Can I change my eyelid crease? (Photo)

Question

My eyelids become bigger on the inner parts of my eyes, I don't like how this makes my eyes look. I wish they were more hooded on the inner corners. I have included a photo of my eye how it looks now, and then another photo where I've kinda drawn in the crease so you can see how I would want it to look a bit more like. Thank you

Russell Bramhall, MBChB, FRCS(plast) · Answer

Hello,
Thank you for your question. It would not really be possible to lower the crease at the inner corner of your eye I'm afraid. It is possible to reduce the amount of hooding at the outer corner of the eye a little as part of an upper blepharoplasty procedure so that the amount of the upper eyelid visible is more uniform across the whole upper eyelid. This is usually done under local anaesthetic. It would be worth going to see an appropriately qualified plastic surgeon to discuss this with them as they would be able to give you better advice about the likely benefit of this having examined you in person.
Good luck with it all anyway!
Russell

Kenneth D. Steinsapir, MD · Answer

You have a high crease here related to your upper eyelid ptosis. With the disinsertion of the levator aponeurosis, anterior orbital fat that normally fills the upper eyelid fold slips back into the orbit. Fixing the insertion of the tendon with ptosis surgery creates the opportunity to address this issue. Unfortunately, many eyelid surgery do not understand how to control the upper eyelid crease. I commonly perform crease lowering surgery to fix botched eyelid surgery. Very few surgeons out there seem to understand this anatomy. I am attaching information about revising eyelid but the methods are fully applicable to your situation. The filler can give you upper eyelid fold volume but it does not fix the ptosis and tends to look unnatural in my opinion. Your eyes can be your best feature.

John J. Martin, Jr., MD · Answer

You have what we call a deep superior sulcus.  You will notice that the medial lid is hollow and the crease rides up under the bone.  This is because you don't have much fat there.  Sometimes this may occur after an upper eyelid surgery where fat is removed.  Other times it is an aging change, or has been present all your life.  You can try adding HA filler to this area.  Adding volume will decrease the hollow appearance and push the crease down. This is an advanced technique, so see someone who does it regularly.

Chien C. Kat, MD · Answer

Hi, Dermal fillers in this area (A-frame) may be an option to address your concern. Please consult a medically qualified practitioner for a face to face assessment. All the best. Kind regards, Dr Ana

Robert T. Buchanan, MD (retired) · Answer

I agree with Dr. Martin.  The reason you do not like the look is that the normal aesthetic is when a line drawn from the pupil through the height of the upper lid crease to the height of the arch of the brow is a nice smooth curve.  Since your upper eyelid crease is highest medially and the eyebrow is highest laterally this creates the look that you do not like.  The best way to deal with this is to add volume medially with either a filler or fat.  I prefer fat but have used filler very successfully.  I also agree that you need someone who is significantly expert in this and does it frequently.  Most injectors are not capable of dealing with this problem.

Can I change my eyelid crease? (Photo)

Answers (5)

More Eyelid Surgery Questions

How can I remove festoon bags which were created after Light Eyes, Skin Booster and Filler? (Photo)

Is it normal for your eye with ptosis to have good and bad days? Sometimes my eye seems ok? (Photos)

Uneven eyelid margin - would a blepharoplasty even them out? (photos)

What kind of revision surgery should I get after botched upper eyelid bleph? (Photo)

Do I need surgery to fix my eyelid after a pimple? (Photos)

Could canthoplasty be effective on genetic eye appearance (negative canthal tilts)? (Photo)

WE SEND PRETTY
EMAILS