Loose skin fold after upper bleph. Can I get rid of this extra skin? (Photo)

To prevent or improve crepey eyelid platform skin, a proper upper eyelid crease needs to be established in the upper eyelid. This is done with a nearly lost art called anchor blepharoplasty which establishes a new upper eyelid crease that is precisely engineered to put the eyelid platform skin and underlying orbicularis oculi muscle on slight tension. This also helps support the upper eyelid lashes. This is clear does not exist in you eyelids, which is an all too common in the vast majority of upper eyelid blepharoplasty. You have other issues as well, you have upper eyelid ptosis, a compensatory eyebrow elevation that is stronger on one side. This should be addressed with revisional surgery because they are related. You have a central levator disinsertion ptosis. The heavy lid should be corrected and at the same surgery, an anchor blepharoplasty to control the crease. At the time of initial consultation, I would also discuss how much actual eyelid platform show you want. The more fold you preserve and the less platform show, the more youthful you will look provided some platform show is maintained to leave you a place for make up. You have noticeably long upper eyelid lashes. If you are using any eyelash growth serum, you should discontinue this immediately. They will permanently kill eyelid fat and cause eyelid scaring. I will attach a reference to a recent blog on this subject.

A little touchup excision can certainly be performed to get rid of that extra small skinfold in your the outer corner of your eye. This could be done under local anesthesia and outpatient procedure.