Solutions for Small Eyes and Droopy Corners: Expert Advice - Plastic Surgery

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Eye problems?


Hello Dr.
Chou: I have relatively small eyes, and the outer corners are slightly droopy, which makes me look tired.
Is there a surgery that can address both of these issues at the same time? Additionally, I've heard that sutured double eyelids may fade over time; is this true? I am considering getting a crease for a hidden double eyelid, but I've been told that only sutured methods can achieve this.
Could you please provide some advice? Also, what are the costs and recovery time involved?

Yaken, 20~29 year old female. Ask Date: 2008/05/14

Dr. Zhou Hongzhang reply Plastic Surgery


1.
Double eyelid surgery can address two issues for you (drooping eyelids + drooping outer corners of the eyes), but I'm not quite sure what "smaller eyes" means.
Generally, eyelid surgery does not involve altering the "eyes" themselves.
2.
Sutured double eyelids are more likely to fade, with about 10% of patients experiencing loss of their double eyelids within two years.
3.
The definition of "internal double eyelids" is unclear.
The size of the double eyelid crease (fold width) can meet the expectations of most patients with both types of surgery.
4.
The cost of double eyelid surgery is approximately NT$10,000 to NT$15,000, with stitches removed after three days.
The cost for incisional double eyelid surgery is about NT$20,000 to NT$25,000, with stitches removed after five days.

Reply Date: 2008/05/14

More Info


Hello! Thank you for your questions regarding small eyes and droopy corners. It’s understandable to seek solutions for aesthetic concerns, especially when they affect your confidence. Let’s break down your inquiries and explore potential surgical options, as well as address your concerns about double eyelid surgery.


Surgical Options for Small Eyes and Droopy Corners
1. Blepharoplasty (Eyelid Surgery): This is a common procedure that can address both droopy eyelids and the appearance of small eyes. During blepharoplasty, excess skin, fat, and muscle are removed from the eyelids, which can help to create a more youthful and alert appearance. This surgery can be performed on both the upper and lower eyelids, depending on your specific needs.

2. Canthoplasty: This procedure involves altering the outer corner of the eye to create a more lifted appearance. It can help in addressing droopy corners and can be performed in conjunction with blepharoplasty for a more comprehensive result.

3. Double Eyelid Surgery: If you are considering double eyelid surgery (also known as Asian blepharoplasty), there are two primary techniques: the incisional method and the non-incisional (suture) method. The non-incisional method creates a crease using sutures, which can be less invasive and have a shorter recovery time. However, as you mentioned, there is a possibility that the crease may fade over time, especially if the skin is not suitable for this technique. The incisional method, while more invasive, tends to provide more permanent results.


Concerns About Double Eyelid Surgery
- Longevity of Results: It is true that the non-incisional method may not provide permanent results for everyone. Factors such as skin elasticity, age, and individual healing can affect the longevity of the crease. If you are looking for a more lasting solution, the incisional method might be more appropriate.

- Recovery Time: Recovery from eyelid surgery can vary. Generally, you can expect some swelling and bruising for the first week or two. Most people can return to normal activities within 1-2 weeks, but full recovery may take several weeks to a few months, depending on the extent of the surgery.


Cost Considerations
The cost of eyelid surgery can vary widely based on factors such as the surgeon's experience, the complexity of the procedure, and the geographic location of the practice. In the United States, blepharoplasty can range from $2,000 to $5,000 or more. It’s essential to consult with a board-certified plastic surgeon or ophthalmologist who specializes in eyelid surgery to get a personalized quote and discuss financing options if needed.


Conclusion
In summary, there are effective surgical options available to address small eyes and droopy corners, including blepharoplasty and canthoplasty. If you are considering double eyelid surgery, weigh the pros and cons of the incisional versus non-incisional methods based on your desired outcomes and lifestyle. Always consult with a qualified surgeon to discuss your specific concerns, expectations, and to create a tailored plan that suits your needs.
If you have further questions or need assistance in finding a qualified surgeon, feel free to ask. Your confidence and satisfaction with your appearance are important, and there are solutions available to help you achieve your goals.

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