Why do my eyes have that fold of skin at outer corners? What would fix it? (photos)

from your photos you have a high forehead and a forehead lift would help you with the outer hanging upper eyelid skin. excess skin in upper eyelids could be due to ptosis of the brow.

Excessive or 'redundant' upper eyelid skin is a very typical change that some patients have genetically while in others it develops with aging. The phenomenon of the skin hanging over the eyelid crease (known as hooding) gives the appearance of having too much fullness of the upper eyelids.Fullness of the upper lids can be cosmetically improved with a number of surgical options depending on individual anatomy, the cause of the fullness, and desired outcome: an artistically performed conservative upper lid blepharoplasty, a repositioning of the lateral brow if it is low, or often a combination of both.

There is no one best option. It depends on your desired outcome and understanding of the pros and cons of the various procedures.

It is important to realize that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on limited  photos without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Facial rejuvenation needs to be individualized. What would be an ideal approach for one patient is not necessarily the same for someone else. Based on the examination and discussion at the consultation, you should have a better understanding of the various options that can achieve the best cosmetic result for you. 

Robert Singer, MD FACS

La Jolla, California

There are several procedures that can improve your upper eyelid area including upper blepharoplasty, upper eyelid filler injection, and lateral brow lift. Best to have personal consultation to determine what is best for you. See an expert oculoplastic surgeon.