Is the only thing that can help my creases go away a Blepharoplasty or are there other options? (Photo)

Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment. There are both surgical and non-surgical options to correct this, depending on the situation.

For less significant upper eyelid skin excess or more mild improvement, there are nonsurgical treatments: Radiofrequency (Thermage or Venus Legacy/Viva), injectable fillers, and a Botox brow lift can help contour the eyebrows and lift the eyelid skin.

Surgery (browlift and/or upper blepharoplasty) is a great option for more significant improvement- for example if the hooded eyelids have more excess skin present.

Dr. Donald Groves is an expert facial plastic surgeon that I work with, who specializes in these types of procedures. It is important that if you are considering surgery that you go to someone who is well trained and very experienced with these delicate operations to get the best results. I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Groves; we are both located right here in Los Angeles.

Best,
Dr. Emer

You will need an upper blepharoplasty to correct the crease excess and a lower blepharoplasty to help the wrinkles.

Best Wishes,

Gary Horndeski, M.D.

Asian eyelids sometimes don’t have a defined fold and sometimes they do. When a fold is present it is typically lower on the eyelid than on other ethnicities. Scandinavians tend to have a well defined crease that is quite high on the eyelid.
There are many surgeons who have special interest or expertise in assessing and treating Asian eyelids. Often it is for creating a fold in those who do not have them.
This kind of work can be done by Oculoplastic, surgeons, facial plastic surgeons or plastic surgeons.
In the end, the background is not as important as their skill and experience level.You may want to start by consulting with optimal plastic surgeons, but more than anything look for those who seem to have a personal expertise or interest specifically in treating asian eyelids.
Bring pictures of your face to use as reference during the consultation.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients had similar eyelid characteristics to your own.
Best,
Mats Hagstrom MD