Severe wrinkle on eyelid. What can I do? (photo)
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Doctor Answers 6
Please do not fret.
Upper eyelid skin
Thank you for sharing your question and photograph. This can be easily addressed with an upper eyelid blepharoplasty, which will remove excess skin from the upper lids. If you are not ready to consider surgery, I have had excellent success in my practice using a total resurfacing laser to the eyelids, which tightens and improves skin texture without surgery. Although surgical results are the gold standard for this type of hooding, laser results can provide significant improvement. I recommend scheduling a consultation with a board certified specialist who will be able to evaluate you in person and offer more specific suggestions to address the eyelid hooding.
As the fat fades from around the orbit, it is a little bit like taking the wind out of a sail and wrinkles appear. Probably the easiest response to this is to do upper eyelid surgery, which would probably need to be done on both sides to produce symmetry. However, this should be able to set the eyelid height between 7 mm to 9 mm above the lash junction and remove the wrinkle.