Should I get eyelid surgery for my asymmetrical eyes?
I am a 20-year-old Asian male and I have a double eyelid on my left eye but a single
eyelid on my right.
Should I get double eyelid surgery for my right eye?
Will it correct my asymmetrical eyes?
Thank you for your question!
You submitted a good close-up photo of your eyes and you stated that you are 20 years
old, you have a defined crease in the left eye and you don’t have a defined crease
at the right.
So you’re asking should you do the procedure to get the crease.
Well, I can certainly tell you about the procedure that we would typically do for someone like
yourself and the decision whether or not you should do it is a personal, an aesthetic decision.
With a little bit of background, I’m a cosmetic oculofacial plastic surgeon.
I’m a specialist in eyes and Asian eyelid surgery is one of the areas that I’ve done
a lot of work in and I spend a lot of time in practice focus in this area.
I can tell you that someone like yourself, when we look at Asian eyelid surgery as a
broad concept, we basically have a decision tree that’s basically straightforward.
Is there extra skin, is there fat and based on that information, do we choose to do an
incisional versus a non-incisional procedure.
And then once we decide that, what kind of crease do we want to create.
Do we want to create a nasally tapered crease, a parallel crease and that’s basically distilled
down.
Now of course, there are a lot of variations or a lot of different options.
Basically what I try to do is maximize symmetry.
So someone like yourself who’s only 20 years old, most likely you don’t have extra skin
and you don’t appear to have extra fat.
So we would probably do a non-incisional procedure.
Now non-incisional is a little deceptive because there are little openings made but instead
of cutting out skin, we’re actually making little opening along the crease.
And what we’re doing is are passing a stitch under the skin and taking it out from the
underside of the eyelid and then bringing it back and creating a loop.
You see the basic issues with Asians who have a crease versus Asians who don’t have a
crease has to do with the anatomy of a muscle called the levator muscle.
The levator muscle is the muscle that lifts the eyelids.
From that levator muscle are fibers that go to the skin that are responsible for creating
that crease.
So what we’re doing with Asian eyelid surgery is creating that crease.
Now that being said, that procedure is a local anesthetic procedure usually may be with a
little bit of sedation.
So I think in determining whether or not you want to do it, understanding the surgery will
give you a certain sense of whether or not you want to go through that and understand
that the healing process typically is a process where some swelling can linger for several
months after the procedure.
So you might have some swelling but you’ll likely have swelling from the eyelash to the
crease that can last at least a month that can be obvious then it can be at a low grade
for a couple of months after that.
So the bottom line is, I think you should meet with a doctor who specializes in Asian
eyelid surgery and learn your options and figure out if you’re comfortable with that,
if you desire to have that right upper eyelid crease enough to go through the process.
So I hope that was helpful, I wish you the best of luck and thank you for your question!