Some doctors feel that you should repair the ptosis and then do the double eyelid surgery 6 months later. Ptosis Correction with Asian or Double Eyelid Creation can be done in stages but also all at once in my hands.  This has not been a problem for me.  After reattaching the levator to the tarsus in the best position, I then attach the levator muscle to the orbicularis muscle or skin or whatever technique you use for the double eyelid crease.  This has been okay to do for me in my hands.  I think some people stage this procedure because they feel that they will have some better control of the results.  But I think if you can do it in one procedure why not.  You can always stage a revision if the results are not as desirable.  But usually one surgery is possible to correct them both with out needing more surgery in my experience.  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

I thought that this would be a nice way for people to see how they could potentially recover from Asian Blepharoplasty / Double Eyelid Crease Formation and Medial Epicanthoplasty Procedures (Philip Young MD is in Bellevue, Washington).  Below are some pictures after we completed these procedures for someone.  I will update these photos as more come in and time permitting. One thing you can see is the swelling and the bruising.  Some of the effects of the procedure on the eyelid will make the muscles that opens up the eyelid weaker from the manipulation.  This droopiness of the eyelid is called ptosis.  This is a very common occurance and will recover completely in days to weeks at most.  Sometimes this can last longer but is more rare. You can see that her ptosis is rapidly improving over just a couple of days. The incisions near her epicanthus or fold in the middle of the eye is from the procedure called the medial epicanthoplasty.  We explain these procedures in more detail in other blogets in the this main blog site.  We also have a video demonstrating these procedures for you to see.

Thanks for reading,

Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Day 1 Right After Surgery

Day 2

Day 3

Day 4

Day 5

Recovery from Asian Blepharoplasty (Dr Young is in Seattle Washington) varies and depends on the patient. Generally, the recover takes a week or so. The swelling in the eyes can sometimes take longer to get over depending on your genetics, likelihood of bleeding, your bodies inherent healing properties, etc. Recovery is typically longer than standard blepharoplasty. With Asian blepharoplasty, you have to get to a deeper level in order to recreate the crease. This extra dissection can lead to more swelling, bruising, etc. Techniques to increase the longevity of your crease can add to the healing. But the benefit is that your crease will last longer. I have techniques that make the crease last longer. You can read my blog to find out more about how I do the Asian Blepharoplasty. Another general common understanding of wound healing is that you usually get 60% of your healing the first 6 weeks.  You get 80% at 6 months.  You have 89% of the healing by 2 years and then it tapers off after that.  Look forward to hearing from you!

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

This is a question that I answered for a patient regarding whether she should get a lateral epicanthoplasty along with a medial epicanthoplasty and double eyelid crease formation.  Lateral Canthoplasty is done the least after Double eyelid crease formation and medial epicanthoplasty.  The are good reasons for this.  The lateral canthal area is not the area that really defines the differences between an Asian and a Caucasian Eyelid.  The medial canthal area is the area where Asians mostly have a difference.  It is thought to be due to a lack of development of the nasal bridge or other arrested point.  When you are developing all people have epicanthal folds.  These folds disappear as you develop in the womb.  In Asians, approximately 40-70%, have a persistent fold and they are called epicanthal folds.  The lateral canthi don’t have major differences between the two groups.   Hence surgical correction of the medial epicanthal folds is where the most difference will be noticed.  That is also the reason why doing a lateral epicanthoplasty is a lot likely when one does Asian Blepharoplasty.  Another reason that the lateral epicanthoplasties are not done is because they can readhere back to the orginal shape and the success rate is also a lot lower than compared with the medial epicanthoplasty. From your pictures, you have a wide enough horizontal dimension.  I think a double eyelid crease procedure and a little medial epicanthoplasty will really improve the appearance of your eyes. Here is video on Asian Blepharoplasty and Medial epicanthoplasty.

I hope that was interesting for you!

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Asian Blepharoplasty can be done with just sutures.  One thing to realize is that this method although less invasive is not as reliable and you may end up with the same thing where one side is more defined than the other just the reason that you want sometime done. The surgical method is still minimally invasive and can be done as an outpatient under local anesthesia with or without iv sedation. This method of opening up the eyelid and recreating the crease is more reliable and less likely to have differences between sides.  The one option is to do the suture method and see how your healing goes and if it is sufficient for you than that would be the best.  If not you might still have the option of opening the eyelid and creating the crease in a more definitive manner.

I hope that was interesting for you!

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

This is a question that I answered for a patient:

A double eyelid and a medial epicanthoplasty would be fitting for you. In my opinion and the opinion of many of my colleagues a lateral epicanthoplasty usually leaves something less than desired for many people.  What distinguishes an Asian Eyelid from a caucasian eyelid is usually the medial canthus where an epicanthal fold is present in about 50-80% of Asians.  This has an effect of making the eyes smaller horizontally.  I see the hooded portion in the lateral part of your eye.  However, I believe that if you were to do a double eyelid crease formation that part of your eye would be tacked upward and will be markedly improved.  I do see that you have an extra fold in the medial part of your eye that is called the epicanthus. Because the picture shows that the fold covers that fleshy part of your eye in the middle part I would classify this as a type 3 epicanthal fold. If it was partially covering the fleshy part it would be classified as a type 2.  An epicanthoplasty would open up your eyes horizontally here a great deal.  I don’t think you need a brow lift. I think the distance from eyelid margin and your brows is long enough and a brow lift would make you look surprised. I really think that you need some fat in your eyelid or some type of filler there to volumize this area.  If you look at some pictures of you when your were a child you will see more fullness there where the volume could recreate some youth for you there. As for the lateral epicanthoplasty, you can always do that later but I really don’t think that it will ever enhance your appearance.

I hope that was interesting for you!

Thanks for reading, Dr Young

Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington