What do I call this in my eyelids? Best surgery to fix this? (photos)

You have central leavtor disinsertion causing upper eyelid ptosis and a mild compensatory eyebrow elevation. The disinserted tendon tends to retract into the orbit and take with it anterior orbital fat that would otherwise contribute volume you your upper eyelid fold. The other source of volume for the upper eyelid fold is a small skirt of fat that comes from below the eyebrow. Then the brain is lifting the forehead to compensate for the heavy upper eyelid, less volume is available to the fold. As a consequence of these changes, it looks like your upper eyelid fold is empty. Cutting away this skin and muscle will permanently leave you with an innie eyelid and not repair your actual underlying eyelid problem. You will immediately look older and post-surgical. By repairing the upper eyelid ptosis and reposting the retracted anterior orbital fat, it is possible to reconstruct the upper eyelid fold to restore a much more youthful upper eyelid. You need an anterior levator resection ptosis surgery, anchor blepharoplasty and crease lowering. It is also possible that you may need a lateral canthoplasty. A detail in person assessment is needed to develop an individualized plan for you. Don't get the wrong surgery. Your eyes can be your best feature.

Thank you for your questions and pictures! Upper eyelid hooding can be corrected with an upper blepharoplasty. It is one of the first cosmetic surgeries people usually get. While the average age might be 30 to 50's, some patients get this done in their 20s. It really depends on your unique anatomy as well as what exactly is bothering you. That said, even after surgery I always warn patients that there will still be asymmetry and things will not look 100% perfectly even because some asymmetries cannot be corrected unless you reposition bone, remove muscle etc. and somethings are just not worth doing.Botox injections as well as laser treatments can also be a tremendous benefit if you are not interested in surgery. Of course, there are also many combinations.

I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of eyelid surgery but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all,you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations.

I hope my answer helps and if it does, please take a moment to upvote this answer on the “response”button on the top right. Have a great day.

Thank you for your question. What you're probably noticing is skin excess of the upper eyelid. Both genetics and age play a role in this. The treatment of choice would be an upper eyelid blepharoplasty, which involves removing excess skin, and hiding the incision in a natural crease. I hope that helps, and all the best to you.
-Dr. P