Multiple creases and another fold on left eyelid? (Photo)

Question

I'm a teen Asian girl with an eyelid that has multiple creases and a 2nd fold. Two years ago was when my eyelid started to develop a 2nd fold. The eyelid had no creases just only a 2nd fold. This marks 3 yrs of having the problem and it developed small creases. It's now extremely noticeable and I can feel the unevenness when I have my eyes open from my 2nd fold. My original crease doesn't fold, instead it folds under my 2nd crease. Is there a way to fix this without touching my right eye?

Goretti Ho Taghva, MD, FACS · Answer

Hello GensTwist, thank you for your question and photos.  It appears that you may have ptosis on your right eyelid and that may explain why you have a higher eyelid crease on the affected eye.  Ptosis refers to the droopiness of the eyelid and it may be due to weakness of the levator muscle (which helps raise the eyelid) or detachment of the levator aponeurosis.  In my opinion, your multi-fold eyelid can be corrected with ptosis repair and creation of a crisp, single double eyelid crease to match your contralateral eyelid.  Hope that helps!Goretti H. Taghva MD

Chase Lay, MD · Answer

I see this every day.  It's about 30-40% of my cases and I perform Asian eyelid surgery daily.Basically you need incision technique to create on dominant crease and disrupt these weaker attachments between your skin and levator tendon beneath.I'll attach a video.Chase Lay, MD

Multiple creases and another fold on left eyelid? (Photo)

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Multiple creases and another fold on left eyelid? (Photo)

Answers (2)

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