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Jamie Wong, MD Oculoplastic Surgeon

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Dear Dr. Wong,
I am Asian and considering having eyelid surgery. I want to give you some background first: I do not have a crease on my upper eyelid, and second, when I was very young, I had eye surgery because I got sties all the time, and the doctor cut the skin around my eyes to get rid of them (I'm not really sure exactly what the procedure was). The incision around my eyes wasn't done so well, so the skin on my upper eyelid droops slightly in certain areas and normal in other, giving an uneven look. I wonder if this makes the surgery harder for the surgeon to perform?
Often the blepharoplasty incision is extended laterally to give an addition lift to the upper cheek region. Its usually placed in an already existing crease to hide the scar. It is not unusual for the scar to be noticeable in the first six weeks with redness but it should settle down with time. Massage over the scar may be beneficial and can be discussed with your doctor
It is hard to know exactly where the incision was placed, but I suspect it is
a continuation from the eyelid crease incision extending laterally. If this
is the case it was probably done to remove the excess skin that was seen
laterally (toward the temples). Rest assured the skin in this region heals
quite well albeit it may take some time for the redness to diminish. At this time it is probably fine to cover the incision with makeup. Again, if
approved by your surgeon some massage may help soften the incisions.
This said, you should talk to your doctor very carefully about your concerns.

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