It is possible to lower my eyelid crease?
Doctor Answers 3
Lowering the eyelid crease.
Some people are born with a higher than usual eyelid crease, described as such because the lid fold which is formed from the lower part of the infrabrow skin above the crease is not sufficient to hang low enough on the lid to conceal the crease.
An integral part of the aging process is resorption of some of the original fat here. So, people who had deep-set eyes when young develop deeper set eyes that can eventually give a gaunt look. Replacing the missing volume with a small amount of fat injection or filler is most effective.
The commonest acquired cause seen in my experience is people who previously had standard upper lid surgery that has been overdone. As a result the lid fold has been over- reduced. This can usually be improved with secondary upper lid surgery combining the tarsal fixation technique to conserve skin, and often adding volume in the form of a small amount of fat.
In older people, weakness can develop in the attachment to the lid of the levator muscle that lifts the lid. You can see this as the edge of the lid sits lower on the eyeball from dropping of the lower part of the lid. This part of the lid becomes too visible, while the crease itself is pulled higher by the lifting muscle. This is called lid ptosis and is correctable
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