Different Types of Eyelid Creases
There are 5 main types of eyelid creases for Asian people. The type of upper eyelid crease a patient has will determine the extent of blepharoplasty needed to achieve the aesthetic goals.
Absent Eyelid Crease
The upper eyelid has no visible crease that separates it into two parts
The crease is not well-defined and is too close to the lashes with an open eye
There are two or more creases in the upper eyelid
Temporal Flare Crease
The crease becomes narrow from the eyelid towards the nose
Nasal Slant Crease
The crease becomes narrow from eyelid towards the ear
- Creates a permanent natural looking upper eyelid crease
- Establishes a more open and larger appearing eye
- Exposes more eyelashes and decreases upper eyelid puffiness
- Good for young people who want a crease and older people who wish to improve excess eyelid skin and puffiness.
Who is a Candidate?
- Asian patients born with eyelids that do not have a crease or who have asymmetrical creases
- Patients that are uncomfortable with their “closed” or puffy upper eyelids’ appearance
- Patients with excess and droopy eyelid skin
Benefits of Asian Eyelid Surgery
The double fold procedure creates a larger looking eye which appears more attractive for some people. It also provides exposure for the eyelashes and reduces the puffiness of the eyelid. Both young and older people of any gender can experience such benefits, but this procedure is most common among young females.
Before the Procedure
During your initial consultation, Dr. Lee will evaluate both the bone and soft tissue quality surrounding your eyes as well as any pre-existing eyelid crease you may have. Based on your results, he will make a recommendation tailored to your specific needs. Pre-treatment photos will be taken and any potential risks and complications will also be discussed.
Although there are many ways to do this procedure, Dr. Lee finds that the incision method is the most effective and long-lasting.
The surgery is typically done under local anesthesia and patients are occasionally given an oral sedative for added comfort.
Precise measurements are taken and a fine incision is made in the upper eyelid skin. Any excess skin and fat is trimmed and the new eyelid crease is then created with tiny stitches.
The incision is hidden within the new eyelid crease so that it is barely detectable once healed.
The surgery itself takes approximately 1.5 hours and most patients are able to go home right after. It will be necessary for someone to drive you home. You will also be given a detailed post-op instruction list to follow during your recovery.
After the Surgery
Following the operation, it is not uncommon for patients to experience the following:
- Mild pain or a slight burning sensation along the incision. Dr. Lee will prescribe you a pain reliever. After several days, plain Tylenol is usually sufficient for any discomfort.
- The eyes may be sensitive to light and excessive tearing may be present temporarily. Patients are encouraged to bring a pair of dark sunglasses to wear immediately after the surgery. These will also help to protect the eyelids from wind and sun in the first several weeks after surgery.
- Swelling and bruising is normal and will usually resolve over several weeks. Cold compresses in addition to Arnica pills can be used to speed the process in the first week.
- Your incision will usually take about 1 week to heal. It will initially be red and visible but will then fade to a fine line that is hidden within the newly created skin crease.
- Patients may return to wearing contact lenses after two to three weeks. False eyelashes may be used after a month.
- Dr. Lee will typically see you 5-7 days after the surgery for stitch removal. At this time, he will also provide you with detailed scar care instructions. The next visits will be after 6 weeks, 3 months, and 1 year.
The Long Term Results
A significant portion of the swelling will resolve within two weeks of the surgery but residual swelling can be present for up to three months.
The appearance of the new crease will always initially appear too high in the following weeks after the surgery. It will take approximately 3 months for the new crease to reach its final shape and position.
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