• Asian eyelid skin is, as a rule, more "reactive" than Occidental skin. In some patients, the scar from the incision may remain overly red and lumpy for a longer period before maturing to its final state, especially in those with thick oily skin and in the area closest to the nose. Since the scar is mostly buried at the bottom of the crease, such delay does not usually pose a great problem. Full final softening and redraping of the skin over the scar may take take six months or more. More
• Formation of the new crease by deep fixation generates an internal pull on the eyelid edge that may sometimes lift the eyelashes to a position that seems slightly higher than desirable. As the internal scarring beneath the new crease softens, the lashes slowly return to a lower position.
• Some final asymmetry between the two creases is the rule rather than the exception, especially when there is noticeble asymmetry before the surgery. In fact, upon close examination some imbalance is present in almost every person in the population, whether or not they have ever undergone eyelid surgery. It is important to remember that final eyelid appearance is influenced by a number of interacting variables including brow position, orbital bone variations, slight ptosis, preexisting skin differences, better tissue healing on one side versus the other, and so on.
• If simultaneous ptosis repair has been undertaken along with double eyelid surgery, the overall period of healing may be extended, sometimes substantially. While much of the lift from the ptosis repair is generally expressed within one to three months, some cases make take longer before the eyelids reach their final height.
• Understandably, patients undergoing Asian blepharoplasty seem to be most concerned about the appearance of the upper eyelid crease. Nevertheless, a revision should be considered only after healing has progressed to near completion (6-12 months) and only if any final asymmetry is judged unacceptable by both patient and surgeon because (1) attempting to "fine tune" a slightly imperfect result is not without risk and (2) some imperfections are almost impossible to fix. Considering revisional surgery prematurely due to impatience may not only compound the existing situation but sometimes create entirely new problems.
• How Precise Are The Results?
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Healing After Double Eyelid Surgery (video)
