Can I have surgery to create a higher eyelid crease?

Question

(Caucasion) Blepharoplasty removes excess skin, but is there a surgery that also changes the location of the crease (to make it higher up). Using tweezers to push back my skin a lot makes the crease go high and I really like this effect. But pinching the excess skin with tweezers (blepharoplasty)vdoes not do enough for me. Any help on what procedure/s are involved?

Kenneth D. Steinsapir, MD · Answer

You have concepts that have the potential to be profoundly misunderstood by potential eyelid surgeons.  Over aggressive upper eyelid surgery is a devastating thing.  I suspect that you fall into the body dysmorphic spectrum.  Research has shown that surgeons often misunderstand what is being asked of them by patients with BDD.  I believe it is possible for you to safely have surgery provide there is crystal clear communication between you and your potential surgeon.  That is easier said than done.Can the crease be raised?  Absolutely.  The real question is what look are you trying to accomplish recognizing that prior to this, you were asking about shaving down your brow bone and you have a beautiful, full sub brow area.  Your potential surgeon really needs to precisely get what you are looking for and communicate that back to you.  Without that, you run an extreme risk of ending up with an untoward surgical result.

Michael A. Persky, MD · Answer

Hi Serena,Listen to Dr. Steinsapir's answer!  Many things can be done in plastic surgery, not all of which look good.  Be careful.  Good luck and be well.Dr. P

Mehryar (Ray) Taban, MD, FACS · Answer

That may be possible, but it is best tailored to the specific eyelid and patient.  See an oculoplastic specialist for evaluation.

Suzanne Kim Doud Galli, MD, PhD, FACS · Answer

without photographs, it is difficult to assess your situation. The crease position can be changed. Be sure to have your eyelids evaluated by a board certified surgeon who specializes in eyelid surgery.

Chase Lay, MD · Answer

the answer to this in general is yes.  However it certainly depends on your anatomy in which her goals are and what your surgeon is capable of.  Simply utilizing your existing anatomy and safely removing excess skin can be performed by a variety of cosmetic surgery providers safely and effectively.However, all that being said, it would probably be best if you had a consultation with a very experienced oculoplastic surgeon or facial plastic surgeon who focuses on the eyes as a large part of his or her practice.  attached is a video that goes over Asian eyelid surgery.  With a your Asian or not this supplies to you if you're trying to relocate your crease because relocating in the crease requires the same expertise as Asian eyelid surgery.Best of luckChase Lay, MD

William Portuese, MD · Answer

When we perform  upper eyelid surgery, we tend to leave the crease where it is or slightly lower it to give a  youthful effect. Raising the crease will give a more aging effect to the upper eyelids. For many examples, please see  the link and video below

Karen Stolman, MD · Answer

I would recommend you see a cosmetic eyelid surgeon who is known for an aesthetic eye, for an in-person exam and expert opinion.  When the upper eyelid crease is higher that increases the "upper lid show" which in women can be aging and less attractive.  I would look at your whole lid and brow area as a unit and see if the problem is in your brow along with a little excess upper lid skin.  I also recommend looking at lots of young, beautiful women and seeing what their eyes look like.  You will see that rarely do these women have a big upper lid show and instead have a healthy fullness of the brow which highlights their eyes.

Robert Singer, MD · Answer

There are procedures to raise the level of the eyelid crease in the appropriate patient. The exact procedure depends on individual anatomy and desired result. Whether you are a candidate can only be determined at a consultation.Following the
advice of anyone who would presume to tell you what to do without seeing photos and without taking a full
medical history, examining you, feeling and assessing your tissue tone,
discussing your desired outcome and fully informing you about the pros and cons
of each option  would not be in your best interest. Find a plastic surgeon that you are
comfortable with and one that you trust and listen to his or her advice. The
surgeon should be certified by the American Board of Plastic Surgery and
ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS).
You should discuss your concerns with that surgeon in person.

Robert Singer, MD
FACS

La Jolla, California

Sheldon S. Kabaker, MD FACS (retired) · Answer

Surgery can be designed op raise your eyelid crease often at the expense of removing the fat pad that may give fullness and the illusioon of a low crease. You should resubmit this question with phoots from the front and sides, or see a doctor who performs blepahoplasties.

Ronald V. DeMars, MD (Retired) · Answer

Yes, there is surgery for that but you must be careful in that it can leave a hollow look and as you age it can make your eyes look even older. Look at how low the crease is in many of the beautiful women in the world.

Can I have surgery to create a higher eyelid crease?

Answers (10)

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