Can I reverse my double eyelid surgery by stretching the upper eyelid and making the
crease lower?
I had revision double eyelid surgery 3 month ago.
Eyelids were created too high and distance between brow - crease and crease - eyelashes
are the same.
Is it possible to stretch the upper eyelid and make crease lower (my preference is single
eyelids)?
Also, I got prominent long scars.
Please, could you help me with any advice?
Thank you for your question!
You had Asian eyelid surgery done 3 months ago and you’ve expressed a concern about
the position of the eyelid crease being half way between the eyelid margin and the brow.
And that you feel that it’s too high and that you want to reverse the surgery such
that you have single eyelid.
Well, first of all, the challenge especially after an incisional asian eyelid surgery makes
it almost impossible to get the results that you had before surgery.
So let me explain.
When you have excisional procedure where you are removing skin and you are also removing
fat in order to connect the skin to the muscle called the levator muscle.
The world levator is like the world elevator and is the muscle responsible for lifting
your eyelid.
When someone has a crease, nature has allowed an interdigitation or connection between the
levator muscle and the skin so it creates a crease.
In surgery, we create that crease artificially with sutures.
If you want to stretch your skin, you have a long time before the skin will stretch before
it becomes stretched enough and cover this area over.
But I also want you to appreciate that 3 months after surgery, you’re still in a healing
phase.
The process of healing will still go in up to a year.
So, when you talk to your doctor, I think that expressing your concerns is very important
and with your eyes close, and the crease being in a particular position, it’s not as relevant
especially when the incision heals as what the eyes appear like with the eyes open.
If there is a proper or appropriate aesthetic fold of skin that shows a narrow type of shell
for platform or as everyone refers to as the lid, then it should look natural and should
be satisfactorily to what you wanted when you went in for Asian eyelid surgery.
In our practice, when a patient comes in, we will at times do something like fat grafting
to fill an area where too much fat has been removed or the person naturally with aging
lost fat.
One of the things that is observed with Asians with a particular anatomy is that you can
have full eyelid when you are younger but then as you get older, the eyelids hollow
out.
So in addition to extra skin, the eyelids can look like there is actual volume or fat
loss.
So in those situations, we will do fat grafting.
But I think you’re going way ahead of yourself at this point.
What you should be is be patient about the progression.
You can’t undo everything that’s been done especially like I said when you had skin
removed and fat removed.
So meet with your doctor, review your before pictures and after photos and see if there
are ways that your doctor help you get to a point where you will be satisfied with your
result.
So at this point, again just with the same advice, meet with your doctor and hopefully
as things settle out, you would be satisfied with the results.
So I hope that was helpful, I wish you the best of luck and thank you for your question!