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You are a great candidate for Asian blepharoplasty. You have some excess upper eyelid skin, but also some asymmetry of your upper eyelid creases with multiple folds, especially on your left eye. It's important to seek out a surgeon specializing in Asian eyelid surgery as the crease will need to be fixated during surgery to create crisp, symmetric creases - a technique not commonly incorporated into traditional eyelid surgery.
You are an excellent candidate for upper blepharoplasty, from what I can see in the photos. Formal exam and discussion would of course be necessary, but a more youthful and less fatigued appearance is easily obtainable. Typically this is done under local anesthesia only without the need for sedation. I recommend having an escort if at all possible, but under extenuating circumstances you can transport home solo after sufficient time to recover.
Based on your photos, your eyelids appear to be a bit droopy, and that is called ptosis. This may be the reason why you are seeing excess upper eyelid skin. I believe some skin could be removed, and repositioning of your upper eyelids may also be helpful for achieving a desired result. I hope this helps, and thank you for your question. Sincerely, Dr Joseph
Normally there exists a connection between your eyelid muscle and skin that forms the crease whenever you open your eyes. It's not common for Asians to have a connection that is either naturally weak, or weakens with advancing age. That connection can be re-established during Asian...
It would be possible to change the shape and appearance of your upper eyelid crease to re-create a more tapered configuration with greater pre-tarsal show along the outer corner during a revision Asian eyelid surgery.
Your epicanthal folds are perfect. Any attempt to mess with them surgically would be a big mistake. Leave them alone