How to get rid of extra crease in left eyelid? (photo)

You have left upper eyelid ptosis. The levator is retracting into the orbit taking fat with it. This also cause the upper eyelid to look a bit hollow and accounts for the extra crease. Please recognize that you need a detailed preoperative work up by an oculoplastic surgeon. You might need revisional surgery to refine any initial procedure. Consider looking on the website for the American Society for Ophthalmic Plastic and Reconstructive Surgery (ASOPRS dot org). They maintain a geographic directory that will help you find a highly qualified surgeon close to home.

The crease is just the result of asymmetries in eyelids. Only mild in the photo, but your left upper lid is positioned a little lower then the right - especially evident if you examine the relationship of eyelid margin to iris and pupil. In addition, the left brow is higher then the right, a combination commonly found with this condition called ptosis. Consult with an experienced eye plastic surgeon as this can be corrected.

You have left upper eyelid ptosis (droopy eyelid), which has also caused the brow to be higher on that side to compensate and assist in lifting it. That's why it is worse when tired since the droopiness gets when tired. You may be a candidate for left upper eyelid ptosis surgery. See an oculoplastic surgeon for evaluation.

Your picture shows asymmetry due to the slight ptosis of the left upper lid. This can be corrected, but should be done by a surgeon who is familiar with ptosis repair. You may nee to have both eyes done to prevent asymmetry after left side repair