Though we think of faces as being even or symmetrical, most people’s faces have asymmetries. The eyes are the most noticed feature, and the first thing people see when they meet you. Therefore, asymmetry in where or how the upper eyelid creases fall, even very slight asymmetry, is often less tolerable to a patient than other asymmetries of the face.

Upper eyelid creases may be asymmetrical for many reasons. The asymmetry may be congenital, due to previous surgeries, caused by trauma or injury, or it may be due to the natural aging process (gravitational changes, loosening of the muscle and skin, and fat deflation). Whatever the cause, eyelid crease correction surgery can often be performed to even out the position and contour of asymmetric upper eyelid creases.

Eyelid crease correction normally requires an incision along the upper eyelid where the crease should lie. After positioning and securing the new eyelid crease, the incision is closed smoothly with fine sutures. This is done to maximally hide any evidence of surgery. In addition, if any filler is required to add volume to hollowed or depressed areas of the upper eyelids or to help lower an eyelid crease so that it folds over as it should, fat transfer can be performed or injectable fillers can be administered during the same surgery.