Asymmetry is the answer

Scott E. Kasden, MD answers: Eyelid ptosis or extra skin?

I am going to see an eye surgeon in two weeks but I wanted to have an idea what to ask before I go. I am 26, I was told by my mother that my right eye drooped when I was younger. Now it appears to be my left eye, but when I pull the right eye down a bit and it folds over the eye brow, it appears to be lower then the left eye. Is my problem a ptosis or extra skin? Should I mention this to my doctor or see what he says first? It is more noticeable when I am tired.


Scott E. Kasden, MD
2 months ago

Looking at your picture, I see several interesting things.

First both lower lids are a bit droopy, but right more so than left.  Note increased scleral (the white of the eye), especially laterally.  Consideration to a lower lid tightening and repositioning procedure should be entertained.

Next, the upper lids seem about equal, but the left side has a deeper fold, and it may be due to your brows (there is asymmetry present).

I would also agree with the other doctors.

So what to ask?  Ask for a complete exam and recommendations.  Tell him your concerns and goals.

sek

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