Today's topic.
Removing a Male Patient's Double-Eyelid Crease
Let me get into it.
Removing a man's double-eyelid crease.
Many men dislike a deep, prominent fold, but a soft inner fold can also work very well on a male face.
The current trend, though, leans toward a near-invisible crease over a clearly larger eye, and patients with a pre-existing fold sometimes find this stressful.
Here is a follow-up case from today.
His eyes have a slightly sleepy quality, and he has a line that hovers between a true crease and a fine wrinkle.
In most cases like this, the line is more of a chronic skin wrinkle than an actual fold.
Post-op, we shaped a small fold and tucked it inward.
Look closely and you can see a faint residual wrinkle in the second photo. Notice the small mole? Right by the mole there is a fine line.
At his two-month visit he asked whether the crease was returning. It is not — when skin has been folded along the same line for a long stretch, a faint wrinkle may stay behind. If his original crease had sat much closer to the new low fold we set, the residual line would not be visible. The original crease was set quite high.
He has facial bony asymmetry: the right side of his face has a noticeably larger eye, and the right brow sits higher.
We can match the two sides as closely as the underlying anatomy allows.
Most readers may not have noticed at first and only spotted it once I pointed it out.
I have written on this topic before.
Please refer to the post below for the more academic discussion. Thank you for reading.