Crusting 4 months after asian eyelid crease surgery. This is my 4th revision the first couple dropped? A discussion presented by Dr. Philip Young: Crusting after Asian Double Eyelid Surgery should not last more than 1-2 weeks. If the crusting lasts more than that, you may get scarring and difficult healing. I would have your facial plastic surgeon look at this situation as soon as possible. Otherwise, you might have a bad appearance from the scarring that could occur here. The dropping of the eyelid can occur more commonly with non-incision techniques. Also the skin to levator approach is dependent on scar tissue that can last and maintain the crease in a variable way. Meaning, the crease could last and persist differently in the eyes or asymmetrically in the eyes. This is due to the fact that these crease forming procedures are based on scarring to hold the crease. I carry out the Asian Eyelid Procedure in a unique way that lasts a long time. My procedure that I do is difficult, but once mastered makes a huge difference in terms of longevity. The procedure is uniquely called the orbicularis levator fixation technique. Below is the anatomy of the upper eyelid and will help you understand this technique once you follow the links to get to that page. This technique would be great for you because if you have a tendency to drop this technique actually leaves sutures inside your eyelid to hold your crease. These sutures stay in there permanently and this assures that the crease stays put and holds for the long run.
Thanks for reading, Dr Young
Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington