LAM FACIAL PLASTICS

by **jackie** » Fri Aug 15, 2008 5:59 am

Dear Dr Lam,

I am an asian woman and I have uneven eye lid. One eye has double eye lid and one eye has a small fold that is barely present. I just want to make both of them the same. I have even eyebrowns. What is your suggestion in this case? I saw some of your before and after pictures and I thought I like your partial incision technique, it looks very natural. I don't like high crease like westerner. What is your suggestion in this case?

Thanks,
Jackie

by **dr. lam** » Fri Aug 15, 2008 6:23 am

i can't promise you symmetry but in most cases the reason that one eye does not match the other is that you do not have a strong crease on one side. usually the eye without a strong crease looks smaller and the reason is that without a crease the upper eyelid fat can slide lower down on the eyelid making it smaller in size. by making a crease on both sides equally, the eyes should look more symmetrical. however, if the eyelid muscle is weak, then the symmetry may not improve, but that is rarely the case.

i no longer perform the partial incision technique because the crease does not hold as well. most of the photos you see there are the full incision but they are not Westernized. i do not believe in doing that. i get very natural results by keeping the fat intact and keeping the crease low.

by **jackie** » Fri Aug 15, 2008 6:37 pm

Thanks for your respond. I am 35 years old. I don't think I have weak eyelid muscle or maybe I do, that's why I have one big eyelid and one small eyelid. I have to show you in person.
Would the scar be visible? I am concern since my skin can easily get scar.
May I ask how much the asian eyelid procedure cost?

by **dr. lam** » Sat Aug 16, 2008 6:50 am

i think your eyelids are most likely uneven due to the differences in your creases so hopefully i can improve that. if you are asking me whether you will have a thickened ugly scar, i would say that i would not be really concerned about that. however, if you are saying could you see a fine line if you close your eye and look carefully, then the answer is possibly. rarely do i have anyone complain of a scar. remember that eyelid skin that is carefully removed and closed does not equal a body cut somewhere. the body also heals terribly after any injuries. the cost at present is 2800.

by **jackie** » Thu Aug 21, 2008 5:36 pm

Thanks.
I also have another question. My nose is kind of big. I looked in the mirror and wonder is it the bridge is too low or small, which can make the nose look big. What do you suggest to have done? I don't want to change the nose too much to look too obvious. Should I do 2 procedures (nose and eyelid) at the same time or should I wait the eyelid done to see if all the features look well together first?

by **dr. lam** » Thu Aug 21, 2008 8:43 pm

that is a hard call. if your nose is something you don't like and you are a good candidate, eyelid procedure probably won't affect your nose outcome that much. the nose is the nose and the eyes are the eyes. at least in asians. in caucasians who have a big humped nose and already a double eyelid, their eyes look better when the nose is in alignment. i would recommend doing the nose if you are a good candidate and if you desire it. you would have to do a consultation with me to make sure you are a good candidate for the nose procedure. you can call 888-866-3388 or email constanze@lamfacialplastics.com if you so desire. if you do not live in dallas, we can do a phone consultation.
best,
sml

by **jackie** » Mon Aug 25, 2008 5:49 pm

Dr. Lam,

Have you performed Double sutures and twisting method technique before? I reason I asked is because I don't see you mention it on this site. Can you comment on this technique?
I read from this web that you prefer to do full incision, do you secure the crease to the Tarsal or the levator?

Thanks,
Jackie

by **dr. lam** » Mon Aug 25, 2008 6:32 pm

i have no idea what you are talking about. there are a lot of marketing terms out there. i have no idea what a twisting method is. as far as securing the the fixation suture, i put it to the levator. the levator has a much firmer grasp than the tarsus.
best,
sml

by **confuze** » Tue Sep 09, 2008 11:08 pm

I've seen some pictures (not from your patients) where their crease looks bigger on one side after surgery not because of actual uneven crease incision, but that one side develops a crease above the incision line making the crease look bigger. Is there a way to avoid that...like maybe not open the eyes so much during the first few days or something that can be sure the crease goes where the incision line is and not above it??

by **dr. lam** » Wed Sep 10, 2008 6:11 am

hmm, that is probably just reflecting not a great outcome, to tell you the truth. that is the only way i can understand it.
best,
sml

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