Why is my eyelid crease so large and thick? What can I do? (Photo)

Thank you for your question and picture.  Without examine its hard to tell whether there is enough excessive skin for it too be removed.  Or it could be you are developing an acquired ptosis.  Please make sure you find a reputable and qualified plastic surgeon.  All The Best 

Thank you for your question.  It really is impossible to tell exactly what is going on based on the photos that you provided and nothing can replace the benefit of an in person consultation.  This could be a normal age related change or there is a chance that you are developing an acquired ptosis.  I would advise that you see a well-regarded  oculoplastic surgeon for further evaluation and treatment.  Good luck!

The eyelid skin is the thinnest on the face and tends to stretch and become redundant over time as we age.  As a male with a thicker skin type your fold is naturally fuller and thicker than someone with thin skin. These individual differences and changes over time are natural and do not require treatment.  If you feel that you are developing excessive skin on the upper eyelids an upper eyelid blepharoplasty could be performed to reduce the excessive skin but this will not change the thickness of your lid crease.

Thank you for posting your question -- surgeons rarely study the position of the eyelid and the eyelid crease while the patient is looking down (though we can gain certain information about eyelid muscle strength when you do this.) From your photos in downgaze you seem to have normal eyelid anatomy with a normal eyelid crease.For a proper analysis, please have an in-person consultation with a board-certified, fellowship-trained Oculofacial Plastic Surgeon -- make sure your surgeon is an expert in cosmetic eyelid surgery -- avoid doctors who perform eyelid surgery part-time. Together with a true expert you may gain more information.
Damon B. Chandler, MD
Harvard-Penn Trained Oculofacial Plastic Surgeon