What Kind of Surgery Will Fix my Sudden Dropped eye lid?

Causes of a Natural Asian Double Eyelid Drooping, and Why a Specialist is Best for Correction

Question:

I’m an Asian in my late 30s, I have natural double eyelids, not surgery-created ones. But one year ago, the eyelid of my right eye suddenly dropped without any specific reasons. My questions are, first, any medical condition will cause it? Second, if I want to fix it what kind of plastic surgery will help? Third, as for plastic surgeons, will those specialized in Asians do a better job in my case. I attach the photo here for reference, sorry my left eye looked puffy. Thanks.

Answer:

Thank you for your question stated in your question with the photo submitted, that you are someone who is in your thirties that natural double eye lids without surgery and that you state that approximately a year ago the right eye dropped and you’d like to fix it and so your-your question is:

How do you do it? And should you go to someone who specializes in Asian eyelid surgery?

Well, I can certainly give you my perspective and suggestions based on the photos you submitted. I’m a board certified cosmetic surgeon and fellowship trained oculofacial plastic and reconstructive surgeon, practicing in Manhattan and long island for over 20 years and I specialize in Asian eye lid surgery, so I can certainly give you a an idea of what you’ve experienced, how I would suggest considering repair and of course my opinion about specialization.

So to begin with to understand what differentiate those who have the crease and those who don’t have the crease  has to do with the connection and the connection is an anatomic connection between a muscle called the levator muscle and the skin so the Asians are people who they are Asian who have a crease have a more defined connection between the skin and the levator muscle, so for someone like yourself which was it was naturally occurring most likely with occurring is that that connection has gotten a little bit weaker and that resulted in the fold detaching and rolling over.

So if you want to make the eyes more symmetrical you have essentially two options, one is called an incisional blepharoplasty and the other is called a non-incisional Asian blepharoplasty. If you want to achieve symmetry, the most likely you’re not interested in doing anything to tighten the skin In a way, so that the crease looks more sharp and defined, But in that scenario you can probably benefit from  a non-incisional approach.

A non-incisional approach basically means what we’re doing is we are entering the skin at a critical points along the natural crease that we want to develop and we passed stitches in a way though the skin and engage the muscle in a way that creates kind of a connection and those connections let the skin fold in, and create the effect of a crease.

Now of course with the absence of a physical exam it’s alittle bit difficult to make be more definitive, But basically the distinction I make between making the decision between an incisional versus a non-incisional has to do with excess skin and in some cases excess fat.

So with that being said I would recommend you meet with the doctor and I would say that as a specialist myself that I do have a bias that there are we are all capable every doctor who is probably trained is capable of doing a lot of things, But with time we all identify things that we’re very very good at and do a lot or focus on and there are things that maybe not as good at because you haven’t put in the same amount of time.

So I feel that specialization and from my experience of 20 years of practice, my comfort, and familiarity with Asian eye lid surgery is going to be greater than someone who doesn’t do Asian eyelid surgery with consistent frequency and focus and that’s just a matter of putting in the time it has nothing to do with one doctor being smarter than another.

I would say that you should meet with doctors who do specialize in Asian eye lid surgery, learn about the approach in our practice, when we do the surgery we do this under local anesthesia with lite sedation and there are times we will actually have the patient open their eyes and look at the crease and see how it folds in just to make sure and this way a patient not only have  a good sense of how they’ll do after the procedure, But they also don’t have to recover from general anesthesia and of course there is no pain or discomfort during  that process, so I would recommend you meet with doctors again doctors who specialize in Asian eyelid surgery, learn about your options and move forward.

But I think that this whole concept should hopefully make more sense now that you understand why the eye lid probably is the way it is. And what occurred about a year ago, so I hope that was helpful I wish you the best of luck. And thank you for your question.

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