional surgery.  Also be aware that the revisional surgery is quite simple and often can be performed under local anesthesia in the office


Good luck to you.


Frank Rieger M.D.  Tampa Plastic Surgeon

Upper Eyelid Incision Not Even 38 Days Post Op?

    I would wait 3 to 6 months before committing to another operation.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Still healing from surgery

The asymmetry is very mild and it is too early after surgery and you are still swollen and healing. As a note, upper blepharoplasty removes excess loose skin from the upper eyelid. It is does not address any underlying eyelid ptosis (droopy) if present.  Once you are healed from your surgery (at least another 2 months), then you can re-evaluate for any asymmetry and underlying ptosis.

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 72 reviews

Eyelids incisions are never symmetrical

Eyelids incisions are never symmetrical, Also, eyes on both sides are never equal in size. Wait for another 2-3 months for the final result.

Nabil Fanous, MD
Montreal Facial Plastic Surgeon
4.2 out of 5 stars 6 reviews

Modest asymmetry of the upper lids after surgery may take several months to completely resolve.

The asymmetry in the photograph could easily be explained by asymmetrical swelling. I don't think there's anything to worry about now. If it persists, which I doubt, a surgical correction might be indicated.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 35 reviews

Upper Eyelid Incision Not Even 38 Days Post Op?

Unfortunately you NEED to be more patient even at 38 days post op. Allow 3 months of healing before considering revision. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Asymmetry 38 days after upper eyelid blepharoplasty?

It's so hard to say without seeing your pre-op photo's. It's not uncommon for one side to swell more than the other, and it's really important to understand that no two eyelids ever look exactly the same. I strongly recommend you see your Plastic Surgeon for reassurance and guidance.

Best of luck,

Jennifer Harrington MD


Jennifer Harrington, MD
Minneapolis Plastic Surgeon
4.9 out of 5 stars 65 reviews

Upper eyelid blepharoplasty asymmetry

There does appear to be a degree of asymmetry with the incision on your right side not directly in the supratarsal crease.  The supratarsal crease is at the superior edge of a small piece of cartilage on you eyelid called the tarsal plate.  It is into the tarsal plate that the levator muscle (elevator of the eyelid) attaches.  The incision is generally placed about 7 to 9 mm above the lash line.  It is important to mark out this key landmark prior to surgery as this can lead to asymmetry.  In your case it is still very early and things will change over the next 3 to 6 months.  If you still have asymmetry then discuss a revision with your plastic surgeon at that time.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Eyelid incision differences

It is always helpful to look at preop photos as well. But in any event, at this point you have to let things heal and settle down. I would not do anything for at least 6 months or longer.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Upper Eyelid Incision Not Even 38 Days Post Op?

 I have performed Eyelid Surgery for over 25 years and the notion of right and left handedness for incisions seems just plain silly.  The upper eyelid incisions can and do looky wavy from the running suture technique used to close the incision.  These will soften but can take 2 -3 months to completely resolve.  If you have any questions, ask the plastic and cosmetic surgeon that did your Eyelid Surgery.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.