Based on your description it is likely that the best approach would be an upper eyelid blepharoplasty as many have suggested. This can be done under oral or IV sedation and usually takes less than 45-60 minutes. As long as blood pressure is controlled and the patient is off blood thinners (such as aspirin, non-steroidal anti-inflammatory medication, Plavix, Coumadin, and certain vitamins/supplements) the surgery can be done safely. In my practice at least 75% of my patients are 60-85 years of age.
In addition to the above comments it should be mentioned that what some patients describe as crepey skin is really deflated upper eyelid skin. As we age we lose the rounded contour of the sub-brow area between the lateral brow and eyelid. When this area becomes deflated it leaves the skin loose to hang down over the eyelid margin. If the deflation and loose skin is not too severe as to require some excision it can be treated by fillers such as Restylane injection or fat transfer/injection. This needs to be performed by someone experienced with this procedure, but can yield nice results in select patients.
Dr. B
