Hi Dr. Lam,
Before I start, I just wanted to let you know that your website has been a blessing to me. I never knew such a site/forum existed until now and am grateful that it exists.
Background: In 2006, I had upper eyelid surgery done on me to create a crease on both eyes. The sugery itself was successful, but several months (maybe 4 months) post surgery, the inside corner of my right eye started to lose its fold. The rest of the eye retained its fold, but the inside corner was drooping. My surgeon went back in to operate on just that eye alone about 8 months later. That being the case, there was huge asymmetry as my eyelids are a different size. The left eyelid is about half the size of the right eyelid. The skin on my right eye is also tight and looks swollen; it has been 22 months since that surgery. (I tried to add pictures, but the error message came back that it is invalid.)
In your expert opinion, what is the likely reason for my right eyelid to lose the inner fold? My surgeon said it may have been a lose suture or that my levator muscle was thinner in that area and the suture ripped. The incident caused me to be embarrassed of my appearance, so I didn't go seek advice from other surgeons. Secondly, I have been researching the internet to see if there are others who have had the same thing happen to them. On one occassion, I read about droopage happening when there is too much fat removed from the eyelid, causing ptosis. I'm not sure if that might have been what happened to me? And lastly, if you've had patients who came in with my problem, what can you do for them?
Thank you very much for your time,