My eyelids are puffy and heavy, would the double Eyelid Surgery or removal of the fat/muscle
treat it?
My eyelids are VERY puffy and heavy. It is especially bad when I smile. I know I would
like muscle and fat removed to make my eyelids more flat. I don't really like the double
eyelid look on me so should I ask for just fat removal? If I do get a double eyelid surgery,
I think I would want a very tiny one, like the one in the photo. Would I also be able
to get a parallel crease made instead of tapered? The outer corners of my eyes are very droopy
as well. Would a double eyelid surgery fix that?
Thank you for your question!
You explained in great detail your concerns about your upper eyelid looking heavy especially
when you smile and you want to have muscle and fat removal and at the same time, you
don't want to have double eyelid or that if you do, you want a very thin one. If you have
a thin one, can it be parallel and you also mentioned some hooding on the outer aspect
of your eyelids.
Well, certainly your concerns about a double eyelid surgery and the impact on the character
of your face are things that someone with experience has heard. As a cosmetic oculofacial
plastic surgeon focusing on Asian eyelid surgery and in practice for 20 years, I could tell
you that there is a lot of discussion necessary and a proper physical exam is also necessary.
In other words, the questions you are asking can be answered to a degree of just photos
but nothing replaces the 3-dimensional aspect of appreciating skin quality, fat volume.
And in terms of asking the question of the tapered crease versus the parallel crease
as well as the lateral hooding, that takes an actual examination to kind of mimic. What
we do in our practice is we actually place a little Q tip inside to create a fold to
give us some idea of what to anticipate.
I always tell my patients that in the cosmetic surgery literature, it is often quoted that
50% of Asian descent have a crease and 50% do not. And what I try to explain is that,
everyone who comes to me who wants to have a crease that nature gives us a little bit
of space and permission to work in. and when we fight too much, then we can get some unpredictability.
So for a lot of our patients who come in who want a specific style, they'll often bring
pictures of people who they admire and who they want to look like. But if their skin
quality and anatomy and the position of the eyes is different then certainly, we have
to come to some kind of customization that's right for them.
I would anticipate, just from experience, that someone like yourself would probably
be better served from an nasally tapered crease as well as extending relatively parallel without
a flare in the outer aspect to address the hooding. Now this is something that can still
be customized in terms of degree fat reduction and the amount of crease that you show. Again,
this is a discussion that is best served by a physical examination. So I would advice
that you meet with experienced cosmetic surgeons and have this discussion.
The factors to also discuss have to do about whether or not you have extra skin. You can
choose between an excision Asian eyelid surgery or a non-incisional. So there are many choice
and there are many variable. And so, with that understood, an examination would probably
help you understand better what your choices are. Meet with a few doctors, get a sense
of what is realistic and be sure that whatever you are going to do that you are comfortable
with the choice and that you have a sense of what you will look like when everything
is settled. Again, it is very important that you meet with doctors and you have an examination.
So I wish you the best of luck, I hope that was helpful and thank you for your question!