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

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.

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!

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.