Open the eye gently.
Refining the upper lid — removing excess skin, addressing fat or muscle when needed — without changing the character of your gaze.
What this addresses
- Excess upper lid skin (dermatochalasis)
- Heavy or hooded appearance
- Functional vision impairment from skin overhang
- Asymmetric upper lid creases
Conservative skin removal. Crease design respects your existing anatomy. We almost never aggress with fat or muscle in primary cases — that conservatism preserves options for the future.
The Process
Crease Design
Mark proposed crease at multiple gaze positions. Confirm with you before surgery.
Conservative Excision
Remove only what is needed. Less is repeatedly better in this region.
Closure
Fine sutures along proposed crease. Removed at day 5–7.
Recovery
Bruising peaks day 3, resolves day 7–10.

“Patient-centered care begins with identifying the exact under-eye cause before choosing a method.”
Frequently asked
The shape stays — we remove excess skin without altering crease character.
No. Asian crease creation is a distinct procedure for patients without an existing crease. This procedure refines an existing crease.
Considering revision? Start with an easy consultation.
You do not need to decide on surgery first. Send photos and prior procedure history, and ST will help you begin comfortably.