Is it possible to change the shape and location of the double eyelid crease for a 19 year old male?

In many cases of asymmetry or if one eye has a crease and the other doesn't, there is frequently a component of ptosis, or weakness of the muscle that opens the eyes. In addition, most Asian eyelids have a small preexisting crease. I strongly prefer to correct the ptosis and remove the prior preexisting crease at the time of the double eyelid surgery. This procedure has a steep learning curve and I suggest doing some research prior to surgery. Best wishes!

The answer is "yes". Asymmetry of the upper lids is common and it is possible to change one or both eyelid crease levels.  We often do "Westernization" or double eyelid surgery particularly in the Asian (or non-Asian) patient who desire a fold where one is absent.  Sutures are used to anchor the lid crease at the desired level. It can be used to change the level of the folds of both eyes if desired.  Sometimes excess skin is also removed if more eyelid show is desired.  Ask if the doctor performs "double eyelid surgery" when inquiring at the surgeon's office. Good Luck!

Yes that is likely possible but need photos or consultation to determine for sure. It may require blepharoplasty and/or ptosis surgery or other.

It is possible to adjust asian eyelid creases to a position more similar to caucasian eyelids but it depends on the existing structure, creases, and amount of the skin available. It is best to have an in-office examination to determine the best treatment plan and to get a better idea of how your eyes will change after the surgery. Hope this helps!Johnson C. Lee, MD

Board-Certified Plastic Surgeon
IG: @drjohnsonlee