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

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

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