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

Question

I have a lot of eyelid creases/folds. How do I correct this? My eyes protrude and are quite large. To add, while it is not apparent in this picture (due to the angle and the lighting), my facial bone structure causes my eyes to appear sunken in, and I am prone to shadows near the upper nose-eye region. For now, I'd like to tackle the multiple eyelid creases--the extra meat I have above my eyes causes my large eyes to appear even heavier and more unattractive.

Kenneth D. Steinsapir, MD · Answer

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.

Richard J. Bruneteau, MD · Answer

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.

Guy Massry, MD · Answer

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

Amiya Prasad, MD · Answer

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.

Kamran Khoobehi, MD · Answer

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.

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

Answers (9)

Answer: Eyelid Surgery Specialist for Multiple Eyelid Creases

Answer: Eyelid Surgery Specialist for Multiple Eyelid Creases

Answer: Upper eyelid lift may help you

Answer: Upper eyelid lift may help you

Recommended reading

Everything you need to know about Eyelid Surgery

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

Answers (9)

Answer: Eyelid Surgery Specialist for Multiple Eyelid Creases

Answer: Eyelid Surgery Specialist for Multiple Eyelid Creases

Answer: Upper eyelid lift may help you

Answer: Upper eyelid lift may help you

Browse related questions

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.