Asian people may not be born with an upper eyelid crease (single eyelid). Sometimes, there can be excess skin which causes the lashes to point downwards and cause irritation and scarring to the eye.
A skin crease reformation surgery can be considered to address these issues at the same time. Incisional surgery is usually performed under local anaesthesia with sedation and takes about 30 – 45 minutes.
A skin crease incision is made and excess skin and muscle removed. Special absorbable sutures are used to reconnect the muscle that lifts the eyelid to the overlying skin.
The downtime is about 2 weeks and post-surgery swelling can take around 3 months to settle. The risks of surgery include scarring, infection, bruising, asymmetry and a theoretical risk to vision from deep bleeding or infection.