| The position and shape of the crease will evolve during healing. Immediately following surgery, the crease will ALWAYS appear much too high and deep, and its true shape will generally be obscured by distortion caused by sutures and swelling.
Once the swelling begins to subside, internal healing will still cause the crease shape and height to stay high and change slightly day to day.
The height of the final crease (that is, the "fold" that is visible to others) is determined not just by the incision but rather by the lowest extent of eyelid skin overhanging that incision. In the photos immediately below, the "crease" appears very high following surgery because only the incision is visible.
After final healing, the crease appears lower because the skin above the incision softens and overlaps the surgical cut.
Although crease appearance begins to reach an equilibrium at about two months, some slight swelling persists for at least several months more, and so the approximate final configuration may not be reached for six months or longer. Attempting to evaluate crease position over the first few months after surgery is not only misleading, but may lead to unnecessary concern and worry.
The amount of swelling and the rate of healing varies directly with the aggressiveness of surgery. Tapered creases look more natural faster than parallel creases, while lower creases look more natural faster than . . .
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