When patients write reviews of incisional ptosis correction, the most common question is about swelling.
Most of these patients have a medial epicanthoplasty at the same time, so let me address that.

Incisional ptosis correction with medial epicanthoplasty — swelling stays modest.
Pre-op. One eye opens less than the other; her eyes are asymmetric.
She has an epicanthal fold and her iris is partially covered. The arrow marks the epicanthal fold.
The surgical plan was as follows.
1. Correct the asymmetry.
2. Address the heaviness above the lid.

3. Keep the crease set on the lower side.
One week post-op.
Most of the swelling has come down and the sutures are out.
The epicanthal fold (arrow) is gone.

There is a slight irregularity along where the sutures were, but it is not particularly visible.
One month out — the swelling is largely resolved and the result is settling in.
She did not come back after that, so I do not have later photos.
