Both eyelids have multiple creases from excessive scratching. What are my options? What is the most effective treatment? (Photo)

Question

I’m an Asian 19 year old. I woke one morning and both my eye’s had multiple creases. It showed up after a week of severe allergies which left me with swollen eyes for a majority of the time. What’s the most effective course of action so my eyes return back to a normal double lid.

John Kang, MD · Answer

Hi
It would be great to see a picture of your fold before the allergy attack and how long it has been since the multiple creases have remained (weeks vs months)
If you liked your original fold before allergy attack, please go see an expert (plastic surgeon or ophthalmologist) who can assess the degree and level of swelling and whether appropriate combination of medication and drops can resolve the issue and hopefully your fold will reappear.
However, if your natural fold doesn’t reappear, you will be a great candidate for surgery as you show favorable anatomy for a great natural fold. If you liked your original fold, my advice would be to create a more defined version of your original natural fold so the next time you get a severe allergy attack, your fold remains constant :) Good Luck!

David Kahng, MD · Answer

hi,
based on your pictures and your description, your allergies have caused you to have swelling in your eyes that de stabilized your fold.  if you continue to have swelling in your eyes from allergies, this will continue to happen and most likely you will have permanent multiple lines.  before any surgical intervention, i suggest having your allergies under control so see your doctor.  as for surgical options, you are a candidate for minimal incision and full incision upper eyelid surgery.  hope this helps.

Chase Lay, MD · Answer

I perform this surgery literally every working day.  Bottoms line it's very common.  I typically is a combination of elasticity and multiple weak attachments from the under surface of the skin to the underlying anatomy attached to the tarsus and front face of the junction between the septum and levator tendon.This requires incision technique Asian eyelid surgery with anchoring technique.  Sutures are out in a week and typically patients look presentable with makeup in about 14 days.Best of luck Chase Lay MDAsian eyelid surgery expert

Amiya Prasad, MD - Account Suspended · Answer

Thank you for your question. You are asking about reverting back to your double eyelids after severe allergies left you with swollen eyes and multiple eyelid creases.
I can certainly help you based on your photos alone, and give you some guidance in the absence of a physical exam. I’m Dr. Amiya Prasad. I’m a Board Certified Cosmetic Surgeon and Fellowship-trained Oculoplastic Surgeon. I’ve been in practice in Manhattan and Long Island for over 20 years. I’m well known for my work with Asian double eyelid surgery for both primary and revisional surgery, ptosis surgery, as well as primary and revision lower eyelid surgery.
It is important to assess the creases of your eyelids after your allergies have been managed, and swelling has dissipated. Since you didn’t provide a picture of how your eyelids looked before your allergies, it’s difficult to establish a baseline of your double eyelids. It’s also unclear if you had a not fully defined or weak eyelid crease prior to your allergic reaction, which may have been weakened by swelling. Multiple upper eyelid creases, or a partially formed but undefined double eyelid, are usually caused by a weak connection between the upper eyelid skin, and the levator muscle that lifts the eyelid. Swelling can obscure either a strong or weak connection. Once the swelling is resolved, your situation can be better assessed.
I suggest you manage your allergies first, then if you are still unhappy with your eyelid crease, or are still experiencing multiple creases, see a cosmetic surgeon who performs a lot of Asian double eyelid surgery. A weak eyelid crease, or a multiple eyelid creases can be made more defined with Asian double eyelid surgery where the connection between the muscle and the skin is made stronger, probably with the non-incisional method for a young person like you, who doesn’t have extra skin or fat in the upper eyelids. I hope you found this information helpful. Thank you for your question.

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