How Incisional Asian Double Eyelid Surgery Can Change with Too Much Fat and Skin Removal

Описание: A woman had double eyelid surgery 3 months ago. She feels her creases are now too high. She wants to know if is possible to lower her crease by stretching the upper eyelid.

Dr. Amiya Prasad, an oculofacial plastic surgeon explains that the challenge after incisional Asian eyelid surgery is that it is almost impossible to get the results that the patient had before surgery. Excisional procedure involves removing skin and fat in order to connect the skin to the muscle called the levator muscle. The levator muscle is responsible for lifting the eyelid. When someone has a crease, nature has allowed a connection between the levator muscle and the skin so that there is a crease. In surgery, he creates that crease artificially with sutures.

If the patient wants to stretch the skin, they have a long time before it becomes stretched enough to cover the area over. In addition, this patient is 3 months after surgery and she’s still in a healing phase. The process of healing will go on up to a year. She needs to express her concerns to her doctor. If the eyes closed and the crease being in a particular position is not as relevant compared to how the eyes are like when they are open. If there is a proper or appropriate aesthetic fold of skin that shows a narrow type of shell for a platform as everyone refers to as the lid, then it should look natural and satisfactory with how the patient wanted it to look like when they decided on Asian eyelid surgery.

In Dr. Prasad’s practice, when a patient comes in, he will do fat grafting to fill an area where too much fat has been removed or if the person lost fat because of aging. One of the things that is observed with Asians is they have full eyelids when they are younger, but as they get older the eyelids hollow out. If there is extra skin, the eyelids can look like there is actual volume or fat loss. In those situations, he will do fat grafting.

At this point, Dr. Prasad suggests that she should be patient about the progression of her healing process. She can’t undo everything that’s been done like when she had skin and fat removed. She should meet with her doctor, review her before pictures and after photos and see if there are ways that her doctor can help her get to a point where she will be satisfied with her result.

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