How can I correct my eyelid creases and folds? (photo)

Dear Interested

Because you have very prominent eyes and inferior scleral show, whatever is done, must be very conservative.  This discussion is not medical care and is not a substitute for an actual consultation.  It appears that you have excessive skin in the upper eyelid platform.  You would benefit from an anchor blepharoplasty were a small amount of skin is removed on the upper eyelid platform.  The levator aponeurosis needs to be exposed and tightened and the eyelid platform skin and muscle needs to be placed on gentle traction to this structure.  This can and should be done conservatively.  Examples of this type of surgery can be found on my website.

Before making any treatment recommendations, it's essential to understand the cause of your multiple eyelid creases. Although your pictures are limited to your periorbital region, it's apparent that your inferior orbital rims are recessed and your cheekbones are flattened. These findings are associated with a facial bone abnormality called midface hypoplasia. This condition can be associated with prominent eyes, scleral show and the upper eyelid creases that your pictures demonstrate.Under these circumstances, it's extremely important to approach blepharoplasty surgery with caution. For this reason, it's important to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to evaluate your boney orbital anatomy before making a definitive recommendation.

Hi

I would be very careful with surgery as you are young and also have facial characteristics which are prone to higher rates of complications.  You can certainly have a minor procedure to reform one crease to the upper lids with minimal skin excision (if appropriate on examiantion).  However, this may also lead to a more hollowed look to the upper lid above the crease.  Sometimes fillers can acheive the same result while avoiding surgery (this would require evaluation).

Deep injections of filler (Restylane) over the bone under the eye may lift the lower lids and give your eyes a less prominent appearance.

Please see an well trained oculoplastic surgeon so that you get the best advice

You have mild ptosis and also sclera show. You picture does not show the check bone and your eye Bonnie fram. You will need in person consultation and your surgeon should be very conservative with skin removal.

Be careful. Your eyes are prominent, a condition that can be Proptosis. Surgery to remove upper eyelid creases involves removing some of the upper eyelid skin.

The risk in patients with prominent eyes or Proptosis is that removing skin from the upper eyelid may shorten the lid and result in dry eye which is a very serious complication

Your perception is understandable but there are many factors need to be taken into consideration before you choose to undergo blepharoplasty or upper eyelid surgery. It's best you see a specialist with experience with prominent eyes before you make any decisions.

 

 

Dear Interested, You seem to have prominent eyes relative to the surrounding edges of the eye socket bones.  This is more common in persons of color (African American, Hispanic, etc) or people with a thyroid condition.  In any case, surgery around the eyes is fraught with much more complications in patients with prominent eyes.  I would be very careful in choosing a surgeon to help you.  Certainly with the amount of white showing on the bottom of your eyes, you would be at very high risk of not being able to close your eyes if someone raised your lids.  Even removing slightly too much skin, or gonig too deep into the upper lid to get rid of the extra folds may cause you these problems.  Be careful, and see an eyelid specialist. 

Yoash Enzer, MD

I would recommend an upper eyelid blepharoplasty . Whether any fat removal is needed is hard to say from the photos. Be careful here because excess fat removal can cause the eyes to look even more hollow and sunken in.

You have a lot going on. Simply put, your eyes are prominent causing the lower eyelid to be lower than normal, and your upper eyelid is too low and with too much skin causing extra creases. First, you need an evaluation to see if your facial bone structure is the cause or you eye prominence or if it is caused by something else, such as hyperthyroid disease. Once this is determined, you can discuss what you wish to do. When you do remove the extra skin in the upper lids, you should, probably, also have the ptosis (upper lid droop) fixed also. Make sure you see a Plastic Surgeon who has extensive experience around the eye.