- Triple eyelid refers to an extra eyelid fold.
- There are many potential causes, but age is the primary factor.
- Most triple eyelids do not resolve on their own.
- Blepharoplasty or brow lift surgery can correct this issue.
Triple eyelid occurs when the upper eyelid has two folds instead of one. Several factors may be involved, but in most cases, it is caused by redundant skin, fat atrophy, or an improper functioning of the eyelid’s fibrous muscle tissue.
We spoke with a panel of expert surgeons to find out more about this common aesthetic concern.
What causes triple eyelid?
“It requires a good physical exam and medical history to determine the exact cause,” says Benjamin P. Caughlin MD, a facial plastic surgeon in Oak Park, IL. “Sometimes the fat has fallen, and sometimes the muscle attachment is weakened. Other times, the skin is torn away from the ligament.”
Any number of the following potential factors may be at play.
- Aging and loss of skin elasticity
By far, the most important factor is age. Triple eyelid is much more common in older patients than among people in their 20s.
“Triple eyelids can affect anyone, but they more commonly affect Asians,” says New York City board-certified plastic surgeon, Stephen Warren, MD. “Asians tend to have low upper-eyelid creases and more upper-eyelid fat closer to the eyelid margin. As the skin loses its elasticity and the fat atrophies, the person is set up to have multiple eyelid creases.”
- Skin tone
People with paler and thinner eyelid skin are more prone to develop a triple eyelid, even at a younger age, according to William H. Truswell, a board-certified facial plastic surgeon, based in Easthampton, MA, who currently serves as president of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS).
- Body type
While triple eyelid is more common among older patients, young people who are thin and athletic, sometimes develop multiple upper eyelid creases.
- Long-term contact lens use
“Prolonged use of contact lenses, over the years causes the muscles to be pulled away,” says Dr.Caughlin. This is especially common in older patients.
Ptosis, or sagging of the upper eyelid, is usually a factor. Ptosis can be congenital (present at birth) or caused by a trauma, but is typically a result of aging.
- Lack of fat
Insufficient fat supply is a factor in the development of triple eyelid, regardless of other factors. A lack of fat can be caused by aging, trauma, or surgery. It can also be caused by a protruding eyeball.
Edema is a collection of excess fluid in the body’s tissues or cavities. Some inflammatory conditions can cause water retention that leads to the formation of a triple eyelid.
Will it go away on its own?
In most cases, a triple eyelid will not resolve on its own and requires surgery to correct, though there are some exceptions.
Dr.Truswell says that allergies, a cold, or a lack of sleep can cause inflammation and swelling in the lids, which can eventually result in the formation of a triple eyelid. In these cases, the problem may resolve on its own without surgery.
Dr.Caughlin concurs. “If it’s simply edema from inflammatory conditions, we can sometimes get away with topical anti-inflammatories. If it’s the skin, muscle, or fat, then it requires surgery to correct.”
Dr.Warren says that triple eyelids do not resolve spontaneously but cites one additional scenario in which a patient might choose to forego surgery.
“For persons mildly affected, the triple eyelid can appear to improve or get worse, depending on the time of the day and the person’s level of hydration,” Dr.Warren explains. “Some persons who are mildly affected can see improvement when they apply moisturizers.”
Why don’t you pick these alternatives?
The triple eyelid can occur due to aging, loss of skin elasticity, lack of fat, edema, trauma, etc. Most cases do not resolve on their own and may require surgery to correct them. Some products can be beneficial for mild cases, and using them regularly can help avoid triple eyelid conditions.
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The natural ingredients in the Bee Naturals Eye Balm, hydrate and soothe tired eyes. It moisturizes and rejuvenates your skin under and around the eyes. It reduces dark circles and treats or prevents fine lines, premature wrinkles, and crow’s feet. It is ideal for all skin types. You can also apply it as a base for perfect eye makeup.
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Eyelid Lifting & Dark Circle Serum has natural herbal extracts that lift, tighten, and firm droopy eyelids. The serum helps de-stress and relax the areas around your eyes, reduces deep crow’s feet, fine lines, dark circles, and puffiness. Using this product daily will rejuvenate your delicate skin and eliminate the “stressed out” look.
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Derma E Stem Cell Lifting Eye Treatment Cream enhances skin suppleness and firmness and improves skin elasticity and texture. It lifts, firms, and tightens the delicate area around the eyes. It enhances the natural glow, color, and texture of the skin with even toning.
Avon Anew Lifting Dual Eye System
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The dual eye cream and gel reduces under-eye shadow and sagging of eyelids. It also tightens and reshapes the eye contours. Vegan and free of chemicals; works best for sensitive skin types.
Triple eyelid surgery
All of the experts we interviewed agree that surgery is the best solution to correct triple eyelid. Some doctors rely solely on surgery, while others may attempt to enhance the effects of the surgery through fat or filler injections.
Dr.Truswell believes that surgery alone is the solution to a triple eyelid, and that turning to minimally-invasive treatments may backfire.
“Adding volume through the use of fillers may enhance the fold and change the way the eyes look,” he explains. He also warns that exercises, Botox, and lasers — all of which are sometimes touted as solutions to a triple eyelid — will unfortunately not be effective.
Other surgeons, however, find that minimally-invasive treatments can be helpful in correcting a triple eyelid.
“If the triple creases are shallow, fillers or fat injection alone may be enough to expand the skin and eliminate them,” says Dr. Warren. “However, most patients will benefit from a modest skin excision, release of the levator adhesions, and the addition of a small amount of fat.”
In most cases, correcting a triple eyelid will require eyelid surgery (with or without fat or filler injections), a brow lift, or a combination of these procedures.
If your surgeon determines that you need upper eyelid blepharoplasty to correct your triple eyelid, he or she will take several steps to determine your candidacy and the approach that should be taken during surgery.A physical examination and vision examination will be required. Photos will also be taken to help plan the surgery.
In preparation for the procedure, the surgeon will ask that you stop taking certain medications that thin the blood or exacerbate bleeding:
- Ibuprofen (Advil, Motrin)
- Naproxen (Naprosyn)
- Naproxen sodium (Aleve)
- Warfarin (Coumadin, Jantoven)
- Other medications and supplements that can increase bleeding
The surgeon will also ask that you stop smoking a few weeks before surgery as smoking can interfere with the healing process.
You will be instructed to arrange for a friend or family member to drive you home once you are cleared following surgery, and to have someone available to monitor you the first night after your surgery.
Eyelid surgery is typically performed on an outpatient basis. The surgeon will use local anesthesia and administer intravenous medication to make sure you are relaxed. Incisions are then made along the eyelid fold to remove excess skin, muscle, and fat.
Bruising and most of the swelling should subside within a couple of weeks. Scars can take several months or longer to fade. During this time, you should take steps to protect your eyelids from sun exposure.
There are no statistics that track the cost of blepharoplasty, specifically, for correction of triple eyelids. However, according to the latest statistics from the American Society of Plastic Surgeons (ASPS), the average cost of blepharoplasty surgery is $3,022.
Brow lift surgery
If your eyebrow is drooping and pushing on the upper eyelid, this too may need to be addressed. According to Dr.Caughlin, Botox injections may be beneficial in certain cases. For other patients, a brow lift — or a procedure that includes both a brow lift and eyelid surgery — may be the only effective option.
Depending on the type of brow lift, the procedure may be performed under conscious sedation (IV sedation) or general anesthesia.
Some surgeons prefer to make small incisions near the hairline and use an endoscope (a small, thin tube with a camera attached). Others will perform a “coronal incision,” which is an incision from ear to ear along the top of the head. The forehead skin is then lifted and adjustments are made to the muscles. Brow lift incisions are closed with skin adhesives, clips, or sutures.
These wounds generally take 10-14 days to heal, during which time you will need to keep your head elevated and avoid applying heat or ice. The recovery process will continue for several more weeks and may last up to several months.
According to statistics from the American Society of Plastic Surgeons (ASPS), the average cost of brow lift is $3,403.
»For more information on treatments for triple eyelid, use Zwivel’s directory to locate and contact a board-certified plastic surgeon in your area.
Surgery is the treatment of choice for triple eyelids. Your plastic surgeon may perform blepharoplasty to remove excess skin and lift drooping skin. If a surgical eyelid procedure caused the excess eyelid crease, surgical release of the scar tissue is key.What is a triple eyelid? ›
Triple eyelids, also known as multiple eyelids, happen when the upper eyelid has two or more folds rather than one. This eyelid type may form due to several reasons like weakness of eyelid muscles, loss of fat caused by aging, or extra skin on the eyelids.What happens if you have triple eyelids? ›
Blepharoplasty or brow lift surgery can correct this issue.
Triple eyelid occurs when the upper eyelid has two folds instead of one. Several factors may be involved, but in most cases it is caused by redundant skin, fat atrophy, or an improper functioning of the eyelid's fibrous muscle tissue.
You know that little pink thing nestled in the corner of your eye? It's actually the remnant of a third eyelid. In humans, it's vestigial, meaning it no longer serves its original purpose. There are several other vestigial structures in the human body, quietly riding along from one of our ancestor species to the next.Can you fix eyelid without surgery? ›
How to fix droopy eyelids without surgery. Nonsurgical treatments — including hyaluronic acid fillers, or injections like Botox® or Dysport® — can help you look more youthful. These treatments can smooth out wrinkles around your eyes, fill in hollows or tighten sagging eyelids.Can Botox help triple eyelid? ›
Botox could be a possibility for your solution to help with the triple eyelid fold. However I would recommend seeing a board certified plastic surgeon and discuss all of your options, surgical and nonsurgical.What is triple eyelid after blepharoplasty? ›
Secondary triple folds are present in patients after the index blepharoplasty. Overzealous soft tissue removal in the upper flap can create adhesion and subsequently result in the extra eyelid crease above the surgically created fold.How can I tighten my eyelids at home? ›
You can work eyelid muscles by raising your eyebrows, placing a finger underneath and holding them up for several seconds at a time while trying to close them. This creates resistance similar to weight lifting. Quick, forcible blinks and eye rolls also work eyelid muscles.How do you fix eyelid wrinkles? ›
You can combat eyelid wrinkles by using HA serum, barrier creams, eye de-puffers, and Phyto-rich eye creams. Prevent eyelid wrinkles by being gentle with the delicate skin around the eyes, avoiding applying retinol to the area, wearing sunscreen on eyelids, and doing eyelid exercises.Why did I develop a third eyelid? ›
You know that little pink thing nestled in the corner of your eye? It's actually the remnant of a third eyelid. In humans, it's vestigial, meaning it no longer serves its original purpose. There are several other vestigial structures in the human body, quietly riding along from one of our ancestor species to the next.
The nictitating membrane is a transparent or translucent third eyelid present in some animals that can be drawn across the eye for protection and to moisten it while maintaining visibility. Fully developed nictitating membranes are found in fish, amphibians, reptiles, birds, and mammals but are rare in primates.Can you get rid of extra eyelid skin? ›
Blepharoplasty (BLEF-uh-roe-plas-tee) is a type of surgery that removes excess skin from the eyelids. With age, eyelids stretch, and the muscles supporting them weaken. As a result, excess skin and fat can gather above and below your eyelids.How do you get rid of extra eyelids naturally? ›
Cucumbers are also an excellent remedy for drooping eyelids. Simply place chilled cucumber slices over your eyes and leave them on for 15 to 20 minutes. Throw the slices away (or add them to a compost pile) when you're done. Ice water can be surprisingly effective for some mild cases (depending on the root cause).