I'm Asian, female, with an inner double fold eyelid.
How much would it cost to fix?
I want to know the cost, and the recovery time.
And I want natural.
Thank you for your question!
You submitted two photos, close-ups of your eyes.
One eye is open and one is closed.
And you question is you have double creases and you want it fixed.
And you don’t describe more beyond that.
So I’m going to figure out what exactly you’re concerned about based on the photos
you submitted and what I suspect is your concern.
I’m a cosmetic oculofacial plastic surgeon specializing in surgery such as Asian eyelid
surgery for over 20 years in Manhattan and Long Island.
And what I believe what you’re describing, when I look at your photos are these fine
little creases and it looks like there are several little creases that are not well defined
and I suspect that’s what’s concerning you.
Well, to understand what those creases represent has to do with the anatomy of you eyelids.
And a lot of times those fine little creases can simply be folds that occur from natural
opening and closing of the eyes.
In addition to that, those creases can also represent partial connection between the eyelid
skin and a muscle called the levator muscle.
The muscle called the levator muscle like the word elevator.
It’s the muscle that lifts your eyelid and with Asians who don’t have a crease, there’s
no strong connection between the muscle and the skin. and of the key foundation of Asian
eyelid surgery is to create that connection.
In my practice, when patients like yourself come, we also try to figure out first is there
any desire to have a crease.
If based on your question, your concern is not only the multiple folds and you want to
define it as a single fold, well then an Asian eyelid surgery whether it’s an incisional
where we remove skin and work on fat is one option or a non-incisional where skin is folded
in to create a crease.
But if you have no desire to create a fold or a double fold or a crease, these are the
different terms used for the same end result, then it’s not that practical to try to address
those micro little fine creases that you seek.
If you have a desire in creating a crease or fold, then you have options.
Looking at those photos, I think that most likely you’re young, that you don’t appear
to have extra fat or extra skin.
Now that determination really requires physical examination but in most cases of very young
people who come, who don’t have extra fat getting in the way, that’s a very important
distinction in planning eyelid surgery, then a non-incisional procedure is performed.
What a non-incisional procedure, the terminologies are a little bit unclear because you are making
little openings and those are incisions.
What you are not making is a long incision to remove skin.
What we are doing is we are using sutures to connect the muscle that lifts the eyelid,
the levator muscle with the skin to create this in-folding.
And when deciding whether to do a nasally tapered fold, one that folds into the epicanthal
fold or parallel crease, one that flows a little bit past the epicanthal fold, that’s
a personal choice in decision.
The way I usually make that determination is by using either Q-tip or a little eyelid
creasing instrument that we use to push the eyelid skin in to see what nature would have
created and see if the patient like that.
And if that’s what works, then we can figure out appropriate procedure for the individual
patient.
So again to summarize, if your main concern are those fine little tiny folds, I think
there is no practical way to approach them without doing something that’s disruptive
and won't really yield a good result.
But if you’re looking to create a single crease, that creates a double eyelid appearance,
then you do have options.
Then to understand what the options are right for you, you’re going to have to meet with
qualified experience cosmetic surgeons who specializes in eyelid surgery.
So I hope that was helpful, I wish you the best of luck and thank you for your question!