do I need double eyelid surgery revision Asian double eyelid surgery is a very
popular procedure throughout the world approximately 50% of people of Asian
descent are born without a defined eyelid crease otherwise known as a
double eyelid fold the desire to have a double eyelid fold comes a lot from
people wanting their eyes to appear more open interestingly a significant
percentage of people after having asian eyelid surgery become intensely
concerned about how their eyelids look within a short time after the procedure
and looked to have revision surgery I'll discuss how I help people who come to us
after having surgery performed elsewhere and are requesting revision surgery I'm
Dr. Amiya Prasad I'm a Board-certified cosmetic surgeon and Fellowship-trained
oculofacial plastic and reconstructive surgeon I've been in practice in
Manhattan and Long Island for over 20 years I have focused a significant part
of my work as an eyelid specialist on procedures for Asian eyes I routinely
perform all types of Asian double eyelid surgery using the incisional and
non-incisional methods as well as epicanthoplasty as well as ptosis I also
perform revision Asian double eyelid procedures previously performed by other
doctors during the first few days two weeks after Asian double eyelid surgery
some people believe that their new double eyelid creases are too high this
is often followed by requests for revision surgery as soon as possible an
understanding of the phases of healing can make it easier to understand why
revision surgery is not indicated in the first few weeks after surgery in
addition there are particular aspects of asian eyelid surgery
which can result in swelling between the eyelid crease and the eyelid margin for
a longer period of time in comparison to non-asian eyelid surgery inflammation
and circulation are responsible for swelling the swelling can make the
crease look much higher than the crease position actually is whether the surgery
is non incisional or incisional a particularly important part of the
surgery is the placement of sutures to connect the skin to the muscle which
lifts the eyelid called the levator muscle in non-incisional surgery small
openings are made into the skin where sutures are placed to make this
connection which then results in the formation of a crease with incisional
surgery a limited amount of skin is removed as well as fat the skin is
closed with sutures which engage the levator muscle to form a crease in
general I've observed there to be less swelling for less time with
non-incisional surgery the six-month point after eyelid surgery is when
eyelid appearance is more stable with minimal swelling although in some
situations swelling can persist for a year or even longer if a revision
procedure is needed this is a time when revision surgery can be considered many
people asking about revision surgery after Asian eyelid surgery are premature
in their conclusion swelling creates the perception of the eyelid crease being
too high with this understanding what would be an appropriate situation for
surgical revision the key principle of double eyelid surgery involves creating
a connection between the muscle that lifts the eyelid called the levator
muscle and the eyelid skin to create a crease
if the crease is not well formed then a surgical revision can be considered in
many situations where the crease not well developed after incisional
surgery I'll perform non-incisional blepharoplasty to create the connection
between the levator muscle in the skin without having to reopen the eyelid as
it was done in the original surgery an issue which can occur with double eyelid
surgery is that the eyelid incision is too long and extending beyond where the
crease would appear naturally in surgery involving the removal of eyelid skin in
fact it is possible that too much skin or too much fat to be removed in cases
where too much skin is removed skin grafting would be necessary
if too much fat is removed making the upper eyelids appear too hollow this can
be addressed oftentimes with the precise placement of injectable cosmetic filler
as with primary surgery I perform revision eyelid surgery with local
anesthesia and LITE IV or intravenous sedation rather than general anesthesia
which makes recovery time quicker and more comfortable for the patient after
you have double eyelid surgery whether is incisional or non-incisional the
crease looking too high in the early phase of healing is generally normal
it's important to communicate with your doctor and see your doctor for scheduled
post-operative visits if revision surgeries indicated about 6 months or
later after primary surgery make sure you understand what will be done and
what kind of recovery you can expect I hope you found this information helpful
thank you for your question
you