What is the best procedure to fix triple eyelid?

Question

I'm 37 and recently noticed the shape of my eyes has changed significantly in the past year or so. I am half white and half asian and while I used to have a very thin eyelid crease and almond shaped eyes (see top pic) they are now much rounder and have a triple eyelid (bottom pic). I've seen both blepharoplasty and upper eyelid fillers as potential fixes online but wasn't sure which one might be better or if there is another option. I do get Botox for crows feet if that matters.

C. Blake Perry, MD · Answer

You would benefit from ptosis repair and upper lid blepharoplasty. Just removing skin would make your upper lids more hollow. Best to see an eyelid specialist.

Yucel Sarialtin, MD · Answer

Hello,
Thank you for your questions.
The appearance of a “triple eyelid” or multiple creases can result from skin laxity, changes in eyelid anatomy, or muscle movement. At 37, with your mixed heritage and recent changes, the most definitive correction is often an upper blepharoplasty tailored to restore a smooth, single crease while removing excess skin or fat. Upper eyelid fillers may help subtly improve contour but typically do not address the underlying cause of multiple folds. Botox for crow’s feet won’t affect the eyelid crease itself. Consulting a surgeon experienced in Asian and mixed-ethnicity eyelid anatomy is important to achieve a natural, balanced result without overcorrection.

Chet Mays, MD · Answer

Thank you for your inquiry! We would love to sit down with you to discuss your concerns. A blepharoplasty removes fullness and excess skin. It uncovers the shape of your natural eye. Schedule a consultation with a Board Certified Plastic Surgeon to help you reach your goals.

Gary M. Horndeski, MD · Answer

The best procedure for you would be an upper blepharoplasty.  This would take care of the excess skin that you have.  Botox is good for crow's feet but fillers will not help.

Best Wishes,

Gary Horndeski, M.D.

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