Is it possible to remove an extra eyelid crease? (Photo)

It is possible to improve the cosmetic appearance of the upper lids that concern you. There are a number of options available.Following
the advice of anyone who would presume to tell you exactly what to do based on limited 2 dimensional  photos and without taking a full medical history, examining you, feeling
and assessing your tissue tone, discussing your desired outcome and fully
informing you about the pros and cons of each option would not be in your best
interest. Find a plastic surgeon that you are comfortable with and one that you
trust and listen to his or her advice. The surgeon should be certified by the
American Board of Plastic Surgery and ideally a member of the American Society
for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with
that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

The likely reason for the extra fold is actuall hollowness of the area. Imagine letting the air out of a balloon; that results in the deflation and collapse of the balloon. Similarly, fat going away from the face and eyes can cause deflation and extra folds. By filling the area, either with fat or filler, it can stretch the loose skin. Simply removing the loose skin will result in un-natural, more hollow, appearance. See an oculoplastic surgeon.

Removing the extra fold is straight forward.  However, it would be a disservice to do this without evaluating the totality of your eyelid issues.  On the left side you have a mild upper eyelid ptosis and lash ptosis.  A microblepharoplasty with anchor fixation of the upper eyelid platform would provide support for the upper eyelashes so they don't hang down.  A ptosis correction may be appropriate at the same time.  These procedures will give you a bright eyed look.  It is also important to consider what is going on with the right eyelids.