An eyelid crease is a line that runs across your eyelid. They’re often natural and found in people of all races. Yet, the degree to which they show up varies from person to person.
Some eyelids have very visible eyelid creases while others don’t have any at all. You may get creases due to aging, genetics, or other eyelid conditions like ptosis.
In this article, we will discuss eyelids as a whole and the different types of eyelid creases you’ll find. We’ll also talk about the ways of correcting eyelid crease conditions.
Let’s get into it…
What are eyelid creases?
Eyelid creases are a natural fold on the upper eyelid usually found in people of all races.
Upper eyelid creases (or upper lid folds) occur when fat and muscle under your skin collect in certain places. They might form a ridge of skin that’s sometimes visible from the upper eyelid to the brow bone. 
Then, what are lower eyelid creases?
Lower lid creases (or lower lids folds) occur when fat and muscle collect under your skin. Only this time, they form ridges/lines on the upper cheekbone area and below your eyes.
The degree to which either shows up can vary from person to person. They’re caused by different factors such as aging or genetics, among others. They may also form as a result of upper lid ptosis, which is a drooping upper eyelid.
Eyelid creases develop when skin folds inwards towards your eyelashes during rest and upper lid movement.
The amount an individual has depends largely on their family history. This is since some people naturally have more prominent ones than others.
In some instances, you may get grouped as having a monolid if your eyelid has no crease at all. This is the case with a larger majority of Asians. Thus, to rectify, some have hopped onto medical methods to create and define their eyelid creases.
One very popular process is widely referred to as double eyelid surgery or Asian blepharoplasty. When done successfully, it changes your monolid into a double eyelid crease.
What affects the formation of eyelid creases
Whether you form upper eyelid creases depend on several things.
To give you a clearer picture, take a look at the few common reasons below:
a. Genetic factors
There is a strong genetic component in upper eyelid creases. They may be also influenced by ethnicity and handedness. If someone in your family has or lacks upper eyelid creases, you may also get the same from hereditary.
The upper eyelid crease may become more pronounced with aging. Still, there are exceptions to this rule. Such include those who have nasally tapered upper lids or some Asian ethnicities which aren’t associated with upper eye fold development.
c. Upper eyelid ptosis
If the upper lids droop, they can create a triangular fold on each eye that resembles an upper lid crease.
Weathering of the skin can happen due to sun exposure. It can cause changes that result in deepening or elevation of upper eyelid furrows and curves. This happens on the upper rim below the brows where they meet around the nose area.
Some ethnic groups, such as Asians, do not experience eyelid creases. Though, this does not cover the entire group as some have varying signs of eyelid creases.
Living in polar regions can cause the skin to thicken under the eyes due to the cold. This can cause creased lines in this area, too.
Upper eyelid skin can form creases from decreased oil production on that area of skin. It can cause your upper eyelids to become thin and wrinkled. In the end, it may lead to the deepening of dorsal creases near the eyebrows and nasal areas.
Types of Asian eye creases
The most common type of Asian eye crease is the single eyelid or monolid.  It tends to be more present in East Asia and Southeast Asia. The double eyelids are also fairly popular among Asians.
This configuration can range from a thin fold that barely covers the upper lid to an almost complete second set of lids that cover up everything except for one sliver at the top.
Out of all that, the following are the most common Asian eyelid creases:
a. Absent Eyelid Crease
The absent eyelid crease shows a lack of any skin fold that covers your upper eyelids.
It’s also known as the Single Creased Eyelid or monolid.
b. Triple Creased Eyelids
A triple creased eyelid has about 2 to 3 lines across both eyes. It happens when there’s lots of fat loss under your eyes’ skin. It can also come as a result of the deepening of your upper eyelid’s groove. 
c. Multiple Eyelid Creases
The multiple eyelid creases have more than one set of skin folds covering your upper eyelids. You may get multiple eyelid creases when your new folds don’t join well after double eyelid surgery.
d. Partial Eyelid Crease
A partial eyelid crease is when you have a small strip of skin fold across your upper eyelid. It’s less common than the other Asian eyelid creases.
This kind of crease is not well defined but may become visible as you age along.
e. Tapering Eyelid Crease
A tapering eye crease is when your upper eyelid has a skin fold narrowing towards the inner corner of your eyes. It’s also called a nasally tapered crease.
f. Tapering Eyelid Crease (With lateral flare)
It’s a variation of the tapering eyelid that has a visible lateral flare. This makes the outer areas of your eyelids look wider than the middle and inner eye corners.
g. Parallel Eyelid Crease
This happens as a slight crease above your lashes and stretches from your outer eyes to the inner corner. What makes it unique is that the crease does not taper in as seen in a Tapering Eye Crease. It cuts clean across like a parallel line above your lashes.
So, what’s an Asian blepharoplasty?
In Western countries, it’s also called double-eyelid surgery. This incision creates two permanent folds of skin on your upper eyelids. They start at the outer corner of your eye and extend to the inner corner.
The fold on one side may not match up with the other. Still, this doesn’t matter much as it only becomes noticeable when you close your eyes or look down.
A majority of medical professionals agree that one should not do it before puberty. This is because children’s faces are still growing and changing due to hormones until they reach their late teens.
The process is very simple
An incision’s first made in your upper eyelids. Then, a cut-out section of skin from behind your cartilage gets sewn onto them. This creates a fold that will continue to deepen over time.
You may have swelling, bruising, crusting, dry eyes, blurred vision, drooping lids, or excessive tearing following this procedure. For most cases, your doctor or plastic surgeon will give you prescription medication to manage the side effects.
It costs anywhere from $800 – 8000 USD on average. This price varies depending on your location and surgeon as well as how much skin needs removing for each eye.
You might need multiple surgeries if you want it more dramatic than just one fold of skin.
The whole process gets done in under an hour and requires some downtime before you can go back to work. This time ranges from 2 days to over a month in some patients.
What are the benefits of getting a double eyelid surgery
Double eyelid surgery helps you to create a more natural, subtle, and youthful look.
The benefits include:
- More attractive eyes due to less drooping in your eye corners
- Enhanced visibility when looking up or down may improve self-confidence
- Reduction in wrinkles around the eyes
- Less tired-looking eyes
- A more youthful appearance
Alternatives to Blepharoplasty for creating double eyelids
Until recently, surgical intervention was the only solution for creating eyelid folds. Not anymore! There are many options available for non-surgical treatment of double eyelids to help you achieve this goal.
Here are some of the best treatments for creating a nice, natural-looking fold without surgery:
a. Lifting Eye Creams
These work best if your problem is not with age or sagging skin but rather a reduced level of fat in that area. Lifting eye creams may be just what you need in such a case!
Lifting eye creams can support and give a lift around your eyes. They do this by providing firmer yet gentle tissue beneath them. This allows your forehead muscles to relax more which will also cause your eyebrows to lift as well.
It ends up giving you a much fresher appearance.
b. Natural Eyelid Contouring
If your eyelids are simply too droopy, then natural eyelid contouring can help!
This treatment’s done through the use of makeup which will shape and add color around your eye. It’s a fast and easy way to achieve the look you want.
c. Topical eyedrops
A case study by Julia Song (MD) found that using some topical eyedrops could also help create eyelid creases. This comes in handy when trying to correct uneven creases on either of your eyes.
If you have tried different treatments but are not seeing results, you should see your doctor. Once there, he or she can see the best options that may work for you.
Eyelid creases form when fat deposits accumulate behind your eye and create a fold in the skin. The number of folds can change based on genetics, ethnicity, or other reasons. They don’t have to be always visible because some people naturally have thin eyelids with no visible lines.
Also, there are several types of Asian eyelid creases. You may choose to change yours based on cosmetic or medical reasons. (like if you can’t read well)
Asian blepharoplasty surgery will reshape your eyelids to give you natural-looking double eyelids. It helps to remove excess skin from your upper lids and gives you a more ‘alert’ look.
Have you gone through a double eyelid surgery before? What was your experience? I’d like to hear all about it in the Comments Section below!