Temporary Swelling after Asian Double Eyelid Surgery, and Reversal of Suture Method Procedure

Описание к видео Temporary Swelling after Asian Double Eyelid Surgery, and Reversal of Suture Method Procedure

A gentleman just had Asian blepharoplasty 2 weeks ago and realized how much he missed his original monolid eyes. He wants to know if there is any way possible to reverse the suture method.

Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon, says it is very common for people after Asian eyelid surgery to be concerned about an unnatural look or a lid platform that’s too high. He explains that this is caused by temporary swelling. Asian eyelid surgery, whether incisional or excision where the surgeon is removing skin and fat, has a connection made between the skin and the muscle that lifts the eyelid called the levator muscle. This causes an expansion of fluid between the eyelid crease and eyelid margin which results in a ballooning effect that makes the eyelid crease look high. Patients should anticipate that the swelling will go down and he will likely have a very natural-looking double fold.

If this gentleman really feels that he absolutely doesn’t like the result and he wants to go back to his original look, Dr. Prasad would suggest that it is probably beneficial to do it as soon as possible.

The principle of non-incisional eyelid surgery is to place sutures through skin openings on the outside of the eyelid and at critical points to engage the area of the levator muscle and the skin. This is done in such a way so that when the surgeon ties the knot, it creates a fold. That fold is responsible for creating the in-folding of the skin. In Dr. Prasad’s practice, he actually does a procedure for creating dimples where he creates a little pull in the inside of the mouth and folds it inward to create a dimple. The same principle applies to Asian eyelid surgery. Releasing those connections can be done and is probably better to be done sooner rather than later before scar tissue forms.

Dr. Prasad thinks time is of the essence for patients like this gentleman. He should meet with his doctor and have a discussion of what the realistic results will be when the swelling will resolve versus complete reversal of the surgery. He must choose what he is most comfortable with.

For more information about Asian eyelid surgery, please visit our website: http://prasadcosmeticsurgery.com/pras...

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