Why can't I find Plasma BT (Plasma Pen / Fibroblast) in the United States? (Photo)

Thank you for your question! Based on your photo but without an examination, you appear to be an excellent candidate to cosmetically improve the appearance of your eyelids with an artistically performed conservative upper lid blepharoplasty rather than any nonsurgical procedure. FDA approval, if and when, is unpredictable for any specific technology. Following the advice of anyone who would presume to tell you what to do based on a limited 2 dimensional photo 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. Best of luck! 

Plasma MD is available in the US and is the only FDA approved pen on the market. Choose your provider carefully as there are knockoffs out there!

Thank you for your question. Plasma Pen is now available in the U.S. It is not available in all cities so you may have to check around. We have been offering Plasma Pen in St Louis, MO for about 3 months now and I am very impressed with the results from this simple procedure. It is one of the favorite treatments among my staff.I hope this was helpful - Dr. Moore

Hi and welcome to our forum!
The plasma pen emits an electric arc to create punctate burns in the skin extending into the dermis, stimulating collagen contraction. This same phenomenon occurs with laser eyelid tightening, which is available in the US. 
Set up a consultation with a board certified plastic surgeon with eyelid laser experience.
Best wishes...