Asian double eyelid surgery gave me deformed eye shape.
Is this normal due to swelling or is it something worse?
I had my surgery about 3 weeks ago and I noticed that one of my eyes is shaped very weirdly
post-op.
The inner upper corners cut into the almond shape and look so strange.
It's more obvious in my right eye (left in the picture).
Is this normal and due to swelling or is it something worse?
I know it's only been 3 weeks but the rest of my eyelids seem to de-swell a lot already.
I've browsed a lot of sites but I never came across anything like this.
Thank you for your question!
You submitted a photo of your right and left eye and you are stating that it’s about
3 weeks after surgery and you’re concerned about the appearance of the swelling and you’re
asking about swelling and relative swelling in the inner corner versus the rest of the
eyelid.
So, I think that it is clear by looking at your photos that yes, there is swelling and
unfortunately that does have tremendous impact on the appearance of the eyelid crease.
You see, Asian eyelid surgery requires a connection between the skin and the levator muscle.
The levator muscle is the muscle that lifts the eyelid like the word elevator.
What that in effect does is creates a very tight compartment where fluid has a tendency
to linger.
Now this applies to both the incisional and non-incisional techniques of Asian eyelid
surgery.
Although you may see examples of people who look good in 1 week, 3 weeks , a month, eyelid
swelling can last up to a year.
And although it’s like a rare thing that it lasts that long and it’s more typical
that usually by 3-6 months, enough swelling has resolved that you can have a good sense
of what your final appearance will be.
In our practice, we follow our patients very closely.
We see them at 1 week, 3-4 weeks later and then 3 months, 6 months and the door’s always
open.
And I have certainly observed how some people can have swelling that lingers and factors
such as allergies, sinus problems can certainly have impact on that.
I am pretty certain that your doctor have discussed this with you prior to surgery.
This is part of a standard discussion about eyelid surgery whether it’s an Asian eyelid
surgery or a non-Asian eyelid procedure.
But the answer to your question is this is swelling.
You’re just simply going to wait.
It is unfortunately the reality that you cannot go and try to operate on something that’s
swollen unless there’s a very strong indication.
You usually have to wait so that you can manipulate the tissue as is necessary.
In our practice, we actually have our patients open and close their eyes even when we’re
doing just Asian eyelid surgery just to confirm that the crease looks like the way we want
it to.
And so, I think that communicating with your doctor is critically important.
No one knows your anatomy or what was experienced during your surgery better than your surgeon
and I think waiting it out would probably work out in your favor.
So I hope that was helpful, I wish you the best of luck and thank you for your question!