What are my best options to fix my Multiple Eyelid Folds/Excessive Eyelid Skin? (photos)

There is no substitute for a personal examination.  However, you have slightly heavy upper eyelids, a compensatory brow elevation, and a hollow upper eyelid.  You also have upper eyelid lash ptosis due to lack of support in the upper eyelid lashes.  This shades the upper part of the cornea and makes the eyes look dull rather than jewel like.  What you see as "extra" skin is a collapse of your upper eyelid fold.  Most eyelid surgeons you will see will blithely remove this skin with blepharoplasty.  Unfortunatley this will skeletonize your youthful eyelid.  What you need is what I call an anchor microblepharoplasty.  This procedure is about structure not removing skin, muscle, and fat.  You elevator aponeurosis, the tendon of the muscle that opens the upper eyelid, it partially disinserted.  When this occurs, it takes the anterior orbital fat that normally provides volume to the upper eyelid fold back into the orbit.  By reattaching the levator aponeurosis to the upper eyelid tarsus, the volume to the upper eyelid fold is restored.  Additionally, the properly positioned levator is used as an anchor to support the upper eyelid platform skin which is snugged up like one snugs a bed sheet.  That in turn supports the upper eyelid lashes.  Study the attached video and my free ebook cited below.

Than you for your pictures!. You have excess skin of the upper eyelids and would do very well with an upper eyelid blepharoplasty. These procedures are performed under local anesthesia in the office and take about an hour to perform. This will clean up the excess eyelid folds and make the eyelids appear more open and less tired. 

Blepharoplasty surgery looks like it would be a good surgical option for you based on these photos. The surgery involves removing the excess skin as well as fat in the eyelids to give a rejuvenated appearance. I suggest finding a specialist plastic surgeon in your area to consult on possible treatment options.

I believe that trying to correct your problem with non invasive methods as botox, is going to fail.



The only solution that you have is to do an upper lid blepharoplasty. This is a very small procedure, office based, and the only problem that you are going to have is the black eyes for one week. The result, usually lasts for many years.

For excessive skin and multiple folds, an upper eyelid lift is a great option. It is minimally invasive, in that the surgery and recovery are much quicker than other facial procedures - days not weeks. If you have been considering this, I strongly recommend you get it done rather than look for other non-surgical options. You will be happy for many years with your choice.

Based on your photos, it seems you are a good candidate for an upper lid blepharoplasty.  It seems that all you would need is a strip of excess skin removed with no removal of muscle or fat .  I generally perform this in the office with local anesthetic alone. However you may choose to have it done in the Operating room as well.  

Best regards, prashant Soni md