Is There Anyway of Reducing Eyelid Folds Without Surgery?

Doctor Answers 18

NonSurgical Eyelid Fold Reduction

Although blepharoplasty surgery is the only treatment that is long lasting there are a few things you can do that are of temporary help. Make sure you have an exam to make sure that you do not have weak eye muscles, ptosis, as your cause by an exam by a board certified specialist.

Lower lids: Ceramide creams for the lower lids which in minutes as they dry the clear membrane tightens the lower lid skin minimizing bags and wrinkles. This lasts from 4-8 hrs and can be reapplied as needed. Radiofrequency, laser and peels tighten the skin with minimal downtime. Fillers for fat transfer #lipoinjection, to the lower lid to fill in the cheek-lid depression that casts shadows also helps many.

For the upper lids, Botox in the crows feet area just below the brow will gently lift the lateral brow and lift a bit of the hooding on the side of your eye. This lasts about 3-4 months. Make sure you go to an expert injector associated with a Plastic Surgeon, Facial Plastic Surgeon, Dermatologist, or Ophthalmologist skilled in injections.


Orange County Plastic Surgeon
4.9 out of 5 stars 154 reviews

Nonsurgical Management of Eyelid Aging

The vast majority of patients with redundant eyelid skin require blepharoplasty surgery to correct the problem. Rarely when minimal amounts of excess skin are present, non-surgical alternatives may be helpful. These procedures actually tighten the skin by causing contraction of dermal collagen. Procedures in this category include TCA chemical peels and a variety of laser procedures. These procedures provide minimal degrees of skin tightening and also remove fine eyelid wrinkles.

In any particular case, it's virtually impossible to make a recommendation without pictures or a physical examination. It's, therefore, important to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Eyelid creases

Depending on the location of your eyelid folds, nonsurgical options you can consider include Botox/Dysport, fillers and laser resurfacing.

Leila Kasrai, MD, FRCSC
Toronto Plastic Surgeon
5.0 out of 5 stars 66 reviews

Nonsurgical treatment for loose skin

There are several lasers which can tighten loose eyelid skin. All have their pros and cons. I like using an erbium laser because of its effectiveness and safety. The pure CO2 laser is much stronger and has impressive results, but the risk of complication is higher as well. See an oculoplastic surgeon to evaluate your eyelids and to determine appropriate treatment. 

James R. Gordon, MD, FACS, FAAO
New York Oculoplastic Surgeon
5.0 out of 5 stars 140 reviews

Surgery best option

Excess skin that is causing the eyelid folds can only be safely and effectively removed with surgery. 

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

Is There Anyway of Reducing Eyelid Folds Without Surgery?

If referring to upper eyelid folds, you mean excess upper eyelid skin, then the only way to reduce those are with surgery.  Laser resurfacing can help with minor upper eyelid wrinkles.  If you want to create a more defined eyelid crease you can do sutures without cutting any skin.  Do not do Thermage on your upper eyelids.

Ramtin Kassir, MD Facial Plastic Surgeon NY, NJ

Ramtin Kassir, MD
New York Facial Plastic Surgeon
4.7 out of 5 stars 143 reviews

Non-surgical eyelid rejuvenation

If the folds you are referring to is some minor skin excess, then laser resurfacing or chemical peeling would be excellent ways to improve those areas. If it is a volume problem, then injectable fillers are an option to fill in those areas as well. I hope this information helps.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 20 reviews

Eyelid folds

Although surgery is the defintive way to remove excess eyelid skin, there are good nonsurgical options depending on the severity of the problem and the underlying cause.
If there is volume loss of the upper lid and brow or the area we call the tear trough restylane is an excellent product to address this.
Active muscles about the eye can contribute to downward position of the brow and worsening of the crow's feet. this can be addressed with botox.
If the skin is crepey and thin, resurfacing with a fractional CO2 laser is an excellent solution which yields beatiful resutls.

Seek out a board certified plastic surgeon to help udnerstand which of these options will be best for you.

Good luck.

Robert W. Kessler, MD, FACS
Corona Del Mar Plastic Surgeon
5.0 out of 5 stars 129 reviews

Options for Eyelid Folds

The eyes are the windows to the soul. All too often, however, they seem to reveal exhaustion. The very delicate skin around the eyes tends to get crepey and puffy due to fatigue and stress. An effective non-surgical option that might benefit you is Thermage®, which can tighten the skin around the eyes. The new and improved Thermage® is a virtually painless, non-invasive (no incision!) treatment that can tighten skin and stimulate your body to make healthier collagen—the building block that provides structure to your skin. Fast and easy, Thermage® requires no downtime from normal activities.

Eyelid surgery has become one of my most popular procedures. If excess upper eyelid skin is hooding the eye and needs to be eliminated, an incision is made in the crease at the top of the lid and excess fat and skin are removed. The incisions are closed and sutured on the underside of the skin. If under eye puffiness and dark circles need to be eliminated, an incision is made along the lower lashes that will be almost invisible when it heals. Next, the fat below is either removed or redistributed and the saggy and crepey excess skin is then pulled up and cut off. The incisions is closed with tiny sutures, which are removed in four to six days

Michelle Copeland, MD, DMD
New York Plastic Surgeon
4.6 out of 5 stars 10 reviews

Improvement without surgery

The most effective way to improve the eyelids without surgery would be laser resurfacing. It can be repeated until you are satisfied, it may take several treatments and cost more in the end than surgery would but you would avoid surgery.  

Walter D. Gracia, MD
Fort Worth Plastic Surgeon
4.7 out of 5 stars 3 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.