This was a question that I answered for someone that had a ptosis repair with persistent swelling for 4 months after the procedure. This is how I answered this question:
This is my opinion on what is likely going on. I think that the approach that was made to correct your ptosis repair has caused some contracture and tissue buildup to create a crease for you that you did not have before. That is why you are seeing more lid on the left side. The way to correct this would be to assess where the crease is set on the good eye. Approach the revision at the same height as what you measure on the good eye, revise the ptosis repair and then close without recreating your crease. If you do have a distinct crease on the good side, I would create the crease on the ptotic side at the same height as the good side. The issue would then be whether the current crease will have the tendency to reform. This can be prevented with some fat grafting through my techniques. Although this is my opinion, I’m pretty sure this is what has happened. You can always write me if you would like some more counsel. You can read more about this and the case below here on our Asian Eyelid Surgery Learn More Page.
If you ever want some questions answered you can always email me here.
Thanks for reading, Dr Young
Dr. Philip Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
by Bellevue | Seattle’s Dr. Philip Young | Aesthetic Facial Plastic Surgery:
If done correctly there should be no loss of function of your eye after Asian Double Eyelid Surgery. There are very important functional things in your eye that are manipulated during the creation of the Asian double eyelid crease. It is quite a bit more complicated than when doing a blepharoplasty for other cosmetic reasons, such as for extra skin and tissue. Almost anything could happen if your surgeon is not careful from having complications with eye sight function to eyelid opening function. You can read more about Asian Double Eyelid Crease Formation on my website and here in my blog. You can click on the picture below to see a video on Asian Blepharoplasty:
Cheers!, Dr Young
Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
by Bellevue | Seattle’s Dr. Philip Young | Aesthetic Facial Plastic Surgery:
This is a response to a question that I answered for a person who had a procedure by another doctor:
The dark purple color is actually normal after asian blepharoplasty. That occurs because of the inflammation and that brings more blood flow to that area. Also because that area is thinner than most areas on the body, it tends to show colors more that show through the skin more (because of the thin nature of skin in this area). This will get better with time. This is not a hematoma. I think the result that you have is excellent. I have seen many more issues from other surgeons that are much more significantly adverse. Your result is par for the course!! I would obviously verify this with your particular surgeon to make sure that your actual physical exam is consistent with what I see in the pictures. Ultimately, you need a surgeon to really see what is going on face to face!
asian-bleph-double-eyelid-crease-before-after
Cheers!, Dr Young
Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
by Bellevue | Seattle’s Dr. Philip Young | Aesthetic Facial Plastic Surgery:
This is a response to a question that I answered for a person who had a procedure by another doctor:
Yes you can recreate your double eyelid (Asian Double Eyelid Surgery) through tissue grafting. The reason that this occured was because there was too much tissue / fat taken out of your eyelids. Basically you have to reset the crease to the new level and if it is lower you will most likely need to harvest tissue and graft in the area. For a triple fold, you need to essentially fill the area of the triple fold with tissue. I have some asian double eyelid revision videos on my website that describes this. Here is our general youtube site where you can see many different plastic surgery videos for you to learn from.
Thanks for reading, Dr Young
Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
by Bellevue | Seattle’s Dr. Philip Young | Aesthetic Facial Plastic Surgery:
This is a response to a question that I answered for a person who had a procedure by another doctor:
Your crease always look higher at first after asian double eyelid surgery, but I would mention this to your physician. Only he will know how the procedure was done. His experience will allow him to make that judgement. Usually the crease will go down progressively over the next weeks to months. If your surgeon felt that it was too high he could release it at the one week point and reattach to a lower point. If this were the case 6 month later than I would be a little more concerned. There are ways to make the crease go down. The limiting factor is the amount of skin taken during the original procedure. If there is a lot of skin taken then it will present a more difficult scenario in terms of making the crease go to a lower point.
asian-double-eyelid-crease-before-after-left-eye
Thanks for reading, Dr Young
Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
This was a question someone asked about healing time for someone that is a young male as opposed to an older person in their 40-60’s.
You can’t guarantee anything in medicine and with surgery and that goes for Asian Blepharoplasty (Dr Young from Bellevue near Renton, Issaquah, and Mercer Island Washington) as well. Based on my experience doing asian blepharoplasty, a month should be plenty of time. You may not have people not notice at all though because Asian Blepharoplasty is an anatomical change to your eye appearance which people will notice of course. But the swelling and bruising are usually markedly decreased by the time a month rolls around. I sometimes see people back at a week and they are looking much better. This is definitely not the norm though. There are some things to speed up the recovery though. Avoiding blood thinners is important for 2 weeks to a month before your procedure. This can help decrease the oozing and hence the bruising and swelling that occurs with the oozing. Also the skill of the surgeon makes a world of difference. Dissecting in the right planes, anatomical planes decreases the oozing, and swelling. The technique can make a huge difference. In terms of age, sometimes younger people have a much more robust inflammatory reaction to a procedure that can prolong the healing in some cases. Whereas in the older patient the decreased inflammation speeds up the healing.
Thanks for reading, Dr Young
Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
You can reverse Asian Blepharoplasty and double eyelid crease formation (Dr Young Bellevue, near Seattle, Washington). You are correct that fat injections can be a part of this. But this all depends. If there is too much skin taken, a skin graft could be needed and the cosmetic outcome could be less favorable in this situation. Lowering the crease requires elevating the scar and then resetting the crease to a lower height, and then requires fat grafting to the area above the new crease or a tissue graft. You need experience in this though and there is a learning curve based on my experience. Here is a video on asian blepharoplasty.
Thanks for reading, Dr Young
Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
This was a question a lady asked me after she received a double eyelid crease with her Asian Blepharoplasty procedure. She felt that her crease was too high and she lost her ethnicity. She also felt that her left eyelid was lower which made her left eye smaller. She thought that there might be a ptosis in that eye.
Here is how I answered her question:
Ptosis in the eyelid is correctable and you can lower your crease after Asian Blepharoplasty. Sometimes doing an Asian Blepharoplasty will reveal a ptosis that wasn’t as apparent before the procedure because the Asian Blepharoplasty can remove the skin that over hangs the eyelid margin that can hide a ptosis. Ptosis surgery can be done by a doctor that does a lot of Asian double eyelid surgeries. It just entails shortening the muscle that elevates the eyelid margin called the levator aponeurosis. This is the same muscle that you have to work with to create the double eyelid crease in Asian Blepharoplasty. Some choose to wait to do the double eyelid asian blepharoplasty after the ptosis surgery. In my hands, I have confidence in getting a good result doing them at the same time. Revision asian blepharoplasty to lower the crease is a difficult procedure. It entails releasing the scar, and then adding fat into the area to block the readhesion of the crease and recreating the new eyelid crease. Here is a video on asian blepharoplasty.
Thanks for reading, Dr Young
Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
This eyelid weakness after Asian Double Eyelid Surgery is a very common occurance and will get better or at least should get better. Your doctor would know best what was the status during your procedure. This weakness is due to the fact that your eye muscle that opens up your eye is the same muscle that you use to create the eyelid crease. So you need sutures that are attached to this muscle. These sutures can place the muscle under tension and make them temporarily weak. This is really common. The other scenario is less than desirable and can occur if there is any damage to the muscle that opens up your eye. If this is the case you could need a more formal repair to repair that muscle. This would require a more complicated surgery. This is much less likely. The other situation is when the levator or eye muscle that opens up the eye is placed under too much tension when creating the eyelid crease. This can occur when the crease is set too high on the levator. You can go on my blog to read about more of this and this is found on my website. When this is the case it will take longer for the muscle to recover. Sometimes it won’t recover and the levator needs to be released from the fixation and refixed. This situation is more rare fortunately. The hard lump will get better with time. Sometimes steroid injections can help this get resolved more quickly. Your physician can determine this as well. Here is a video of an asian eyelid surgery.
Thanks for reading, Dr Young
Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
Eyelashes can be affected by asian eyelid skin. When you lack a double eyelid crease, the extra skin can lay over the eyelashes and can affect the way they are positioned. When you do a double eyelid crease procedure, the skin can be positioned higher and this can allow the eyelashes to rise up higher. Also there are ways to attach the levator muscle to the skin and orbicularis muscle to elevate the eyelashes to a different degree with Asian double eyelid surgery / eyelid crease formation surgery. Sometimes this relation of the eyelashes with the eyelid is natural depending on the person’s anatomy and what they inherited. Here is a video of an asian eyelid surgery.
Thanks for reading,
Dr Young
Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington
