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

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