The permanent makeup should not make a huge difference in your eyelids unless there is some type of infection after Asian Blepharoplasty (Dr Young Bellevue Wash). An infection would be more likely if there is more tenderness, redness, and swelling than before.  You should get some swelling from eyebrow tatooing and this should be expected.  Nine days is a little early to do something like that in my opinion.  The reason is that after a procedure you will have swelling that is normal. Sometimes the swelling, can break down the skin defenses so it is not a good idea the more closer you do it from your surgery date.  I think waiting at least 2 weeks, and to be conservative at least a month from your procedure is the more prudent thing.  This is what I would have recommended to you. I would have your doctor examine the area to make sure that there is no signs of infection that would need treatment.  Otherwise, I think that you should be okay and that your double eyelid operation should not suffer significant untoward effects. 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

You can increase the height and style of your double eyelid after Non Incision Asian Blepharoplasty.  In this case you wouldn’t absolutely need to remove the sutures that were there before.  But removing them would not be very difficult and shouldn’t markedly impact your procedure if it were redone in an open fashion.  You can also do the revision with the non incision technique and it should be done just like if your current fold is natural and not from surgery.  I prefer doing Asian Blepharoplasty in an open fashion because I think it is more accurate and leads to more reliable results.  I don’t know how long you had this procedure but it might have lasted longer had your done the double eyelid procedure in an open manner.  To make the crease lower would be much more difficult open and closed.  It is not really possible even to make it lower in a closed non incision technique. 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

The round eye deformity is a consequence of making the double eyelid crease (Philip Young MD from Bellevue, Washington) too high for the particular persons eye shape.  What happens is that the eye appears to be much wider in the vertical dimension that appears Round and Odd without the horizontal natural appearing eye that most eyes should have.  Usually, most Asian eyelids should have at most 3mm of pretarsal show.  That is the amount of eyelid that is showing under the eyelid crease.  This area is usually smaller when the eye is open but larger when the eye is closed.  The most it should show when the eye is open is 3mm for an Asian Eyelid for an Asian eyelid to look the most aesthetically pleasing.   When the eyelid crease is higher than this, the result starts to put more tension toward the medial part of the eyelid.  There are solutions to this.  You can decrease the height of the eyelid crease so that it looks more natural. Or you can do another procedure, a medial epicanthoplasty which can open up the eyelid more in the horizontal dimension.  This helps release the tension that is placed in the epicanthal area.   My preference is to do Dr Park’s Z epicanthoplasty.  Previous epicanthoplasties were notorious for their propensity to create a lot of scarring.  The beauty of Dr. Park’s Z epicanthoplasty, is that it avoids the scarring and keeps the incisions within the double eyelid crease and the natural creases that would normally be created in the eyelid creases.  When you look at the picture below, the triangle ECA is removed.  The flap made from EAB is rotated into ECA.  This effectively helps reduce the prominence of the epicanthal fold and helps open up the eye in the horizontal dimension. We have a video demonstrating these procedures.

Thanks for reading, Dr Young

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