What can be done to correct my excessive eyelid exposure and asymmetrical crease? (photo)

In your photograph, your eyebrows are uneven and one brow is lower than the other. The lower brow has the lower crease. You would benefit from a brow lift to correct the asymmetry of the eyelid creases.

Best Wishes,

Gary Horndeski, M.D.

Like many Asian people you don’t have a fully developed upper eyelid crease.
Asians can have some upper lid characteristics that are unique. This includes either not having a crease or less developed crease(some Asians have a crease), a lower crease when present and potentially thicker eyelid skin.
You may have slight ptosis in your upper lids. You can get a peripheral visual field test to see if they are blocking your vision. It’s possible to raise the lids by shortening the tendon of the levator muscle.
It’s also possible to create a crease.
I suggest consulting with either plastic surgeons or oculoplastic surgeons in your community.
Look for plastic surgeons or oculoplastic surgeons specialize in cheating Asian eyelids.
There are special techniques used in Asian eyelids that some providers have more experience with.
For ptosis repair consider consulting with oculoplastic surgeons or at least confirm your provider has extensive experience with this procedure.
Ask providers to show you lots of before and after pictures.
I would not do a canthopladty unless there is a clear indication. Again ask to see lots of pictures of previous patients.
Best,
Mats Hagström MD