Severe wrinkle on eyelid. What can I do? (photo)

This can be fixed with upper eyelid surgery.  You actually have a few issues and this redundant fold is part of a set of upper eyelid issues.  Basically the upper eyelid platform skin has lost its firm attachment to the levator aponeurosis, the tendon in the eyelid that raises the upper eyelid.  Structured microblepharoplasty cleans up the upper eyelid crease, support the loose skin on the eyelid platform and supports the droopy upper eyelid lashes.  Any ptosis of the upper eyelid can be addressed at the same time.

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.

It is unusual to see a sudden development of a skin crease, and your treatment will depend on a careful discussion and examination to rule out other problems.  If it is just skin excess, removal would be quite simple.