I see that you may have some fullness in the upper eyelid area. This is actually something that gives you youth and that is something to think about.  Your eyebrows may be a little low but not worth the extent of a browlift.  A browlift could feminize you and create more of a surprised look for you. I think if you were to consider something, I would suggest taking some skin from your upper eyelid or actually creating a crease as in Asian eyelid surgery. This could define your upper eyelids more. Your situation is something that Asian people inquire about all the time.  A crease could decrease the puffiness you have to a controlled degree without lifting your eyebrows to a surprised and more feminine appearance.

Thanks for reading, Dr Young

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

Yes you can increase the height of the crease after Asian Eyelid Crease Surgery. It will entail setting the crease higher with a higher incision. The drawback in this situation is that you may have two incisions that could be exposed if you don’t have enough skin. It is likely that your crease is high enough and that all you need is more skin taken out. This is much simpler to do.  The options are there for you. I think non incision techniques that the others are advocating is harder to achieve symmetry and long lasting results and you may need to get more surgery in the future to correct that approach.

Thanks for reading, Dr Young

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

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.

Thanks for reading, Dr Young

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

Asian Eyelid Surgery: Early on the crease is much higher than will be the final result. The eyelid crease always looks much higher early on after Asian Double Eyelid Crease Formation. The swelling tends to take up the space of the skin that would normally fold over the crease. You don’t want to do anything at this early point in time. Your doctor will know best.  The earliest that any Asian Eyelid Surgeon Specialist would do something would be at 2 weeks’ time. Don’t worry this will settle.  You always have the option of making the crease lower if you desired or higher if you desired. There are many options.

Thanks for reading, Dr Young

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

Asymmetry is found in all of our faces.  Around the eyes and periorbital region, differences are much more apparent.  This is some of the reason why Asian Blepharoplasty Double eyelid surgery is so difficult.   There are ways to make the eyes look more symmetric.  You can excise more skin. You can reset the crease at a higher or more inferior position. You can set the crease more laterally and medially to make things more symmetric. You can fat graft one or both of the eyelids or remove fat to make them more symmetric.   The options and the process on how you do it can be endless and infinite.

Thanks for reading, Dr Young

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

One year is a little lengthy after Asian Double Eyelid Crease Surgery. Ultimately, I would need to visulize your images or in person. It is possible that this swelling / induration / thickening could be from scar tissue, it could be due to the crease being set too high / too inferior,  it could be due to the crease  not being set deep enough and some thicker tissue that was incorporated into the crease. Sometimes the swelling  is related to the thicker brow tissue being pulled over the crease. All reasons necessitate different methods of correction. You are welcome to email me pictures and I can do a phone or video consult. I have people from all over the world carry out consults with me remotely! I look forward to hearing from you.

Thanks for reading, Dr Young

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

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.

If you ever want some questions answered you can always email me here.

Thanks for reading, Dr Young

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