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