Eyelid Crease Surgery 50% of asain lacks eyelid crease or double eyelid in their upper eyelid, and eyelid is one of the important structure that adds significant amount of facial beauty. Small lid crease or absence of lid crease makes ladies more difficult to add muskara or eyeliner. In addition many of our patients complaint of heavyness of forehead and obscuration of vision because of loose eyelid skin in upper eyelid. The reason for absence of eyelid crease in asian population is due to absence of a muscle attachment(Levator Palpebral Superioris) to overlying skin which is responsible for eyelid opening, low lying eyelid fat pad and presence of abnormal fats between skin and muscle layer. Eyelid Crease surgery attempts to make a new attachment of levator muscle to the patient desire height of eyelid crease.
Before surgery, patients are expected to have blood tests as advised, clean face completely and come with regualr food. This surgery is day care surgery perfomred under local anaesthesia and typically, takes about 1 and half hour for surgery and discharged immediately after surgery, we advised patient to have eye patch for 24 hrs which can reduced the eyelid swelling in post operative days. Skin sutures are removed 10 -14 days after surgery, and eyelid cosmetics items are allowed after 2 weeks of skin suture removal. Ice packs to closed eyelid for first 5-7 days which can prevent eyelid swelling and fastens redcuing eyelid swelling. Patients are expected to take oral medicines for 7 days after surgery and topical eye drops for 2-3months. Patient can move around or do daily activities after patch is removed in next day to surgery with a sunglass to mask eyelid swelling. Heavy lifting, rubbing eyes, excercises and heavy works are restricted for first 1 month after surgery. No restriction in food habbit after surgery. Patients can fly or travel after eye patches are removed. Maximum swelling (80%) subsides by 2 weeks of surgery and remoaining 20% of swelling resolves by another 3 months. Surgical incision is creased in such a way that no visible scar is noticed after 3 months. Eyelid crease height disparity bewteen two eyelid, lid swelling, absence of lid crease and shallow lid crease, fading of lid crease, double vision and eye blindness after surgery have been reported, but this complications can be reduced if performed by Oculoplastic surgeon who are dedicated expert in eyelid surgery and are familiar with structural and functional aspect of eyelid and eye. Contact for Surgery appointment

Before Surgery After Lid Crease Surgery
Before After
Lower Eyelid Bag
Lower eyelid bags are usually prevented by thin but tough fleshy layer in the lower eyelid, with advancing age, exposure to sunlight and eyelid rubbing can lead to strecting of this particular eyelid layer leading to eyelid bag. Eyelid bags often gets worse in early morning than evening hours and even worse with inadequate sleep. This eyelid bags are removed either from front appraoch(transcutaneous) or from back of lower eyelid (transconjunctival) with no surgery skin marks. But however for patient with reduntant lower eyelid skin needs trancutaneous apporoach is better option to take out overhanging skin from lower eyelid. No scar is expected to be visible after 3 months.
Surgery is day care and one day eye patch is advised with rest of the post operative period and advises as in upper eyelid crease surgery.

Before Lower eyelid Bag Surgery Second week of Surgery
Ptosis Surgery