High Eyelid crease and fold Cause and correction

Last updated: 4 Dec 2023 | 8431 Views |

Doing Upper eyelid surgery with High crease to making high fold can easily turn into disaster. They can cause many trouble started from sleepy and non brightful eyes all day with apathetic face too.

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All happens from LOCKING EYELID condition. This make high eyelid fold from high crease couple with ptosis (your eyes can not open widely as you could) same like when you feel sleepy yourceyes open only half and your eylid fold also high. This article will give you cauase, prevention and correction of locking eyelid(high fold from surgical high crease).

1. What's ptosis?

2. Can high eyelid crease cause ptosis?

3. How to correct high eyelid crease, locking eyelid ?

4. How to prevent high eyelid crease, locking eyelid?

1 Ptosis is a condition that unable to open eyelid fully, started from less to more as photo2

Causes of ptosis many causes can make ptosis such as muscle weakness, dehiscence of levator tendon or central nervous system diseases

2 Dose high eyelid crease from upper eyelid surgery make ptosis and locking eyelid? Yes it is true

Photo.3 Natural eyelid fold come from folding between eyelid crease

Upper eyelid surgery has many steps to be performed and the most important part is sutured to make a crease between outer eyelid skin and inner structure (tarsal plate od levator aponeurosis). In high eyelid crease cases, these sutured or scar are too high so they can impede the final eye opening Photo. 4

In case of mild degree (eyelid crease not high too much) the eyes may only lose ability to do a frighten eyes. but in case of very high eyelid crease creation, they can may ptosis at the begining Photo. 5

Others unnatural looks happen when blinking, closed eye or moving eye ball because high crease can not be concealed well unlike natural or low eyelidcrease Photo. 6

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Most cases of locking eyelids or high eyelidcrease is found in small incisional upper eyelid procedures. It is very popular because less swelling and less recuperation's time. Photo. 7

Because small incisional eyelid surgery do on a high incision so can cut less skin . It may be compensated in case of young age but for old ones have more risk of locking eyelid to happen. Photo. 8

Sometime suturing too tight can cause everting eyelid too.Photo. 9

High eyelid crease correction PHOTO. 10

The corrective surgery has more intricate than usual eyelid surgery. Start from created new lower crease, cut out scar beneath included old high incisional scar and correct the aponeurosis position. Photo.11

otherwise this procedure can correct eyelid evertion altogether.Photo. 12

Most Frequent Question

1 Will Cutting eyelid skin out make higher eyelid fold?

The Answer is NO .Because Ptosis correction has more weight than skin excised so eyelid fold will turn to smaller and eye will open wilder.

Photo. 13

2 Can Fat graft correct high eyelidcrease and locking eyelid?

The Answer is No because the real cause of high crease is scar beneath so fat graft can not correct them fully just relief it in some degree and when time go by fat graft may be disappear over time and can make high crease relapse again in 3-6 months. The benefit of fat graft is help in a real sunken eyelid only.

Prevention of high eyelid crease
1. Choose specialist in eyelid surgery, Thai medical registration allow every doctors no matter what speciallity or general practitioner can do all kinds of cosmetic surgery so be careful.

For highly specialize in eyelid surgery have 2 specialist

1 Plastic and cosmetic surgeon

2 occuloplastic ophthalmologist

2. Please avoid all kinds of short scar eyelid surgery (they have come in many names mini,celebrity .hiclass eye , all sound good ) especially middle and aging eyes Photo. 14

Otherwise we found retained fat at inner eyelid after short incision eyelid surgery.