What can I do to remove the extra fold on my eyelid? Is Botox an option? 47 y/o (photo)

Hello! Thank you for your question.From the photos you have enough skin for upper eyelid blepharoplasty. For get rid of the extra skin above your eyes I recommend you upper eyelid blepharoplasty. With the surgery you have more fresh and elegant looking. If you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation.Best Regards!

An in person examination is necessary to help make an accurate surgical plan. Standardized photos (frontal, oblique and side view) taken by a friend or family member would help answer your questions.

For significant improvement, hooded eyelids require surgery if there is enough skin. For nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin. I recommend getting a formal evaluation with an experienced cosmetic dermatologist. Best, Dr. Emer.

It seems that you have asymmetry eyes because of your asymmetry bone structure. As you can see from your photos, the height of eyebrows and eyes are different. Also you need full incisional double eyelid + ptosis correction to correct your minor ptosis and make your eyes bigger and fresh. What we can fix the the asymmetry eyebrows, only FOREHEAD LIFT (ENDOTINE) can fix it. If you have further questions then please leave a message:)

A skin only upper blepharoplasty can accomplish removal of the extra pleated skin on your upper eyelids. This procedure can be performed under local anesthesia as an outpatient procedure and takes less than an hour.