I had incisional double eyelid surgery 9 months ago and I'm thinking of a revision of my left
eye.
Are my expectations realistic
I have been experiencing problems with allergies and swelling and the crease in my left eye
will temporarily disappear.
Also, I don't feel fully satisfied with the appearance of the crease as it doesn't match
my right eye.
The crease is folding above the incision line.
My surgeon has offered the suture method as a revision.
I applied some eyelid tape along my incision line to simulate what this might look like.
Is this a realistic expectation or is there a chance of an undesirable result?
Thank you for your question!
In your question you asked about having undergone incision asian eyelid surgery approximately
9 months prior and that you have desire for a different type of eyelid crease.
And you mentioned that your doctor suggested having the suture method and you provided
a picture of what your desired outcome that you want.
So your question is certainly a very reasonable question.
The challenge of asian eyelid surgery has to do with several factors when we’re doing
this type of procedure because no two surgeon are exactly the same.
There are factors that include whether or not there’s excess skin, whether the skin
is thick or thin.
Whether or not there’s fat present as well as the intraoperative issues such as the connection
made between the skin and the levator muscle and how well that hold.
You see, when you place a piece of tape on the eyelid margin, it actually forces the
eyelid to crease inward.
Now, however I would suggest since in the absence of a physical exam and not being able
to tell what your skin quality is and whether or not this is something your eyelid will
cooperate with, I think that it is conceivable that with a non-incisional method or the suture
technique that your surgeon suggest that it is possible to achieve this type of result.
Now this is with one basic condition: if there is a ski shortage, that is, when you close
your eyes, if the eyelid skin pushes forward away from the underlying muscle then that
crease is not likely to hold very well.
If however, with the tape in place and your eye moves well and your surgeon really feels
that this is possible, then it is probably worth pursuing.
As long as there is no excess skin which there is probably not, then a non-incisional approach
or suture method can create a necessary fixation that the eyelid skin require in able to fold
in in a desirable height.
I think the best case scenario now is to discuss with your surgeon.
If your surgeon feels comfortable doing this, I would say this is a relatively low risk
procedure in general because no skin is being removed, the eyelid is not being opened up
fully.
It’s just several little entry points along the desired crease is placed then the sutures
are placed in those entry points to engage the levator muscle.
I think that’s a pretty descent option in terms of trying to achieve that eyelid fold.
So meet with your doctor and be clear with what the process will be like and the likelihood
of what that desired outcome will be and then move forward.
So I hope that was helpful, I wish you the best of lick and thank you for your question!