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Is it possible to get Asian double eyelid revision from a parallel crease to a tapered crease? (Photo)

mrbrysonn1Jan 27, 2020
I do not like the way a parallel crease looks on me currently. I know there is still swelling left, but I can already tell that the crease is going to be too big for my preference. Is it possible to revise my crease from a PARALLEL(outfold) crease into a TAPERED(infold) crease? I also would like to lower the crease. Is it a safe procedure or would this be too risky? I received double eyelid surgery as well as ptosis correction about 4 months ago. Thank you!

Answers (5)

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Dr. Andrew Choi, MD
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Answered on Mar 17, 2020
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Dr. A.J. Amadi, MD
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Answered on Jan 29, 2020
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Dr. Chase Lay, MD
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Answered on Feb 20, 2021
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Dr. David Kahng, MD
Board Certified Plastic Surgeon
Answered on Feb 2, 2020
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Dr. Victor Liu, MD, FACS, FRCS
Board Certified Plastic Surgeon
Answered on Jan 30, 2020
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Andrew Choi, MD

Thanks for sharing your photos. Your right eye has mild ptosis which causes loose and wider crease compare to your left eye. This need to be corrected at the same time when you do create crease. Phenylephrine eye drop test will be helpful to achieve the symmetrical crease prior to actual surgery...

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Ronald J. Edelson, MD

Asian eyelids can be very tricky to deal with especially with regard to the epicanthic folds.  It will require scars to correct the epicanthic folds which might be obvious or look unnatural.

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Andrew Choi, MD

Yes, It is usually easier to make smaller crease to larger one instead of the other way around. On your case, the difference between two crease is small and I believe you can have larger crease after releasing smaller one. As long as to determine whether you have enough skin or not you...

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Goretti Ho Taghva, MD, FACS

The asymmetry appears to be due to insufficient ptosis repair of the smaller eye.  You should follow up with your primary surgeon and a revision surgery is most likely warranted.  Best of luck!Goretti H. Taghva MD FACS

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Hugo Higa, MD

Franny,I have found that using non-dissolvable sutures tend to a bit stronger than the dissolvable type.  If the wound is not kept moist with ointments, the dissolvable type may break before the week is up.  Scarring is about the same with both as long as each is completely removed. You could g...

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Andrew Choi, MD

As a general rule, the younger the patient, the easier it is to complete the procedure; as an added benefit, any redundant skin can also be removed. Compared to the Caucasian eyelid, the Asian mono eyelid has slightly more redundant skin. Furthermore, Asian people with mono eyelids will...

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