Thank-you for your query! The fold on the medial side of your eye can be improved by scar revision which may or may not need a Z plasty or Y-V plasty. Please discuss your options with your surgeon as this problem can be solved by local tissue arrangement, All the best!
As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow,...
Hi @rachaelgodd86. You would be a great candidate for a lower blepharoplasty. A lower blepharoplasty will address the herniated fat pads and excess skin under your eyes giving you a more refreshed and rested appearance. Best of luck, Dr. Nima!