What is an eyelid crease and what can you do about it

Published: Aug 21, 2019, 13:40 IST | mid-day online correspondent | Mumbai

The eyes are the only part of the body where even a man's difference in between the two eyes, can make your entire face look crooked and less appealing

This picture has been used for representational purpose
This picture has been used for representational purpose

Do you look at the mirror and notice that you have uneven eyelids? Facial asymmetry is commonly seen in many people. The eyes are the only part of the body where even a man's difference in between the two eyes, can make your entire face look crooked and less appealing. Thus, the uneven eyes are a real cosmetic concern and should be taken care of, at the right time. Here, we briefly inform you about eyelid crease treatment.

Did you know? An eyelid is a thin fold of skin that covers and protects your eye. Moreover, the eyelid crease plays an important role in determining eyelid symmetry. Your upper eyelid crease is what determines if you have a single eyelid (monolid) or double eyelid. Moreover, some people tend to have a well-defined crease that means the eyelid may actually crease in that area while in case of few; it is not so. 

For good cosmesis, the upper eyelid creases and folds must be in symmetry. Furthermore, the lid creases must be the same height above the upper lid margins. Also, the skin below the crease needs to be smooth, and firmly attached to the tarsus, or, in cases with a short tarsus, adherent to the short tarsus and levator muscle up to the crease. While the skin above the crease must be loosely attached so that it forms symmetric folds over the crease. Moreover, eyelids can be of different types too.  

Here are the different kinds of eyelid creases by Dr. Debraj Shome, Cosmetic Surgeon & Directors of The Esthetic Clinics

Absent eyelid crease: This one is called as a monolid. This is so because there is no distinct eyelid crease which separates the lid into two parts. This occurs in the Oriental population & is treated with Double eyelid surgery.

Multiple eyelid creases: Are you aware? Double eyelid surgery can be done to merge those multiple creases in order to form a single one. Are you aware? It is only after the double eyelid surgery, those multiple creases can occur, if the new crease does not coincide with the previous ones.

Partial eyelid crease: The crease which is not well defined and may not extend through the eyelid. Furthermore, as you age, the crease can become defined because the skin which is above the crease tends to loosen. Tapering eyelid crease with lateral flare: Here, the outer part of one’s eyelid platform is wider than the central one. The causes of eyelid crease asymmetry

Ptosis:  Also known as droopy eyelid can be described as a condition which may affect one or both eyes. This condition can be present at birth itself (congenital ptosis). One can even suffer from it in later life, which is called as acquired ptosis. Ptosis can range in severity and lead the upper eyelids to droop low enough that they reduce or can block one’s vision. You will be shocked to know that ptosis can affect anyone, but it is commonly seen in adults. One can also get it owing to the trauma or a side effect of eye surgery. Not only this, even neurological conditions like stroke and tumours can also invite this condition.  

Uneven fat distribution in the eyelids: Yes, anyone can have this uneven fat distribution in the eyelids. it is more common as one tends to age. One’s eyelids may stretch over the years, and the muscles which support them can weaken. Hence, this can lead to excess fat accumulation around your eyelids.

Other causes: Bell's palsy (a paralysis or severe weakness of the facial muscles on one side of the face), and tics (a sudden and uncontrolled small movement, especially of the face, especially because of a nervous illness), can be the causes as well.

Eyelid crease treatment

The symmetry between the eyelids is of utmost importance in achieving excellent cosmesis and superior patient satisfaction in unilateral ptosis. Creation of an eyelid crease and excision of the LPS muscle through the upper eyelid crease incision (when required) should be performed in all Ptosis
procedures performed in unilateral ptosis.

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The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition. 

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