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Will a doctor perform mild congenital ptosis repair and epicanthoplasty simultaneously?
I had blepharoplasty (Asian Double Eyelids) performed before. I do not like the droopy
eyelid look. I believe tightening my eyelid muscle will raise my eyelid up. I have to
consciously lift my eyelids and when I lift my eyelids, my epicanthal folds stretch up
and hide my inner eye corners. Photo is when I am relaxed, not consciously lifting eyelids.
Thank you for your question!
You submitted a question requesting information about having your eyelid ptosis repair and
combining it with epicanthoplasty. The question also includes a history of having had double
eyelid surgery.
This is a type question that certainly have different levels of information that is necessary
to understand before moving forward. First of all, in understanding ptosis, ptosis means
drooping. And drooping of the eyelid in terms of its position relative to the center of
the eye called pupil. When we do ptosis surgery, it involves a muscle called the levator muscle.
The world levator is like the world elevator without the letter "e". that muscle is a very
sensitive muscle and when we do ptosis surgery, we do the procedure in a way that we let the
patients cooperate for the most critical part which is getting the right height, position
and contour. That in itself has its own set of risks and benefits. One of the things that
we mention to our patients that although in a practice where I have been doing this for
over 20 years, I still have occasional patients who need enhancements. Whether the eyelid
is too high or too low. It's a very sensitive muscle and you just have to be prepared for
that contingency or that results so that you are prepared for second or third procedure
if necessary.
When it comes to epicanthoplasty, I know there is no real uniform opinion about epicanthoplasty.
Epicanthoplasty means that the epicanthal fold which is almost defines the asian eyelid
anatomy, sometimes people want that fold reduced to make the eyes look more close together
and wider apart and make the eyes more open. The thing about epicanthoplasty is that you
have to understand that the procedure even done with experienced hands, it is still several
very small incisions in the inner corner skin of the epicanthal fold. If photos are taken
of befores and afters can look very good. But the concern that I always have with every
patient is the possibility of some type of scarring. Even if it's flat, it might be visually
perceptible. So that requires evaluation of skin quality and the discussion about the
predictability of that procedure and what kind of scars you are willing to accept.
Although there are many procedures that can be combined with ptosis surgery including
an epicanthoplasty, you really need a physical exam to get an opinion that will be of any
value. To answer your question, it's possible both ptosis surgery and epicanthoplasty simultaneously.
Understanding the different variables of the person may need enhancement if you were to
need this type of surgery and recommend meet with specialist who do a lot of asian eyelid
surgery and when you get to the ptosis realm, you are really dealing with oculoplastic cosmetic
surgery and someone who experienced with epicanthoplasty. And physical exam is a very important part
of this decision making process. I hope that was helpful, I wish you the best of luck and
thank you for your question!